Manual Muscle Testing: Shoulder Extension: Difference between revisions

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== Patient Positioning ==
== Patient Positioning ==
* Patient is in prone with 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
 
== Joint start Position ==
* Palm is up in direction of internal rotation


== 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.


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Revision as of 12:20, 21 November 2018

Muscles Involved:[edit | edit source]

Latissimus Dorsi

Deltoid (posterior)

Teres Major

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

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.

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.