Manual Muscle Testing: Scapular Retraction/ Adduction: Difference between revisions

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== Muscles Involved: ==
== Muscles Involved: ==
* [[Gastrocnemius]]
* [[Trapezius]] (middle)
* [[Soleus]]
* [[Rhomboids|Rhomboid]] major
OR
* Soleus only
 
== Patient Positioning ==
== Patient Positioning ==
For testing gastrocnemius and soleus together:
* Patient is prone
* Grades 3-5 - Test in standing on test leg, knee extended, patient can hold stable object such as a table or bench for balance
* test-side arm overhead at 145 degrees shoulder abduction
* Grades 0-2 - Test in side-lying position, knee extended and ankle off plinth.
* forearm in neutral with thumb to the ceiling
For testing soleus only:
* Grades 3-5 - Test in standing on test leg, knee slightly FLEXED, patient can hold stable object such as a table or bench for balance
* Grades 0-2 - Test in side-lying with testing side knee bent to 90 degrees.


== Joint start Position ==
== Joint start Position ==
In standing test start position, start with ankle in plantar grade.
* 145 degrees shoulder abduction
 
In side-lying test start position, start at mid point between available dorsiflexion and plantar flexion range.


== Therapist Position ==
== Therapist Position ==
Both gastrocnemius and soleus together and soleus only:
* Stand at test side
* Grades 3-5 - Therapist to position comfortably with a lateral view of the movement being performed
* For grades 4 and 5: resistance provided over distal humerus
* Grades 0-2 - Therapist to position at the feet
* Palpate shoulder adductor muscles


== To Test ==
== To Test ==
* Patient to perform plantar flexion in the form of single-limb heel raise<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>
* Patient to perform<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>


== References ==
== References ==

Revision as of 21:04, 14 November 2018

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Patient is prone
  • test-side arm overhead at 145 degrees shoulder abduction
  • forearm in neutral with thumb to the ceiling

Joint start Position[edit | edit source]

  • 145 degrees shoulder abduction

Therapist Position[edit | edit source]

  • Stand at test side
  • For grades 4 and 5: resistance provided over distal humerus
  • Palpate shoulder adductor muscles

To Test[edit | edit source]

  • Patient to perform[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.
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