Back and Arm MMT

Question 1

Serratus Anterior

Answer 1

1) Pt lies supine
- shoulder @ 90°
- scapula is lifted off table -make fist and raise arm @ internally rotated position
OT supports arm at elbow to avoid collapse & applies downward pressure.

Question 2

Upper Trapezius

Answer 2

Pt @ abducted position, holds head up @ opp. direction; Pt elevates shoulder with occipital protuberance towards shoulder, counterpressure on opposite shoulder;
OT depresses shoulder & push head in same direction diagonally

Question 3

Middle Trapezius

Answer 3

Pt lies prone, lifts arm off table abducted 90° w/thumb in the air towards ceiling; shoulder at 90°, extended
OT applies pressure downwardly @ proximal elbow, while counterpressure @ other shoulder

Question 4

Lower Trapezius

Answer 4

Pt lies prone, raise arm @ 130° of abduction (in line w/lower fibers of traps) & thumb facing ceiling
OT puts pressure on proximal elbow & counter pressure on opp. shoulder.

Question 5

Rhomboids (alone)

Answer 5

“Same as middle trap position,” except pt’s thumb faces the floor.
OT applies pressure @ proximal elbow & counterpressure on opp. shoulder

Question 6

Rhomboids w/Levator scapulae

Answer 6

Pt In prone in fully adducted position w/extension (in chicken wing position) & elevates shoulder;
OT depresses shoulder while pushing arm proximal to elbow with other hand pushing elbow diagonally out or abducted out

Question 7

Levator Scapulae

Answer 7

Pt prone, arm adducted, elbow flexed, shoulder elevated, arm slightly extended (chicken wing dance)
OT push shoulder down & try to abduct & slightly flex

Question 8

Latissimus Dorsi

Answer 8

Pt prone, arm slightly extended, arm adducted,thumb towards butt, head in opposite direction
OT applies pressure to have them abduct (arm go diagonally) & slightly flex

Question 9

Infraspinatus W/teres minor (lateral rotators)

Answer 9

Pt supine, arm abducted, elbow 90° flexed, slightly externally rotate
OT support elbow & apply pressure to make them internally rotate

Question 10

Teres Major alone (internal rotator)

Answer 10

Pt prone, hand in small of back & extended, elbow abducted

OT apply pressure on elbow towards floor trying to abduct elbow away from body

Question 11

Subscapularis with teres major (internal rotators)

Answer 11

1) Pt supine, arm abducted, elbow 90°

OT support elbow & apply pressure to make them externally rotated

Question 12

Pec Minor

Answer 12

Pt lies supine
- raises shoulder off table
-lift hand off table
OT pressure applied on shoulder straight down towards the table

Question 13

Pectoralis Major

Answer 13

Pt lies supine
Upper fibers-Bring arm straight up flexed to 90
OT applies count pressure to opposite shoulder. Hold position. Prox to elbow, apply pressure to bring arm out and down towards floor

Lower fibers (run upwardly)
Pt Arm about 130 degrees of flexion
OT counter press opp hip. Pressure prox to elbow. Ask pt. to hold position then push diagonally away from trunk

Question 14

Middle deltoid

Answer 14

Shoulder flexed to 90 degrees, elbow flexed at 90 degrees, counter pressure on opposite shoulder, pressure on proximal elbow, OT pushes pt to adducts elbow to side

Question 15

Supraspinatus

Answer 15

2 tests
Pt laterally flex to same side pressure it applied to. Apply pressure to elbow counter pressure on opposite shoulder
Pt in 30-40 abduction, look opp direction, Apply pressure proximal to elbow.
OT Apply pressure as Pt tries to adduct arm

Question 16

Anterior Deltoid

Answer 16

little flexion, little ext rotation, pressure prox to elbow. Arm into side slight extension and adduction

Question 17

Posterior Deltoid

Answer 17

Posterior deltoid-slightly extend arm and slightly internally rotate. Counter on opp, pressure prox to elbow. Push to bring elbow back to side in slight flexion

Question 18

Coracobrachialis

Answer 18

Pt Full elbow flexion @ 90 degrees, 45 degrees of horizontal abduction as well
OT pt at arm and trying to push arm towards side (ask pt to hold original position); counter pressure at opposite shoulder

Question 19

Brachioradialis

Answer 19

Pt’s arm adduct, elbow flexed at 90 degrees, forearm in neutral.
OT holds position
-Pressure at distal forearm in direction of extension

Question 20

Biceps

Answer 20

Pt arm adduct flex at 90 degrees, forearm, In supination, pressure distal forearm in direction of extension

Question 21

Brachialis

Answer 21

Pt arm adduct flex at 90 degrees, forearm in full pronation, Pressure at distal forearm in direction of extension

Question 22

Triceps brachii

Answer 22

Shoulder flexed to 90 degrees, 30 degrees of elbow flexion, apply pressure to distal forearm (not to hand), hold with other hand above elbow, ask pt to hold it and ask pt to flex elbow

Question 23

Supinator

Answer 23

In supination, fully flex elbow and shoulder.
Apply pressure in forearm at wrist, ask to hold. Try to pronate. Don’t hold at hand or turn at wrist. Distal and proximal radioulnar joint is where action occurs

Question 24

Pronator Teres + Pronator Quad

Answer 24

Adducted at side elbow 30-40 of flexion. Put in pronation, use 2 hands of one hand (any stress applied should be to distal forearm not wrist of hand) Hold position and try to supinate