Manual Muscle Testing: Shoulder Flexion

Shoulder Flexion to 90 Degrees Muscles Involved:[edit | edit source]

Deltoid (anterior)

Coracobrachialis

Patient Positioning[edit | edit source]

  • Grades 3 to 5 - Patient is seated with arms at sides with elbows slightly flexed with forearm in pronation
  • Grades 0-2 - Patient is in side lying with the knee flexed to 90 degrees and supported by the therapist

Joint start Position[edit | edit source]

Shoulder is in neutral position.

Therapist Position[edit | edit source]

  • Therapist to stand on test side
  • Palpation shoulder flexors

To Test[edit | edit source]

  • Patient to actively flex the shoulder to 90 degrees
  • For grades 4 to 5 apply resistance over distal humerus just above the elbow in the direction opposite to shoulder flexion.[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.