Manual Muscle Testing

Question 1

Pronator teres and quadratus test

Answer 1

Pt supine or sitting
Elbow stabilized against pt so that they don’t abd shoulder
Elbow partially flexed, forearm pronated
Force is pulling them out of pronation

Question 2

Innervation of pronator teres

Answer 2

Median (C6,7)

Question 3

Innervation of pronator quadratus

Answer 3

Median (C6,7)

Ant int?

Question 4

Supinator test

Answer 4

Pt in hooklying
90 elbow flex and humeral add (biceps and supinator)
To isolate supinator:
shorten biceps by putting patient into max shoulder and elbow flex
Force into pronation

Question 5

Innervation of supinator

Answer 5

Radial (C5,6,7)

Question 6

Biceps Brachii test

Answer 6

Pt sitting
Elbow flexed anywhere from 75-90
Humerus adducted, forearm supinated
Force into elbow ext

Question 7

Biceps Brachii innervation

Answer 7

Musculocutaneous (C5,6)

Question 8

Brachialis test

Answer 8

Pt sitting
Elbow flexed and max pronation
Stab humerus in add
Force into elbow ext

Question 9

Innervation of brachialis

Answer 9

Musculocutaneous (C5,6)

Question 10

Triceps Brachii Test

Answer 10

Pt supine if able with shoulder flexed? and a little out of full elbow ext
Can also go prone with arm out and a little less than full ext

Question 11

Innervation of triceps brachii

Answer 11

Radial (C6,7,8, T1)

Question 12

Anconeus Test

Answer 12

Elbow extension and stabilization

Question 13

Anconeus innervation

Answer 13

Radial (C5,6)

Question 14

Brachioradialis Test

Answer 14

Forearm in neutral with elbow flexed

Force into elbow ext

Question 15

Brachioradialis Inenrvation

Answer 15

Radial (C5,6)

Question 16

Flexor Carpi Radialis Test

Answer 16

Pt sitting or supine
Forearm in slightly less than full supination and radial deviation
Pressure against thenar eminence in direction of ext toward ulnar side

Question 17

Flexor carpi radialis innervation

Answer 17

Median (C6,7,8)

Question 18

Flexor carpi ulnaris test

Answer 18

Pt sitting or supine
Forearm in full supination and flexion of wrist to ulnar side
Force against hypothenar in direction toward radial side

Question 19

Flexor carpi ulnaris innervation

Answer 19

Ulnar (C7,8,T1)

Question 20

Extensor carpi radialis longus and brevis test

How to bias brevis?

Answer 20

Group test - Ext and some radial deviation with pressure into flexor and ulnar deviation
Bias brevis by placing in max elbow flexion