Manual Muscle Testing: Scapula Elevation: Difference between revisions

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== Patient Positioning ==
== Patient Positioning ==
Seated with arms relaxed in lap
Seated with arms relaxed in lap, patient to have head turned away from test-side
For grades 0-2 gravity eliminated, patient in prone.


== Joint start Position ==
== Joint start Position ==
Ankle plantar flexion, neutral range between inversion and eversion
Resting position of shoulder in either sitting or prone.


== Therapist Position ==
== Therapist Position ==
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* 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>  
* 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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==References==
==References==

Revision as of 13:39, 15 November 2018

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.

Joint start Position[edit | edit source]

Resting position of shoulder in either sitting or 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]

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.