OT323L shoulder/scap IMT/goni/PM

scap upward rotation PM

• upper traps

• lower traps

• serratus ant

scap downward rotation PM

• levator scap

• rhomboids

scap elevation PM

• levator scap

• upper trap

• rhomboids

scap depression PM

• pect minor

• lower trap

scap protraction PM

• pect minor

• serratus ant

scap retraction PM

• mid trap

• rhomboids

shoulder AB PM

• mid delt

• supraspinatus

shoulder AD PM

• teres maj

• pect maj BOTH

• lats

shoulder flex PM

• ant delt

• coracobrachialis

• pect major CLAV

shoulder ext PM

• post delt

• lats

• teres major

shoulder HAB PM

• post delt

• teres minor

• infraspinatus

shoulder HAD PM

• ant delt

• pect maj BOTH

shoulder IR PM

• subscap

• pect major BOTH

• lats

• teres major

shoulder ER PM

• post delt

• infraspinatus

• teres minor

shoulder AB GONI

• 0-180

shoulder AD GONI

• 180-0

shoulder flex GONI

• 0-180

shoulder ext GONI

• 0-60

shoulder HAB GONI

• 0-45

shoulder HAD GONI

• 0-135

shoulder IR GONI

• 0-70

• client on belly… arm hanging off table

• fulcrum on midline olecranon process

• stable arm perpendicular to floor

• moving arm midline of lat ulna

• client moves arm back and you follow

shoulder ER GONI

• 0-90

• client on belly… arm hanging off table

• fulcrum on midline olecranon process

• stable arm perpendicular to floor

• moving arm midline of lat ulna

• client moves arm FRONT and you follow

lower trap IMT

AGAINST GRAV

• client in superman

• therapist stabilize thorax

• resist prox humerus PUSH DOWN

• client tries to lift arm up

GRAV ELIMINATED

• client in superman

• therapist stabilize thorax

• support under arm

• have them lift arm up

• palpate near spine and have them lift again

lat dorsi/teres major IMT

AGAINST GRAV

• client on belly with arms to side

• stabilize at lateral pelvis testing side

• client tries to bring arm back and over to opp side but pull it away

GRAV ELIMINATED

• client on belly arms to side

• support arm

• stabilize at lateral trunk on testing side

• have them bring arm back and over to opp side

• do it again but palpate the lats and teres major

rhomboids IMT

AGAINST GRAV

• client on belly arm behind them touching back

• stabilize at trunk

• resist and push their arm down as they try to lift arm back away from body

GRAV ELIMINATED

• client sitting with arm behind them touching back

• support their arm

• have them try to reach their arm away from body

• palpate at border of scap

infraspinatus/teres minor IMT

AGAINST GRAV

• client on belly

• arm hanging off table but like 90 degree angle

• stabilize under humerus

• client brings back of hand to ceiling

• push down and resist at forearm

GRAV ELIMINATED

• client on belly

• arm hanging off table

• stabilize at scap of testing side

• client does circles with hand hanging AWAY FROM THEM

• CANNOT PALPATE

subscap IMT

AGAINST GRAV

• client on belly

• arm out to side hanging off table at 90 degree

• stabilize under humerus

• client tries to bring palm back towards ceiling

• push their forearm to resist IR so push towards ER

GRAV ELIMINATED

• client on belly

• arm hanging off table

• stabilize testing side scap

• client rotates arm TOWARD the table

• palpate near armpit

upper trap/lev scap IMT

AGAINST GRAV

• client sitting up

• head tilted toward testing arm and rotated away

• hold head closest to tilting arm

• resist shoulder PUSH DOWN

• client tries to bring shoulder to ear

GRAV ELIMINATED

• client on back

• head tilted toward testing arm and rotated away

• hold head closest to tilt arm

• palpate near C7

serratus IMT

AGAINST GRAV

• client on back arm up in air

• stabilize trunk

• resist prox humerus (pull downward) while client pulls out of socket.

GRAV ELIMINATED

• client sits up arm out in front of them

• first stabilize at trunk and hold arm

• have them pull arm out of socket (punch front)

• then have them do it again and palpate under armpit/rib

mid trap IMT

AGAINST GRAV

• client on belly

• arm at 90 degree off the table

• stabilize at thorax

• punch elbow back

• resist medial border of scap push down

GRAV ELIMINATED

• client sitting up

• arm horizontal like chicken

• stabilize thorax

• have them punch elbow back and support

• go again and palpate

pec minor IMT

AGAINST GRAV

• client on back

• stabilize trunk

• have them bring their shoulder to ceiling while keeping arm at side

• try to push their shoulder down

GRAV ELIMINATED

• client sitting and testing arm 90 degrees in front of them

• hold arm

• stabilize trunk

• have them try to punch front (scap AB)

• can’t palpate bc TOO DEEP

ant delt IMT

AGAINST GRAV

• client sitting up with arm at side slight elbow flex and pronation

• stabilize at testing shoulder

• resist at prox humerus

• client goes up into shoulder flex

• therapist pushes down towards ext

GRAVITY ELIMINATED

• client sitting up with arm at side slight elbow flex and pronation

• therapist holds arm

• stabilize at shoulder of testing arm

• client goes into shoulder flex

• now have them go again but feel for ant delt

mid delt IMT

AGAINST GRAV

• client sitting with arm at horizontal

• stabilize at shoulder of testing side

• client tries to bring elbow up like a chicken

• push down toward AD

GRAV ELIMINATED

• client on back

• arm to side

• stabilize at testing shoulder

• hold arm

• they bring out arm to side

• have them go again and feel for delt

post delt IMT

AGAINST GRAV

• client on belly and elbow is flexed 90 degrees edge of the table

• stabilize at testing side scap

• push arm down while patient tries to elbow backwards

GRAV ELIMINATED

• client sitting up with arm at horizontal

• stabilize at testing side scap

• client punches elbow back

• have them go again and palpate delt

supraspinatus IMT

AGAINST GRAV

• client sitting with arm out to side in horizontal plane

• stabilize at testing shoulder

• client tries to go into AB so arm up

• push arm down

GRAV ELIMINATED

• client on back with arm out to side and head rotated to opp side

• stabilize at testing shoulder

• hold arm

• have them move arm to AB so out

• CANNOT PALPATE

pec major clavicular IMT

AGAINST GRAV

• client on back arm is up in air

• stabilize at opp shoulder

• client tries to go cross body towards other shoulder

• resist and push arm out (AB)

GRAV ELIMINATED

• client sits up with arm out in front of them

• stabilize at opp shoulder

• support arm

• client goes into AD (cross body to other shoulder)

• have them go again but palpate below clavicle

pec major sternal IMT

AGAINST GRAV

• client on back with arm up to sky

• stabilize at opp hip

• client tries to put hand toward opp pocket

• resist and try to push arm into AB

GRAV ELIMINATED

• client sitting up with hand touching same shoulder

• support arm

• stabilize at opp hip

• client moves elbow toward opp hip

• have them go again and palpate for pect maj sternal by armpit