Manual Muscle Testing: Scapula Elevation: Difference between revisions
Claire Knott (talk | contribs) No edit summary |
Claire Knott (talk | contribs) No edit summary |
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[[Trapezius]] (upper) | [[Trapezius]] (upper) | ||
Levator scapulae | [[Levator Scapulae|Levator scapulae]] | ||
== Patient Positioning == | == Patient Positioning == | ||
Seated with arms relaxed in lap, patient to have head turned away from test-side | 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 0-2 gravity eliminated, patient in prone. | ||
== Therapist Position == | == Therapist Position == | ||
| Line 20: | Line 17: | ||
* Patient actively elevates scapula | * Patient actively elevates scapula | ||
* 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> | ||
* '''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. | * '''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|v=NNK1H2aAzhM}} | {{#ev:youtube|v=NNK1H2aAzhM}} | ||
Revision as of 12:16, 21 November 2018
Muscles Involved:[edit | edit source]
Trapezius (upper)
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.
