Manual Muscle Testing: Scapula Elevation: Difference between revisions

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== Muscles Involved: ==
== Muscles Involved: ==
Trapezuis (upper)
[[Trapezius]] (upper)


Levator scapulae
Levator scapulae


== Patient Positioning ==
== Patient Positioning ==
side lying with test-side ankle off the edge of the plinth
Seated with arms relaxed in lap
For grades 0 to 2 patient can be supine or short sitting (gravity eliminated position)


== Joint start Position ==
== Joint start Position ==
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== Therapist Position ==
== Therapist Position ==
Sit on stool/chair in front of patient
Therapist to stand behind the patient
* One hand palpate over peroneal tendons
* Palpation over scapular elevators
* For grades 4 and 5: provide resistance over dorsum + lateral foot
* For grades 4 and 5: provide resistance downward at the top of the shoulder


==To Test==
==To Test==
* Patient actively everts
* Patient actively elevates scapula
* For grades 4 and 5: therapist to give resistance towards inversion & slight dorsiflexion <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>  
* 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>  


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Revision as of 13:36, 15 November 2018

Muscles Involved:[edit | edit source]

Trapezius (upper)

Levator scapulae

Patient Positioning[edit | edit source]

Seated with arms relaxed in lap

Joint start Position[edit | edit source]

Ankle plantar flexion, neutral range between inversion and eversion

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]
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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.