Back and Arm MMT Flashcards
Serratus Anterior
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.
Upper Trapezius
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
Middle Trapezius
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
Lower Trapezius
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.
Rhomboids (alone)
“Same as middle trap position,” except pt’s thumb faces the floor.
OT applies pressure @ proximal elbow & counterpressure on opp. shoulder
Rhomboids w/Levator scapulae
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
Levator Scapulae
Pt prone, arm adducted, elbow flexed, shoulder elevated, arm slightly extended (chicken wing dance)
OT push shoulder down & try to abduct & slightly flex
Latissimus Dorsi
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
Infraspinatus W/teres minor (lateral rotators)
Pt supine, arm abducted, elbow 90° flexed, slightly externally rotate
OT support elbow & apply pressure to make them internally rotate
Teres Major alone (internal rotator)
Pt prone, hand in small of back & extended, elbow abducted
OT apply pressure on elbow towards floor trying to abduct elbow away from body
Subscapularis with teres major (internal rotators)
1) Pt supine, arm abducted, elbow 90°
OT support elbow & apply pressure to make them externally rotated
Pec Minor
Pt lies supine
- raises shoulder off table
-lift hand off table
OT pressure applied on shoulder straight down towards the table
Pectoralis Major
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
Middle deltoid
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
Supraspinatus
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
Anterior Deltoid
little flexion, little ext rotation, pressure prox to elbow. Arm into side slight extension and adduction
Posterior Deltoid
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
Coracobrachialis
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
Brachioradialis
Pt’s arm adduct, elbow flexed at 90 degrees, forearm in neutral.
OT holds position
-Pressure at distal forearm in direction of extension
Biceps
Pt arm adduct flex at 90 degrees, forearm, In supination, pressure distal forearm in direction of extension
Brachialis
Pt arm adduct flex at 90 degrees, forearm in full pronation, Pressure at distal forearm in direction of extension
Triceps brachii
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
Supinator
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
Pronator Teres + Pronator Quad
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
