MMT for shoulder and scap Flashcards
MMT for scapular adduction
-Muscles tested:
- nerve inn:
- patient postion:
- gravity reduced position:
- where do you stabilize?
-Muscle tested: mid trap
- nerve inn: ventral rami C3-C4
- patient postion: prone with arm in 90-90 position and head turned to the opposite side of testing arm (chicken wing)
- gravity reduced position: seated with towel under elbow
- where do you stabilize: stabilize with one hand over posterior contralateral thorax and other hand is pushing the medial boarder of the scap into protraction
MMT for scapular elevation
-Muscles tested:
- nerve inn:
- patient postion:
- gravity reduced position:
- where do you stabilize?
-Muscle tested : upper trap and levator scap
- nerve inn: UT: ventral rami C3-4
LS: C3-C5 - patient postion: sitting with back support (for shrug)
to check one side you would have the patient rotate head to contralateral side and have them shrug the ipsilateral shoulder - gravity reduced position: prone shrug
- where do you stabilize: for shoulder shrug your hands are on lateral shoulders and press down
when testing just one side one hand is stabilizing the head turning it away and the other one is on the shoulder pushing down (cross hand motion)
MMT for scap adduction & depression
-Muscle tested:
- nerve inn:
- patient postion:
- gravity reduced position:
- where do you stabilize?
-Muscle tested: lower trap
- nerve inn: ventral rami C3-C4
- patient postion: prone with head turned to opposite side that is being test and then have shoulder in 130° of shoulder abduction and full elbow extension, thumb up (Y position)
- gravity reduced position: n/a
- where do you stabilize: you are standing on the opposite side of the table and one hand is on the contralateral thorax (side not being tested) and the other head is on the medial boarder of the scap applying pressure
MMT for scapular adduction & downward rotation
-Muscle tested:
- nerve inn:
- patient postion:
- gravity reduced position:
- where do you stabilize?
-Muscle test: rhomboid major and minor
- nerve inn: C5 dorsal scapular nerve
- patient position: prone with head turned away and back of hand against lower back
- gravity reduced position: seated and lifting hand off back
- where do you stabilize: stand on contralateral side of the muscle being test , one hand will stabilize at the contralateral thorax and the other hand will apply a resistance to the medial boarder of the scapula , pushing it into a abduction and upwardly rotated position
MMT for scap abduction and upward rotation
-Muscle tested:
- nerve inn:
- patient postion:
- gravity reduced position:
- where do you stabilize?
-Muscle tested: serratus anterior
- nerve inn: C5-C7 long thoracic nerve
- patient postion: seated without back support , arm elevated to 130° of flexion and arm protracted
- gravity reduced position: NA
- where do you stabilize: stand in front of the patient and have one hand on top of their bicep area and then the other hand is apply a downward pressure on the lateral board of the scapula
MMT for shoulder flexion
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: ant delt & coracobrachialis
- nerve inn: C5-C7 AD: axillary
CB: MSK - patient position: sitting with arm raised half way thru ROM with THUMB UP
- gravity reduced position: sidelying
- where do you stabilize: stand in front of the patient and with one hand stabilize the ipsilateral shoulder and with the other hand apply a force to the distal humerus
MMT for shoulder extension
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: lats , teres major, post delt
- nerve inn: C5-C8
lats: thoracodorsal
TM: subscapular
post delt: axillary - patient position: prone with arm extended half way thru ROM WITH PALLM UP
- gravity reduced position: sidelying
- where do you stabilize: stand near the head of the patient and one hand will stabilize the ipsilateral shoulder and the other hand will apply pressure to the distal humerus
MMT for shoulder scaption
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: anterior and middle del and supraspinatus
- nerve inn: C5-C6
ANT/MID delt: axillary
supra: suprascapular - patient position: sitting with arms elevated half way into a Y position
- gravity reduced position: semi side lying
- where do you stabilize: stand in front of the patient and one hand will stabilize on the ipsilateral shoulder and the other hand will apply a pressure to the distal humerus
MMT for shoulder abduction
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: mid delt and suprspinatus
- nerve inn: C5-C6
mid delt: axillary
supra: suprascaular - patient position: sitting with shoulders abducted half way thru ROM with THUMB UP
- gravity reduced position: supine
- where do you stabilize: stand behind or in front of the patient , one hand will stabilize the ipsilateral shoulder and the other hand will apply a pressure to the distal humerus
MMT for shoulder horizontal abduction
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: post delt
- nerve inn: C5-C6 axillary
- patient position: prone , lifting their arm into 90-90 with thumb in neutral
- gravity reduced position: sitting up next to table and elbow on towel
- where do you stabilize: stand being the patient on same side being tested, one hand stabilizes the ipsilateral thorax and the other hand is applying pressure to distal humerus
MMT for shoulder horizontal adduction
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: pec major
- nerve inn: C5- T1medial and lateral pectoral nerve
- patient position: supine , have arm at 90-90 and then reach across there chest and stop half way
- gravity reduced position: seated with elbow resting on towel
- where do you stabilize: stand to the side of the patient and one hand stabilizes on the ipsilateral shoulder and the other hand the pulling at the distal humerus
MMT for shoulder external rotation
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: infraspinatus and teres minor
- nerve inn: C5-C6
infra: suprascaular
teres minor: axillary - patient position: prone with shoulder at 90° of abduction with towel under elbow
- gravity reduced position: still prone but let arm hand off of table
- where do you stabilize: stand behind the patient and have one hand stabilizing on the ipsilateral thorax region and the other hand is applying pressure on the distal radius USING THE WEBSPACE OF HAND
MMT for shoulder internal rotation
-Muscles being tested:
- nerve inn:
- patient position:
- gravity reduced position:
- where do you stabilize:
-Muscles being tested: subscapularis, pec major , lats , teres major
- nerve inn: C5-T1
subscap: upper and lower subscapular
pecs: medial and lateral pectoral
lats: thoracodorsal
TM: lower subscapular - patient position: prone with shoulder at 90° of abduction and towel under arm
- gravity reduced position: still prone but let arm hand off of table
- where do you stabilize: stand behind the patient , one hand will stabilize on the ipsilateral thorax and the other hand will apply a downward pressure on the distal radius USING THE WEBSPACE OF YOUR HAND
