Manual Muscle Testing for Shoulder flex., elbow flex. and wrist ext.

Question 1

What muscle grade indicates incomplete/partial ROM against gravity?

Answer 1

3-, or Fair -

Question 2

What muscle grade indicates full ROM against gravity? `

Answer 2

3 or Fair

Question 3

After a muscle grade of 3 or Fair is indicated what is the next step and final upon sustaining resistance?

Answer 3

resistance is provided and Pt cannot hold resistance, so they remain a 3 or Fair

Question 4

What muscle grade indicates full ROM against gravity and ability to sustain resistance?

Answer 4

3+ or Fair +

Question 5

What do we assume a Pt’s muscle grade is if they present with a jazz hand, or are too weak to extend wrist?

Answer 5

2- or Poor -, must be put in gravity eliminated position/forearm neutral

Question 6

What muscle grade for wrist extension indicates full ROM in a gravity eliminated plane and cannot hold resistance?

Answer 6

2- or Poor -

Question 7

What happens next if a muscle grade of 2 or poor for wrist extension is idicated, and no AROM from Pt is presented?

Answer 7

move to gravity-eliminated position/forearm- neutral, and provide resistance.

Question 8

What muscle grade indicates full ROM in a gravity eliminated position while sustaining resistance?

Answer 8

2+ or Poor +

Question 9

What three positions should the arm be in to test elbow flexion ?

Answer 9

1. thumb facing up-brachio-radialis.
2. anterior/take palm and touch shoulder- brachialis
3. posterior hand to shoulder (brachialis)

Question 10

What is required for the therapist to do every time before they have Pt perform AROM?

Answer 10

put Pt in anatomical position, and then two other positions

Question 11

What muscle grade indicates partial ROM against gravity?

Answer 11

3- or Fair -

Question 12

What muscle grade indicates Full ROM against gravity, but Pt cannot sustain resistance?

Answer 12

3 or Fair

Question 13

What muscle grade indicates Full ROM against gravity, and Pt is able to sustain resistance?

Answer 13

3+, or Fair +

Question 14

What is the next step if a Pt presents a jazz hand for AROM for elbow flexion?

Answer 14

put patient in gravity eliminated/horizontal, (look, feel and have Pt do AROM)

Question 15

What is the muscle grade for full ROM in a gravity eliminated plane ?

Answer 15

2-, or Poor -

Question 16

What muscle grade indicates full ROM in a gravity eliminated plane, but Pt cannot sustain resistance ?

Answer 16

2 or a Poor

Question 17

What muscle grade indicated full ROM in a gravity eliminated position, and Pt is able to sustain resistance?

Answer 17

2+ or a Poor +

Question 18

What muscle grade for shoulder flexion indicates partial ROM against gravity ?

Answer 18

3- or a Fair -

Question 19

What muscle grade for shoulder flexion indicates full ROM against gravity, but Pt cannot sustain resistance?

Answer 19

3 or a Fair

Question 20

What muscle grade indicates full ROM against gravity, and Pt sustains resistance?

Answer 20

3+ or a Fair +

Question 21

What muscle grade indicates full ROM in a gravity-eliminated position?

Answer 21

2- or a Poor -

Question 22

What muscle grade indicates full ROM in a gravity eliminated position, but cannot sustain resistance?

Answer 22

2 or a Poor

Question 23

What muscle grade indicates full ROM in gravity eliminated position, and sustains resistance?

Answer 23

2+ or a poor +