MMT - Proximal Measures

scapular elevation against gravity position, instructions

client seated, trunk stabilized against chair. place hands over each shoulder and push down

“lift your shoulders towards your ears like you’re shrugging, don’t let me push them down”

scapular elevation gravity eliminated

prone w/ arms at side, trunk against mat.

scapular elevation main mover, spinal level

upper traps, C4

scapular protraction against gravity position, instructions

supine, arm flexed to 90 degrees. flexed elbow. place one hand on elbow, other on axillary (outside) border of scapula.

“reach your arm toward the ceiling”

scapular protraction gravity eliminated position

sitting w/ arm flexed to 90 degrees, support distal to elbow IF NEEDED

“try to reach your arm forward”

scapular protraction main mover, spinal cord level

serratus anterior, C5

scapular retraction against gravity position, instruction

prone w/ shoulder abducted to 90 degrees and externally rotated, elbow flexed 90 degrees. put one hand on distal humerus (just proximal to elbow), other on other shoulder

“raise your elbow towards the ceiling, don’t let me push it down”

scapular retraction gravity eliminated position

sat, shoulder abducted to 90 degrees and supported (under distal humerus) IF NEEDED

“move your arm backwards”

scapular retraction mover, spinal cord level

middle traps, C4

shoulder flexion against gravity position, instructions

sat at chair, pronated forearm, arm flexed to 90 degrees. one hand on shoulder, other on distal end of humerus

“don’t let me push your arm down”

shoulder flexion gravity eliminated position

sidelying, arm along body (neutrally lol). can use other arm to support head. support arm under elbow (IF NEEDED)

“try to move your arm so your hand is at the level of your shoulder”

shoulder flexion mover, spinal cord level

anterior deltoid, C6

shoulder extension against gravity position, instruction

sat w/ arm at side, internally rotated arm. put hands on distal humerus and on shoulder

“move your arm straight back as far as it will go. keep your palm facing behind you”

shoulder extension gravity eliminated position

side lying, arm along side in internal rotation, other arm can support head.

“try to move your arm backwards”

shoulder extension main mover, spinal cord level

latissimus dorsi, C6

shoulder abduction against gravity position, instruction

sitting, arm out to side (t pose). one of (MY) hands on shoulder, one at distal humerus.

“don’t let me push your arm down”

shoulder abduction, gravity-eliminated position, instruction

supine, arm so neutral.

“try to move your arm out to the side”

shoulder abduction primary mover, spinal cord level

supraspinatus/middle deltoid, C6

shoulder external rotation against-gravity position, instruction

prone, arm abducted to 90 degrees, can have towel under distal humerus. elbow flexed to 90 degrees, hanging over table. put one hand on back of distal forearm (to push down), other hand proximal to elbow (underneath)

“lift the back of your hand toward the ceiling”

shoulder external rotation gravity-eliminated position

prone, whole arm off of mat in internal rotation.

“try to turn your palm outward”

shoulder external rotation, main mover and spinal cord level

infraspinatus/teres minor, C6

shoulder internal rotation against-gravity position, instructions

prone, arm abducted 90 degrees and supported (+ towel if u want). elbow flexed to 90 degrees hanging over mat. one hand on front of forearm (push towards floor), one proximal to elbow

“lift the palm of your hand towards the ceiling”

shoulder internal rotation gravity eliminated position

prone, entire arm off mat in external rotation.

“try to turn your palm inward”

shoulder internal rotation primary mover, spinal cord level

subscapularis/teres major, C6

elbow flexion against gravity position, instruction

sat at chair, forearm supinated, elbow flexed. hands @ distal forearm pushing down, shoulder

“don’t let me pull your arm down”

elbow flexion gravity-eliminated position

sat, arm supported in 90 degrees of abduction, elbow extended, supinated.

“try to bend your elbow”

elbow flexion main mover, spinal cord level

biceps brachii, C6

elbow extension against-gravity position, instruction

prone, arm abducted 90 degrees. elbow flexed, forearm hanging over edge of table. hands push down on distal forearm, stabilize anterior distal humerus

“straighten your arm, and do not let me push it back down”

elbow extension gravity-eliminated position

sat, humerus supported in 90 abduction. elbow starts flexed

“try to straighten your elbow”

elbow extension primary mover, spinal cord level

triceps brachii, C6