Manual Muscle Testing: Shoulder Horizontal Adduction: Difference between revisions
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== Patient Positioning == | == Patient Positioning == | ||
* Supine with elbow flexed to 90 degrees & shoulder abducted to either 90, 60 or 120 degrees depending on desired fibres to be tested. | * Supine with elbow flexed to 90 degrees & shoulder abducted to either 90, 60 or 120 degrees depending on desired target fibres to be tested. | ||
'''GENERAL FUNCTION SCREENING TEST''' | |||
'''GENERAL SCREENING TEST''' | |||
* shoulder abduction to 90 degrees | * shoulder abduction to 90 degrees | ||
'''CLAVICULAR HEAD -''' C5 + C6 nerve root innervation, superior 1/3 of muscle fibres | '''CLAVICULAR HEAD -''' C5 + C6 nerve root innervation, superior 1/3 of muscle fibres | ||
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* Patient actively horizontally adducts the shoulder through full available range. | * Patient actively horizontally adducts the shoulder through full available range. | ||
* The difference between this test as a general screen or specifically for clavicular or sternal head will be direction of movement against resistance | * The difference between this test as a general screen or specifically for clavicular or sternal head will be direction of movement against resistance | ||
'''GENERAL SCREENING''' | '''GENERAL SCREENING''' | ||
starting at 90 degrees abduction, arm horizontally across chest | starting at 90 degrees abduction, arm horizontally across chest | ||
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* For grades 4 to 5 apply resistance to forearm, just proximal to wrist in a direction opposite to horizontal adduction<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 to forearm, just proximal to wrist in a direction opposite to horizontal adduction<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=D4rjZQpl9Lo}} | {{#ev:youtube|v=D4rjZQpl9Lo}} | ||
Revision as of 12:25, 21 November 2018
Muscles Involved:[edit | edit source]
Patient Positioning[edit | edit source]
- Supine with elbow flexed to 90 degrees & shoulder abducted to either 90, 60 or 120 degrees depending on desired target fibres to be tested.
GENERAL FUNCTION SCREENING TEST
- shoulder abduction to 90 degrees
CLAVICULAR HEAD - C5 + C6 nerve root innervation, superior 1/3 of muscle fibres
- shoulder abduction to 60°
STERNAL HEAD - C7, C8 + T1 nerve root innervation, inferior 2/3 of muscle fibres
- shoulder abduction to 120°
Therapist Position[edit | edit source]
- Therapist is standing at test side
To Test[edit | edit source]
- Patient actively horizontally adducts the shoulder through full available range.
- The difference between this test as a general screen or specifically for clavicular or sternal head will be direction of movement against resistance
GENERAL SCREENING starting at 90 degrees abduction, arm horizontally across chest
CLAVICULAR HEAD starting from 60 degrees abduction, arm will move up and across chest
STERNAL HEAD starting from 120 degrees abduction, arm will move down and across chest
- For grades 4 to 5 apply resistance to forearm, just proximal to wrist in a direction opposite to horizontal adduction[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]
- ↑ 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.
