This type of movement is characterized by the fact that during the shrug, the patient’s neck and upper limbs remain basically motionless, but the patient’s shoulders are clearly lifted bilaterally, and there is an inward and internal rotation movement. When the shrug reaches its highest point, the patient’s bilateral shoulders are often closer to the bilateral ears. This posture can be both a physiological phenomenon and can occur in certain diseases. If the shrugging phenomenon occurs, it is often seen in the following situations: 1. It may be a postural habit, such as Westerners often have a shrugging motion, indicating that they are innocent and unaware. 2. It is seen in children with related pathologies, such as ADHD or chorea, and it is possible to see such a movement as shrugging. 3. It may be caused by continuous tension in the shoulder muscles, such as the patient’s shoulder muscles being cold, overworked For example, if the shoulder muscles are cold, overworked, or if there is stimulation of the cervical nerve roots, there will be continuous tension in the shoulder muscles on one or both sides, and shrugging may occur.