UE MMT Grade 2 Positions

Shoulder Flexion (ANTERIOR DELTOID)

Patient:

- tries to move through full ROM

Shoulder Extension

Patient:

- side-lying (same as shoulder flexion)

- completes full AROM in side-lying

Shoulder Abduction (MIDDLE DELTOID, SUPRASPINATUS)

Patient:

- supine

- arm at side + supported on table in neutral rotation

Shoulder Horizontal Abduction (POSTERIOR DELTOID)

Patient:

- short sitting

Clinician:

- supports forearm under distal wrist

Shoulder Horizontal Adduction (PEC MAJOR)

Patient:

- short sitting

Clinician:

- supports forearm under distal wrist

Shoulder Horizontal Adduction (pec major CLAVICULAR FIBERS)

Patient:

- short sitting

Clinician:

- supports forearm under distal wrist

Shoulder Horizontal Adduction (pec major STERNAL FIBERS)

Patient:

- short sitting

Clinician:

- supports forearm under distal wrist

Shoulder External Rotation (INFRASPINATUS, TERES MINOR)

Patient:

- short sitting

Clinician:

- have 1 arm stabilizing forearm

Shoulder Internal Rotation (SUBSCAPULARIS)

Patient:

- short sitting

Clinician:

- have 1 arm stabilizing forearm

Scapular Abduction and Upward Rotation (SERRATUS ANTERIOR)

Patient:

- attempts to hold arm in 130 degree position

Clinician:

- WATCH SCAPULA

Scapular Elevation (UPPER TRAP, LEVATOR SCAP)

Patient:

- tries to raise shoulder to ear unilaterally

Clinician:

- support shoulder and palpate trapezius

Scapular Adduction (MIDDLE TRAP, RHOMBOIDS)

Patient:

- completes scapular motion with arm supported in testing position

Scapular Depression and Adduction (LOWER/MIDDLE TRAP)

Patient:

- completes scapular motion with arm supported in testing position

Scapular Adduction and Downward Rotation (RHOMBOIDS)

Patient:

- sitting

- tries to lift arm off of back

Latissimus Dorsi

Patient:

- prone, can move arm through partial ROM in test position

Elbow Flexion advantaging BICEPS BRACHII

Patient:

- side-lying

- forearm supinated

Elbow Flexion advantaging BRACHIORADIALIS

Patient:

- side-lying

- forearm neutral

Elbow Flexion advantaging BRACHIALIS

Patient:

- side-lying

- forearm pronated

Elbow Extension (TRICEPS BRACHII)

Patient:

- short sitting

- shoulder abducted to 90 deg + neutral rotation

- elbow flexed to 45 deg

Forearm Supination

Patient:

- short sitting with arm at side and elbow flexed to 90 deg

- completes partial ROM

Forearm Pronation

Patient:

- short sitting with arm at side and elbow flexed to 90 deg

- completes partial ROM

Wrist Flexion

Patient:

- short sitting in chair with forearm on table in neutral position

- completes available ROM

Wrist Extension

Patient:

- short sitting in chair with forearm on table in neutral position

- completes available ROM

Finger MCP Flexion (LUMBRICALS, INTEROSSEI)

Patient:

- same position as Grades 5, 4, 3

- achieves full ROM in standard testing position

Finger PIP flexion (FDS)

Patient:

- same position as Grades 5, 4, 3

- achieves full ROM in standard testing position

Finger DIP Flexion (FDP)

Patient:

- same position as Grades 5, 4, 3

- achieves full ROM in standard testing position

Finger MCP Extension

Patient:

- same position as Grades 5, 4, 3

- achieves full ROM in standard testing position

Finger Abduction

Patient:

- short sitting in chair with forearm pronated and on table for stabilization

- abducts fingers through full ROM

Finger Adduction

Patient:

- short sitting in chair with forearm pronated and on table for stabilization

- adducts fingers through full ROM

Thumb MCP/IP Flexion (FPB, FPL)

Patient:

- short sitting in chair with forearm supinated on table for stabilization

- flexes thumb through full ROM

Thumb MCP/IP Extension (EPB, EPL)

Patient:

- short sitting in chair with forearm neutral (against gravity on table for stabilization

- extends thumb through full ROM

Thumb Abduction (APL/APB)

Patient:

- short sitting in chair with forearm in neutral on table for stabilization

- thumb starts in adduction

- abducts thumb through full ROM

Thumb Adduction

Patient:

- short sitting in chair with forearm in neutral on table for stabilization

- thumb starts in abduction

- adducts thumb through full ROM

Thumb Opposition

Patient:

- short sitting in chair with forearm in supination on table for stabilization

- brings pinky and thumb together through full ROM