Lecture 6

Question 1

Exam vs Intervention PROM

Answer 1

Exam–finding end feel with PROM
Intervention–don’t find end feel, using it to stretch out limb

Question 2

Grade 0 MMT

Answer 2

Palpation and visual inspection finds no contraction

Question 3

Grade 1 MMT

Answer 3

Muscle contraction w/out any visible movement of limb/segment

Question 4

Grade 2 MMT

Answer 4

Muscle group can move segment when gravity is minimized

Question 5

Grade 3 MMT

Answer 5

Muscle group can move segment through entire ROM against gravity

Question 6

Grade 4 MMT

Answer 6

Grade 3 + can’t maintain position against max resistance

Question 7

Grade 5 MMT

Answer 7

Grade 3 + maintain position against max resistance

Question 8

Gleno-humeral vs Scapular

Answer 8

2° of gleno-humeral movement
1° of scapular movement

Question 9

Scapular Abduction/Upward Rotation MMT

Answer 9

Hold arm at 130° angle
Palpating for winging of inferior angle
Pushing down in a rotating downwards angle. Axis is the same as the direction of the arm

Question 10

Scapular Elevation MMT

Answer 10

Upper trap and levator scapulae
pt shrugs shoulders, PT pushes down simultaneously
Force vector is vertical

Question 11

Shoulder Flexion MMT

Answer 11

Anterior deltoid, RC, coracobrachialis, clavicular portion of pec major

pt puts arm straight. PT pushes downwards, vertically. Scapula should be able to abduct and upwardly rotate

Question 12

Shoulder Abduction MMT

Answer 12

Middle deltoid and supraspinatus
Patient abducts arm to 90°. Stabilize at scap

Vertical force vector above elbow

Question 13

Shoulder External Rotation MMT

Answer 13

Infraspinatus and Teres Minor

Patient externally rotates, forearm is away from trunk.
Resistance is at distal forearm

PT pushes in, pt tries to keep it externally rotated

Question 14

Shoulder Internal Rotation MMT

Answer 14

Subscap, pec major, lat dorsi, teres major

Stabilize at elbow, push at distal forearm. PT is pulling on arm or pushing it out

Question 15

Shoulder Extension MMT

Answer 15

Post Delt, Lat dorsi, Teres major, triceps

Prone, patient extends arm backwards, keep elbow straight. In sagittal plane.

Push down right above elbow

Question 16

Scapular Adduction/Retraction

Answer 16

Middle Trapezius/rhomboids

Patient horizontally abducts arm and adducts scap

Lift elbow toward the ceiling, push down vertically

Question 17

Shoulder Horizontal Abduction

Answer 17

posterior deltoid

Holds arm straight out to the side. Don’t allow humerus to drop (can put towel under)
Push down vertically

Question 18

Scapular Depression

Answer 18

Lower and middle traps

Hold arm out at a diagonal, thumb points upwards to the sky. pt holds arm slightly up. Place one hand on lower angle of scap and other wrist.

Make sure scapular doesn’t elevate

Question 19

Latissimus Dorsi Test

Answer 19

Patient lifts arm into extension and adduction.
PT provides anterior and lateral force