05-09b: Muscle Length Tests Flashcards
1
Q
Latissimus Dorsi
A
- Supine, hooklying
- Adduct UE so palms face pt. Shoulder flexion overhead
- Post-pelvic tilt to stabilize, prevent increased lordosis
- Measure shoulder flexion
2
Q
Pec Major - Sternal
A
- Supine, hooklying
- Shoulders ER, ABD to 120˚ with elbow extension (Gonio measure)
- Stabilize to prevent opposite shoulder/trunk from lifting off table
- Observe if UE touching table
- Measure from posterior mid-humerus to table top
3
Q
Pec Major - Clavicular
A
- Supine, hooklying
- Shoulders ER, ABD to 60˚ with elbow extension (Gonio measure)
- Stabilize to prevent opposite shoulder/trunk from lifting off table
- Observe if UE touching table
- Measure from posterior mid-humerus to table top
4
Q
Subscapularis
A
- Supine, hooklying
- Shoulder at 90˚ ABD, elbow flexed at 90˚
- Stabilize scapula
- Move into ER (don’t move humerus beyond neutral, use towel)
- Standard goniometric measurement
5
Q
Infraspinatus and Teres Minor
A
- Supine, hooklying
- Shoulder at 90˚ ABD, elbow flexed at 90˚
- Stabilize scapula
- Passively move into IR (don’t move humerus beyond neutral, use towel)
- Standard goniometric measurement
6
Q
Elbow Flexors
A
- Supine
- Humerus supported on towel roll
- Move into elbow extension
- Goniometric measurement
- If unable to extend, flexors are tight
7
Q
Biceps
A
- Supine (use towel) or sitting
- Move shoulder into extension (no ant roll of scapula), pronate forearm, extend elbow
- Goniometric measurement of elbow extension
- If unable to extend fully, biceps tight
8
Q
Elbow Extensors
A
- Supine,
- Shoulder in neutral, humerus supported with towel
- Move elbow in full flexion
- Goniometric measurement
- If unable to flex fully, extensors tight
9
Q
Triceps
A
- Sitting
- Shoulder flexion
- Move elbow into flexion
- Goniometric measurement
- If unable to flex fully, triceps tight
10
Q
Wrist flexors
A
- Sitting
- Shoulder at 90˚ flexion, elbow extended (UE supported on pillows, towels)
- Extend wrist, fingers relaxed
- Goniometric measurement
- If full wrist extension is not achieved, flexors tight
11
Q
Wrist extensors
A
- Sitting
- Shoulder at 90˚ flexion, elbow extended (UE supported on pillows, towels)
- Move into flexion
- Goniometric measurement
- If unable to fully flex, extensors are tight
12
Q
Thomas Test (Hip flexors)
A
- Sitting at end of table
- Move into supine, pt holds BL knees to chest
- Lower one LE with knee relaxed, other remains flexed and held towards chest with UEs
- Do not allow lordosis - may flex knee of LE being lowered because of tightness
- If unable to lower with knee extension = tight iliopsoas
- If knee stays in extension = tight rectus femoris
- If knee in flexion, hip ABD = tight TFL
- If hip in ER = tight sartorius
- If hip ABD = tight abductors
- If hip ADD = tight adductors
13
Q
FABER Test
A
- Flexion, abduction, ER
- Supine
- Test LE in Figure 4 Leglock
- Gentle push downward at the knee
14
Q
Ober’s Test (TFL/ITB)
A
- Sidelying
- Lower hip and knee flexed to stabilize balance
- Stabilize pelvis of testing LE
- Bring LE into hip extension
- Lower LE into ADD
- Measure medial knee to top of treatment table, or use inclinometer
15
Q
Straight Leg Raise (SLR) Test for Hamstring
A
- Supine
- Back is neutral with hip and knee extended (both LEs flat on plinth)
- Bring testing LE into hip flexion, stabilize at knee (maintain extension)
- Goniometric measurement (less than 80˚ indicates hamstring tightness - 70-80˚ is normal)
16
Q
90/90 Hamstring Test
A
- Supine
- Opposite leg resting on table (neutral)
- Testing hip moved into 90˚flexion
- Extend knee, stabilize at knee
- Goniometric measurement of of knee extension ROM (Normal lacks 20˚ extension)
17
Q
Quadriceps Test (except rectus femoris)
A
- Supine
- Hip flexed to 90˚
- Flex knee, check for restriction or soft tissue approximation
- Goniometric measurement
- Normal is full knee flexion (0-130˚)
18
Q
Ely’s Test (Rectus Femoris)
A
- Prone
- Stabilize pelvis
- Grasp ankle, move knee into flexion
- Anterior tilt of pelvis, decreased knee flexion indicates positive result
19
Q
Gastroc
A
- Supine, hips and knees extended
- Stabilize to prevent compensation of knee flexion
- Dorsiflex ankle, goniometric measurement
- Normal is 10˚
20
Q
Soleus
A
- Sitting on EOP, knee flexed
- Dorsiflex ankle, goniometric measurement
- Normal is 20˚ (Unable to reach 20˚ = tight soleus)
21
Q
Upper Traps/Scalenes
A
- Sitting
- Involved side hand holding onto the chair leg/seat
- Cervical laterally flex away from involved side
- Cervical lateral flexion measurements using goniometer or inclinometer
- Normal is 45˚
22
Q
Levator Scapula
A
- Sitting
- Involved extremity in 90˚ shoulder ABD
- Cervical laterally flex away from involved side
- Cervical lateral flexion measurements using goniometer or inclinometer
- Normal is 60˚
23
Q
Spine Muscle Length
A
- Standing
- PTA stabilizes pelvis
- Forward flexion: Measure from fingertips to floor
- Lateral flexion: Measure from fingertips to floor
