Manual Muscle Testing: Elbow Extension

Muscles Involved:[edit | edit source]

Triceps Brachii

Anconeus

Patient Positioning[edit | edit source]

Prone with test side shoulder in ~90 degrees 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

Joint start Position[edit | edit source]

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[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]

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.