MSK-UE

what is the patient position for scapular ABD & UP ROT and scapular ELV - AG MMT?

short sitting. hands in lap

what muscle(s) are tested during scapular ABD & UP ROT - MMT?

serratus anterior

where is resistance given during scapular ABD & UP ROT - AG MMT?

D humerus

what is different about scapular MMT testing?

no OP

no (+) or (-)

what is the gravity minimized position for scapular ABD & upward rotation MMT

short sitting

cradle arm at elbow

what muscles are tested during scapular elevation MMT

upper trapezius & levator scapulae

how are the shoulders tested during against gravity scapular elevation MMT

bilaterally

what is the GM position for scapular elevation MMT?

prone or supine

how are the shoulders tested during GM scapular elevation MMT?

individually

what muscles are tested during retraction MMT

middle trapezius & rhomboids

what is another name for retraction

scapular adduction

what is the patient position for scapular retraction MMT?

prone

90 shoulder ABD, 90 elbow flexion

where is the stabilization for scapular retraction MMT?

contralateral scapula; prevent rotation

what is the GM position for retraction MMT?

prone

90 shoulder ABD. 90 elbow FLX

cradle arm

where is resistance given for scapular retraction - AG MMT?

posterior shoulder

what muscle is being tested during scapular depression MMT?

latissimus dorsi

what is the patient position for scapular depression MMT?

short sitting; hands flat to table

what is the test for scapular depression MMT?

patient pushes from table to lift buttocks off table

what is the grade scale for scapular depression MMT?

(5) complete/incomplete

what is the patient position for scapular depression & adduction MMT

prone

arm raised to 145 ABD

thumbs up

what is the stabilization for scapular DEP & ADD MMT?

contralateral scapula

where is resistance applied for scapular DEP & ADD MMT?

proximal wrist = 5

distal humerus = 4

what is the GM position for scapular depression & adduction MMT?

prone

arm raised to 145 ABD

thumbs up

cradle test limb

what is the patient position for scapular adduction & downward rotation - AG MMT?

prone

shoulder IR & ADD (behind back)

90 elbow FLX

where is resistance for scapular ADD & DOWN ROT - MMT?

proximal to elbow

DOWN and OUT

what is the patient position for GM scapular ADD & DOWN ROT - MMT?

short sitting

shoulder IR, ADD, & EXT (behind back)

90 elbow FLX

cradle arm at wrist

what is the patient position for shldr FLX ROM?

supine

knees FLX

elbow EXT

where is the stabilization for shldr FLX ROM?

thorax

prevent spine extension, rib motion

what is the end feel of shldr flexion ROM

firm

costoclavicular ligament & joint capsule stop motion

where is the fulcrum of the goni placed in shldr flexion & extension ROM

G tuberble (lat)

where is the proximal arm of the goni placed in shldr flexion & extension ROM

midaxillary line of thorax

where is the distal arm of the goni placed in shldr flexion & extension ROM

midline of humerus (lat)

what is the expected ROM for shldr flexion ROM

0-180 degrees

what is the patient position for shldr extension PROM

supine

forearm in neutral

elbow slightly flexed

test limb off edge of table

what is the patient position for shldr extension AROM

short sitting

forearm in neutral

elbow slightly flexed

what is the expected end feel of shldr extension ROM

firm

joint capsule stops motion

what is the expected ROM for shldr extension ROM

0-60 degrees

what is the patient position for shldr abduction ROM

supine

shldr ER

forearm supinated (palm down)

elbow extended

where is the stabilization for shldr abduction ROM

trunk

prevent lateral flexion

what is the expected end feel for shldr abduction ROM

firm

ligaments and muscles stop motion

where is the fulcrum of the goni during shldr abduction ROM

anterior acromion

where is the proximal arm of the goni during shldr abduction ROM

parallel to sternal midline

where is the distal arm of the goni during shldr abduction ROM

anterior midline of humerus

what is the expected ROM for shldr abduction ROM

0-180

what is the patient position for shldr flexion & abduction MMT

short sitting

thumbs up

elbow extended

what is the gravity minimized position for shldr flexion MMT

side-lying

test limb on top

elbow extended

forearm neutral (thumbs up)

support limb at wrist & medial arm

what muscles are tested during shldr flexion MMT

anterior deltoid, supraspinatus, coracobrachialis

what muscles are tested during shldr extension MMT

posterior deltoid, latissimus dorsi, teres major, long head of triceps brachii

what is the patient position for shldr extension MMT

prone

shldr IR

elbow extended palm up

what is the patient position for gravity minimized shldr extension MMT

side-lying

test limb on top

elbow extended

palm down

support limb

what muscles are being tested during shldr abduction MMT

middle deltoid, supraspinatus

what is the gravity minimized position for shldr abduction MMT

supine

forearm supinated (palm up)

