Manual Muscle Testing: Scapular Retraction/ Adduction: Difference between revisions
Claire Knott (talk | contribs) No edit summary |
Claire Knott (talk | contribs) No edit summary |
||
| Line 5: | Line 5: | ||
* Patient is prone, head turned to non-test-side | * Patient is prone, head turned to non-test-side | ||
* test-side arm shoulder at 90 degrees abduction and elbow in 90 degrees flexion | * test-side arm shoulder at 90 degrees abduction and elbow in 90 degrees flexion | ||
* For grades 0-2 | * For grades 0-2 the patient is seated with arm externally rotated (palm up) and arm supported on a flat surface such as a plinth ('gravity minimal' position) | ||
== Therapist Position == | == Therapist Position == | ||
| Line 17: | Line 14: | ||
* Patient to perform scapula adduction "lift tip of elbow towards the ceiling" | * Patient to perform scapula adduction "lift tip of elbow towards the ceiling" | ||
* For grades 4 to 5, provide resistance over distal humerus in the direction opposite to scapular adduction <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 to 5, provide resistance over distal humerus in the direction opposite to scapular adduction <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=csEUxYhWGAo}} | {{#ev:youtube|v=csEUxYhWGAo}} | ||
Revision as of 12:17, 21 November 2018
Muscles Involved:[edit | edit source]
Patient Positioning[edit | edit source]
- Patient is prone, head turned to non-test-side
- test-side arm shoulder at 90 degrees abduction and elbow in 90 degrees flexion
- For grades 0-2 the patient is seated with arm externally rotated (palm up) and arm supported on a flat surface such as a plinth ('gravity minimal' position)
Therapist Position[edit | edit source]
- Stand at test side
- Palpate shoulder adductor muscles
To Test[edit | edit source]
- Patient to perform scapula adduction "lift tip of elbow towards the ceiling"
- For grades 4 to 5, provide resistance over distal humerus in the direction opposite to scapular adduction [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.
