Manual Muscle Testing: Elbow Flexion: Difference between revisions
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== Muscles Involved: == | == Muscles Involved: == | ||
Biceps Brachii | [[Biceps brachii|Biceps Brachii]] | ||
[[Brachialis]] | [[Brachialis]] | ||
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Grades 2 to 5 testing - patient is seated | Grades 2 to 5 testing - patient is seated | ||
Grades 0 to 1 testing - patient is supine | Grades 0 to 1 testing - patient is supine for 'gravity minimal' position | ||
Hand positioning depends on specific muscle: | Hand positioning depends on specific muscle: | ||
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'''Brachioradialis''': midposition | '''Brachioradialis''': midposition | ||
== Therapist Position == | == Therapist Position == | ||
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Ensure wrist flexors are not contracting | Ensure wrist flexors are not contracting | ||
Palpation over intended test muscle | |||
== To Test == | == To Test == | ||
* Patient is to flex elbow | * 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.<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> | * 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. | |||
{{#ev:youtube|v=4UW_UBGxTN4}} | {{#ev:youtube|v=4UW_UBGxTN4}} | ||
{{#ev:youtube|v=f77bPhpv2hw}} | {{#ev:youtube|v=f77bPhpv2hw}} | ||
Revision as of 12:04, 21 November 2018
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]
- ↑ 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.