support weight of limb

what is the patient position for Horiz. ABD & ADD ROM

short sitting in chair

TL 90 ABD

elbow 90 FLX

where is the stabilization for Horiz. ABD & ADD ROM

trunk

prevent rotation

what is the end feel of Horiz. ABD & ADD; IR & ER ROM

firm

joint capsule, ligaments, & muscles stop motion

where is the fulcrum of the goni during Horiz. ABD & ADD ROM

acromion

where is the proximal arm during Horiz. ABD & ADD ROM

imaginary line through both acromion

where is the distal arm during Horiz. ABD & ADD ROM

shaft of humerus

what is the expected ROM for Horiz. ABD

0-40 degrees

what is the expected ROM for Horiz. ADD

0-135

what is the patient position for shldr ER & IR ROM

supine

TL 90 ABD

elbow 90 FLX + off table

forearm neutral

towel under distal humerus

where is the stabilization for shldr ER & IR ROM

distal humerus

keep shldr in 90 degrees of ABD

where is the fulcrum of the goni during shldr IR & ER

olecranon

where is the proximal arm of the goni during shldr IR & ER

perpendicular to floor

where is the distal arm of the goni during shldr IR & ER

ulnar styloid

what is the ROM for shldr IR

0-70

what is the ROM for shldr ER

0-90

what muscles are being tested in shldr Horiz. ABD MMT

posterior deltoid

what is the patient position for shldr Horiz. ABD MMT

prone

test limb in 90 degrees ABD

elbow extended

where is the stabilization for shldr Horiz. ABD MMT

posterior shldr

where is the resistance for shldr Horiz. ABD MMT

distal humerus

what is the alternative way for a patient to score a 3 for shldr Horiz. ABD MMT

elbow flexed

what is the gravity minimized position for shldr Horiz. ABD MMT

short sitting (in chair)

support limb

TL 90 ABD

elbow slightly FLX

what is the patient position for shldr Horiz. ADD MMT aggregate

supine

TL 90 ABD

90 elbow FLX

motion directly horizontal

what muscle is being tested during shldr Horiz. ADD MMT

pectoralis major

what is the patient position for shldr Horiz. ADD MMT clavicular head

supine

TL 60 ABD

elbow flexed

motion = up & diagonal

resistance = down & out

what is the patient position for shldr Horiz. ADD MMT sternal head

supine

TL 120 ABD

elbow flexed

motion = down & diagonal

resistance = up & out

where is resistance applied for shldr Horiz. ADD MMT

proximal elbow

what is the gravity minimized patient position for shldr Horiz. ADD MMT

short sitting in chair

support limb

(TL ABD depending on test)

what muscles are tested during shldr ER MMT

infraspinatus & teres minor

what is the patient position for shldr ER & IR MMT

prone

head to test side

TL 90 ABD

elbow 90 FLX

towel under arm

where is the resistance applied for shldr ER & IR MMT

distal forearm

counter pressure at elbow

what is the gravity minimized position for shldr ER MMT

short sitting

elbow 90 FLX

TL in IR

limb supported

what muscle is being tested during shldr IR MMT

subscapularis

where is the stabilization for shldr IR MMT

scapula

what is the gravity minimized patient position for shldr IR MMT

short sitting

elbow 90 FLX

TL in ER

limb supported

what is the patient position for elbow flexion & extension ROM

supine

forearm supinated

towel under distal humerus

where is the stabilization for elbow flexion & extension ROM

humerus; prevent shldr flexion

what is the expected end feel for elbow flexion ROM

soft; muscles of forearm/arm stop motion

what is the expected end feel for elbow extension ROM

hard; olecranon OR firm; joint capsule, ligaments, brachialis stop motion

where is the fulcrum of the goni during elbow flexion & extension ROM

lateral epicondyle of humerus

where is the proximal arm of the goni during elbow flexion & extension ROM

lateral midline of humerus

where is the distal arm of the goni during elbow flexion & extension ROM

radial styloid

what is the ROM for elbow flexion & extension

0-150 degrees

what is the patient position for forearm pronation & supination ROM

short sitting

elbow 90 FLX

where is the stabilization for forearm pronation ROM

distal humerus; prevent shldr IR & ABD

where is the stabilization for forearm supination ROM

distal humerus; prevent shldr ER & ADD

what is the expected end feel of forearm pronation ROM

hard radius & ulna OR firm; ligaments & interosseous membrane stop motion

what is the expected end feel of forearm supination ROM

firm; ligaments stop motion

where is the fulcrum of the goni for forearm pronation ROM

lateral/proximal to ulnar styloid