Procedures MMT (UE)

Scapular Abduction (Protraction) and Upward Rotation Grade 3-5

Muscles:

• Serratus anterior

• Upper/Lower trapezius

Nerves:

Position:

• 
  

Test:

• Grade 3

  • Scapula moves through full ROM without wining and without resistance other than weight of arm

• Grade 4

Clinician:

Grading:

Substitutions:

Helpful Hints:

Scapular Abduction (Protraction) and Upward Rotation Grade 2

Position:

• Short sitting with arm flexed above 90 degrees and supported by clincian

Test:

• 
  

Clinician:

Grading:

• If the scapual abducts and rotates upward as the pattient attemps to hold the arm

Substitutions:

Helpful Hints:

Scapular Elevation Grades 3-5

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Scapular Elevation Grades 2

Scapular Depression and Adduction Grades 3-5

Muscles:

• Trap (middle and lower fibers)

• Lat dorsi

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Scapular Depression and Adduction 2-0

Scapular Adduction (Retraction) and Downward Rotation Grades 3-5

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Scapular Adduction (Retraction) and Downward Rotation Grades 2-0

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Shoulder Flexion Grades 3-5

Muscles:

• Biceps

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Shoulder Flexion Grade 2-0

Shoulder Extension Grades 5-2

Shoulder Abduction Grades 3-5

Shoulder Abduction Grade 2-0

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Shoulder External Rotation Grade 3-5

Muscles:

• Infraspinatus

• Teres Minor

Nerves:

• 
  

Position:

• Short sitting, with elbow flexed to 90 and forearm in neutral rotation

• Perpendicular with patient’s trunk

Test:

• Patient externally rotates arm, pushing forearm away from trunk

Clinician:

• Stand in front of patient

• Ask patient to move the forearm away from the trunk

• If full ROM, apply appropriate resistance

Grading:

Substitutions:

Helpful Hints:

Shoulder External Rotation Grades 2-0

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Shoulder Internal Rotation Grades 3-5

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Shoulder Internal Rotation Grades 2-0

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints:

Muscles:

Nerves:

Position:

Test:

Clinician:

Grading:

Substitutions:

Helpful Hints: