Clin Skills 1 Practical 1

Scapular Abduction & Upward Rotation Muscle Tested?

Serratus Anterior

Scapular Abduction & Upward Rotation MMT position

Sitting, Arm at 45, Flexed ~ 120, Punch out

Scapular Protraction Muscle Tested?

Serratus Anterior

Scapular Protraction MMT Position

Supine, Punch out

Scapular Elevation Muscles Tested?

Upper Trap, Levator Scapulae

Scapular Elevation MMT Position

Sitting, shrug shoulders

Scapular Adduction/Retraction Muscles Tested?

Middle Trapezius, Rhomboid Major

Scapular Adduction/Retraction (both) MMT Position

Prone, Arm bent, Squeeze shoulders

Scapular Adduction/Retraction (Middle trap iso) MMT Position

Prone, Arm Straight out to side, Thumb up, Squeeze shoulders

Scapular Adduction/Retraction (Rhomboid iso) MMT Position

Prone, Arm Straight out to side, Thumb down, Squeeze shoulders

Scapular Adduction/Retraction (weak post delt) MMT Position

Prone, Arm bent, Squeeze shoulders, apply pressure on distal shoulder blade, not on humerus

Scapular Adduction/Depression muscle tested?

Lower trap

Scapular Adduction/Depression MMT position (prone)

Arm at Y position, shoulders squeezes

Scapular Adduction/ Downward rotation muscles tested?

Rhomboids, levator scapulae

Scapular Adduction/ Downward rotation MMT position

Prone, hand on lower back, lift hand

Scapular Anterior Tilt muscle tested

Pec minor

Scapular Anterior tilt MMT position

Supine, Lift shoulder

Scapular Depression MMT position

Sitting, try to push down and clear table

Scapular Depression MMT (if can't clear table)

Test shoulder extension

Shoulder flexion Muscles tested

Anterior deltoid, coracobrachialis

Shoulder scaption muscles tested

Middle deltoid, supraspinatus

Shoulder abduction muscles tested

Middle deltoid, supraspinatus

Shoulder extension muscles tested

Latissimus dorsi, teres major, posterior deltoid

Shoulder horizontal abduction muscle tested

Posterior deltoid

Shoulder horizontal adduction muscle tested

pectoralis major combo

Shoulder horizontal adduction (clavicular iso) MMT Position

Supine, arm at ~ 45 degrees

Shoulder horizontal adduction (sternocostal iso) MMT Position

Supine, arm at ~ 90 degrees

Shoulder ER muscles tested

Infraspinatus, Teres minor

Shoulder ER MMT position

Prone, 90/90, hand toward head

Shoulder IR muscles tested

Subscapularis, Pectoralis major, latissimus dorsi, teres major

Shoulder IR MMT position

Prone, 90/90, hand toward legs

Elbow Flexion (supinated) muscle tested

Biceps

Elbow Flexion (midpronated) muscle tested

Brachioradialis

Elbow Flexion (pronated) muscle tested

Brachialis

Elbow extension muscles tested

Triceps, Anconeus

Elbow extension MMT Position

Prone, arm out to side

Forearm supination muscles tested

Supinator, biceps

Forearm pronation muscles tested

Pronator teres, pronator quadratus

MMT Rating 0

No palpable contraction

MMT Rating 1

No movement, but can palpate contraction

MMT Rating 2-

Moves through partial ROM with gravity eliminated, but can't go through full ROM

MMT Rating 2

Moves through full ROM with gravity eliminated

MMT Rating 2+

Moves through full ROM with gravity eliminated and can take some resistance

MMT Rating 3-

Moves through ROM against gravity, but can't hold it

MMT Rating 3

Moves through ROM against gravity and holds it

MMT Rating 3+

Moves through ROM against gravity and holds it, but breaks with mild resistance

MMT Rating 4

Moves through ROM against gravity and holds it against moderate resistance, but breaks with max resistance

MMT Rating 5

Moves through ROM against gravity and resists max resistance

Wrist flexion muscles tested?

Flexor carpi radialis, Flexor carpi ulnaris, FDS, FDP, Abductor pollicis longus, Flexor pollicis longus

Wrist flexion + radial deviation muscles tested?

Flexor Carpi Radialis

Wrist flexion + ulnar deviation muscles tested?

Flexor Carpi Ulnaris

Wrist extension muscles tested?

Extensor Carpi Ulnaris, ECRL, ECRB, Extensor digitorum, Extensor digiti minimi, Extensor indicis

Wrist extension + radial deviation muscles tested?

ECRL, ECRB

Wrist extension + ulnar deviation muscles tested?

Extensor carpi ulnaris

Shoulder flexion normal ROM?

180 degrees

Shoulder extension normal ROM?

65-80 degrees

Shoulder abduction normal ROM?

180 degrees

Shoulder external rotation normal ROM?

90 degrees

Shoulder internal rotation normal ROM?

30-50 degrees

Elbow flexion normal ROM?

130-145 degrees

Elbow extension normal ROM?

0-5 degrees hyperextension

Supination normal ROM?

85 degrees

Pronation normal ROM?

75 degrees

Wrist flexion normal ROM?

70-85 degrees

Wrist extension normal ROM?

60-75 degrees

Wrist radial deviation normal ROM?

15-20 degrees

Wrist ulnar deviation normal ROM?

30-40 degrees

Elbow flexion functional ROM

30-130 degrees

Pronation functional ROM

50 degrees

Supination functional ROM

50 degrees

Wrist flexion functional ROM

40 degrees

Wrist extension functional ROM

40 degrees

Radial deviation functional ROM

10 degrees

Ulnar deviation functional ROM

30 degrees