Manual Muscle Testing: Shoulder Extension

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

Joint start Position[edit | edit source]

  • Palm is 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]

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.