Manual Muscle Testing: Scapula Elevation: Difference between revisions
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'''Original Editor '''- Claire Knott | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | |||
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== Muscles Involved: == | == Muscles Involved: == | ||
* [[Trapezius]] (upper) | |||
* [[Levator Scapulae|Levator scapulae]] | |||
== Patient Positioning == | == Patient Positioning == | ||
* Seated with arms relaxed in lap, patient to have head turned away from test-side For grades 0-2 gravity eliminated, patient in prone. | |||
For grades 0 | |||
== Therapist Position == | == Therapist Position == | ||
Therapist to stand behind the patient | |||
* | * Palpation over scapular elevators | ||
* For grades 4 and 5: provide resistance | * For grades 4 and 5: provide resistance downward at the top of the shoulder | ||
==To Test== | ==To Test== | ||
* Patient actively | * Patient actively elevates scapula | ||
* For grades 4 and 5: therapist to give resistance | * For grades 4 and 5: therapist to give resistance downwards in the direction opposite to elevation. <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> | ||
* '''Note:''' as with all resisted testing of vertebroscapular muscles, the preferred resistance point is that which constitutes <u>the longest lever</u> as this more closely reflects the functional demands of the limb. 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| }} | {{#ev:youtube|v=NNK1H2aAzhM}} | ||
==References== | ==References== | ||
Latest revision as of 11:31, 19 December 2019
Original Editor - Claire Knott
Top Contributors - Claire Knott and Wanda van Niekerk
Muscles Involved:[edit | edit source]
- Trapezius (upper)
- Levator scapulae
Patient Positioning[edit | edit source]
- Seated with arms relaxed in lap, patient to have head turned away from test-side For grades 0-2 gravity eliminated, patient in prone.
Therapist Position[edit | edit source]
Therapist to stand behind the patient
- Palpation over scapular elevators
- For grades 4 and 5: provide resistance downward at the top of the shoulder
To Test[edit | edit source]
- Patient actively elevates scapula
- For grades 4 and 5: therapist to give resistance downwards in the direction opposite to elevation. [1]
- Note: as with all resisted testing of vertebroscapular muscles, the preferred resistance point is that which constitutes the longest lever as this more closely reflects the functional demands of the limb. 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.
