Manual Muscle Testing: Elbow Extension: Difference between revisions

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'''Original Editor '''- Claire Knott


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp; 
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== Muscles Involved: ==
== Muscles Involved: ==
Triceps Brachii
* [[Triceps brachii|Triceps Brachii]]
 
* [[Anconeus]]
Anconeus


== Patient Positioning ==
== Patient Positioning ==
Prone with test side shoulder in ~90 degrees abduction  
* Prone with test side shoulder in ~90° abduction  
 
* Patient's test side forearm is hanging over side of plinth; upper arm supported on plinth to elbow.
Patient's test side forearm is hanging over side of plinth; upper arm supported on plinth to elbow.
* For grades 0-2, the gravity minimal position is supported sitting with feet flat on the floor. The shoulder remains in the same position.
 
== Joint start Position ==
Elbow in neutral position between flexion/extension end of range.  
 
This start position may need to be modified depending on available range of motion per individual patient.  


== Therapist Position ==
== Therapist Position ==
At test side
* At test side
 
* Provide stabilization support just above elbow
Provide stabilization support just above elbow


== To Test ==
== To Test ==
* Patient is to extend elbow to full available range
* Patient is to extend elbow to full available range
* Grades 4 and 5 - The therapist will apply resistance over the dorsal forearm in the direction opposite to extension through full available range.
* Grades 4 and 5 - The therapist will apply resistance over the dorsal forearm in the direction opposite to extension<ref>Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.</ref>
* To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) '''OR''' maintain an end point range (break testing) against maximum resistance.
 
{{#ev:youtube|v=shUlMd6zS5I}}


== References ==
== References ==
<references />
[[Category:Manual Muscle Testing]]
[[Category:Manual Muscle Testing]]
[[Category:Rehabilitation Foundations]]
[[Category:Rehabilitation Foundations]]

Latest revision as of 11:42, 19 December 2019

Original Editor - Claire Knott

Top Contributors - Claire Knott and Wanda van Niekerk  

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Prone with test side shoulder in ~90° abduction
  • Patient's test side forearm is hanging over side of plinth; upper arm supported on plinth to elbow.
  • For grades 0-2, the gravity minimal position is supported sitting with feet flat on the floor. The shoulder remains in the same position.

Therapist Position[edit | edit source]

  • At test side
  • Provide stabilization support just above elbow

To Test[edit | edit source]

  • Patient is to extend elbow to full available range
  • Grades 4 and 5 - The therapist will apply resistance over the dorsal forearm in the direction opposite to extension[1]
  • To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) OR maintain an end point range (break testing) against maximum resistance.

References[edit | edit source]

  1. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.