Manual Muscle Testing: Shoulder Extension: 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: ==
[[Latissimus Dorsi Muscle|Latissimus Dorsi]]
* [[Latissimus Dorsi Muscle|Latissimus Dorsi]]
 
* [[Deltoid]] (posterior)
[[Deltoid]] (posterior)
* [[Teres Major]]
 
[[Teres Major]]


== Patient Positioning ==
== Patient Positioning ==
* Patient is seated, elbow extended with arm free to move
* Patient is in prone with elbow extended with arm free to move, palm directed up in direction of internal rotation
* Palm up in the anatomical position
* For grades 0-2 patient is in side lying ('gravity minimal' position) +/- low friction board 
 
== Joint start Position ==
* Shoulder in neutral position to start


== Therapist Position ==
== Therapist Position ==
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* Patient actively extends the shoulder through available range
* Patient actively extends the shoulder through available range
* For grades 4 to 5 apply resistance over posterior surface of distal humerus in a direction opposite to extension<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 apply resistance over posterior surface of distal humerus in a direction opposite to extension<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>
* 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=vEvJoV1z6Q8}}
{{#ev:youtube|v=vEvJoV1z6Q8|300}}<ref>EducatedPT. Shoulder Extension MMT. Available from: https://www.youtube.com/watch?v=vEvJoV1z6Q8[last accessed 31/7/2021]</ref>


== References ==
== References ==

Latest revision as of 16:10, 31 July 2021

Original Editor - Claire Knott

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

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Patient is in prone with elbow extended with arm free to move, palm directed up in direction of internal rotation
  • For grades 0-2 patient is in side lying ('gravity minimal' position) +/- low friction board

Therapist Position[edit | edit source]

  • Therapist stands on test-side
  • Palpation over shoulder extensors

To Test[edit | edit source]

  • Patient actively extends the shoulder through available range
  • For grades 4 to 5 apply resistance over posterior surface of distal humerus in a direction opposite to extension[1]
  • 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 Extension MMT. Available from: https://www.youtube.com/watch?v=vEvJoV1z6Q8[last accessed 31/7/2021]
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