Manual Muscle Testing: Shoulder Abduction: Difference between revisions

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'''Original Editor '''- Claire Knott
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp; 
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== Muscles Involved: ==
== Muscles Involved: ==
[[Deltoid]] (middle)  
* [[Deltoid]] (middle)  
 
* [[Supraspinatus]]
[[Supraspinatus]]


== Patient Positioning ==
== Patient Positioning ==
Seated  
* Seated, shoulder positioned in the scapular plane 25 degrees anterior to frontal plane, thumb directed up
 
* For Grades 0-2 there is no 'gravity minimal' position for this movement.  
For Grades 0-2 there is no gravity eliminated position for this movement.
 
== Joint start Position ==
Joint should be positioned in the scapular plane 25 degrees anterior to frontal plane
 
Elbow should be slightly flexed
 
Thumb should be directed up in the anatomical position.


== Therapist Position ==
== Therapist Position ==
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* Patient actively abducts the shoulder<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 actively abducts the shoulder<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 4-5 therapist to provide resistance over distal humerus in the direction opposite to shoulder abduction in the scapular plane.
* For grades 4-5 therapist to provide resistance over distal humerus in the direction opposite to shoulder abduction in the scapular plane.
* 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=5CWIH0SXtOo}}
{{#ev:youtube|v=5CWIH0SXtOo|300}}<ref>EducatedPT. Shoulder Abduction (in Scapular Plane) MMT. Available from: https://www.youtube.com/watch?v=5CWIH0SXtOo [last accessed 31/7/2021]</ref>


== References ==
== References ==

Latest revision as of 16:07, 31 July 2021

Original Editor - Claire Knott

Top Contributors - Claire Knott, Nikhil Benhur Abburi and Wanda van Niekerk  

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Seated, shoulder positioned in the scapular plane 25 degrees anterior to frontal plane, thumb directed up
  • For Grades 0-2 there is no 'gravity minimal' position for this movement.

Therapist Position[edit | edit source]

  • Therapist is standing at test side
  • Palpation over shoulder abductors.

To Test[edit | edit source]

  • Patient actively abducts the shoulder[1]
  • For grades 4-5 therapist to provide resistance over distal humerus in the direction opposite to shoulder abduction in the scapular plane.
  • 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.

[2]

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.
  2. ↑ EducatedPT. Shoulder Abduction (in Scapular Plane) MMT. Available from: https://www.youtube.com/watch?v=5CWIH0SXtOo [last accessed 31/7/2021]
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