Manual Muscle Testing: Elbow Flexion: 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
* [[Biceps Brachii|Biceps Brachii]]
 
* [[Brachialis]]
Anconeus
* [[Brachioradialis]]


== Patient Positioning ==
== Patient Positioning ==
Prone with test side shoulder in ~90 degrees abduction
* Grades 2 to 5 testing - patient is seated
 
* Grades 0 to 1 testing - patient is supine for 'gravity minimal' position
Patient's test side forearm is hanging over side of plinth; upper arm supported on plinth to elbow.
* Hand positioning depends on specific muscle:
 
** '''Biceps''': supination
== Joint start Position ==
** '''Brachialis''': pronation
Elbow in neutral position between flexion/extension end of range.
** '''Brachioradialis''': midposition
 
This start position may need to be modified depending on available range of motion per individual patient.


== Therapist Position ==
== Therapist Position ==
At test side
* Therapist at test side
 
* Ensure wrist flexors are not contracting
Provide stabilization support just above elbow
* Palpation over intended test muscle


== To Test ==
== To Test ==
* Patient is to extend elbow to full available range
* Patient is to flex the elbow  
* 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 with resistance over flexor surface at the distal forearm with force in the direction opposite to flexion.<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.
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== References ==
== References ==
[[Category:Manual Muscle Testing]]
[[Category:Manual Muscle Testing]]
[[Category:Rehabilitation Foundations]]
[[Category:Rehabilitation Foundations]]
<references />

Latest revision as of 14:54, 10 January 2022

Original Editor - Claire Knott

Top Contributors - Claire Knott, Kim Jackson and Wanda van Niekerk  

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Grades 2 to 5 testing - patient is seated
  • Grades 0 to 1 testing - patient is supine for 'gravity minimal' position
  • Hand positioning depends on specific muscle:
    • Biceps: supination
    • Brachialis: pronation
    • Brachioradialis: midposition

Therapist Position[edit | edit source]

  • Therapist at test side
  • Ensure wrist flexors are not contracting
  • Palpation over intended test muscle

To Test[edit | edit source]

  • Patient is to flex the elbow
  • Grades 4 and 5 with resistance over flexor surface at the distal forearm with force in the direction opposite to flexion.[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.