MMT Patient Positions (UE)

Question 1

Scapular Abduction (protraction) and Upward Rotation Grades 3-5

Answer 1

Short sitting- arm flexed to 130* and protracted

Question 2

Scapular Abduction (protraction) and Upward Rotation Grades 0-2

Answer 2

Short sitting- arm forward flexed above 90* and supported by therapist

Question 3

Scapular Elevation Grades 3-5

Answer 3

Short sitting- hands relaxed in lap “shrug”

Question 4

Scapular Elevation Grades 0-2

Answer 4

Prone- head turned away from test side “shrug”

Question 5

Scapular Adduction (Retraction) Grades 0-5

Answer 5

Prone- shoulder at edge of table, shoulder abducted to 90, elbow flexed to 90, with forearm and hand off table
“lift your elbow toward the ceiling”

Question 6

Scapular Depression and Adduction (Retraction) Grades 0-5

Answer 6

Prone- test arm over head at 145* with forearm in midposition and thumb pointed toward ceiling, head turned toward test side.

Question 7

Scapular Adduction (Retraction) and Downward Rotation Grades 3-5

Answer 7

Prone- shoulder is internally rotated and arm is adducted across the back with elbow flexed and hand resting on back
“lift your hand from your back”

Question 8

Scapular Adduction (Retraction) and Downward Rotation Grades 0-2

Answer 8

Short sitting- shoulder internally rotated and arm extended/adducted behind back
“try to move your hand away from your back”

Question 9

Shoulder Extension, Adduction, Medial Rotation (Latissimus Dorsi) Grades 0-5

Answer 9

Prone with head turned to test side, arms at sides, and shoulder internally rotated

Question 10

Shoulder Flexion Grades 3-5

Answer 10

Short sitting- with arms at sides, elbow slightly flexed, forearm pronated

Question 11

Shoulder Flexion Grades 0-2

Answer 11

Side lying- Test side up, arm flexed to 90*

Question 12

Shoulder Extension Grades 0-5

Answer 12

Prone- with arms at sides and shoulder internally rotated (palm up)

Question 13

Shoulder Abduction Grades 3-5

Answer 13

Short sitting- arm at side with elbow slightly flexed

Question 14

Shoulder Abduction Grade 2

Answer 14

Supine- arm at side supported on table in neutral rotation (thumb pointed outward)

Question 15

Shoulder Abduction Grades 0-1

Answer 15

Supine- with arm at side and elbow slightly flexed

Question 16

Shoulder Horizontal Abduction Grades 3-5

Answer 16

Prone- shoulder abducted to 90* and forearm off edge of table with elbow straight

Question 17

Shoulder Horizontal Abduction Grades 0-2

Answer 17

Short Sitting

Question 18

Shoulder Horizontal Adduction Grades 3-5

Answer 18

Whole: supine- shoulder abducted to 90, elbow flexed to 90
Clavicular: supine- shoulder abducted to 60* with elbow flexed
Sternal: supine- shoulder abducted to 120* with elbow flexed

Question 19

Shoulder Horizontal Adduction Grades 0-2

Answer 19

Supine- arm supported in 90* of abduction with elbow flexed to 90*

Question 20

Shoulder External Rotation Grades 3-5

Answer 20

Short sitting- elbow flexed to 90* and forearm in neutral position, perpendicular with patient’s trunk

Question 21

Shoulder External Rotation Grades 0-2

Answer 21

Short sitting- elbow flexed to 90*, forearm in neutral rotation with hand facing forward, supported on the table with friction minimized by therapist

Question 22

Shoulder Internal Rotation Grades 3-5

Answer 22

Short sitting- with elbow flexed to 90*, forearm in neutral perpendicular to trunk

Question 23

Shoulder Internal Rotation Grades 0-2

Answer 23

Short sitting or sitting at table- elbow flexed and forearm in neutral rotation

Question 24

Elbow Flexion Grades 3-5

Answer 24

Short sitting- arms at sides (biceps: forearm in supination, Brachialis: forearm in pronation, Brachioradialis: forearm in neutral)

Question 25

Elbow Flexion Grade 2

Answer 25

Short sitting- arm flexed to 90*, internally rotated, and supported by therapist. Foream in pronation, supination, and neutral

Question 26

Elbow Flexion Grades 0-1

Answer 26

Side lying

Question 27

Elbow Extension Grades 3-5

Answer 27

Prone- shoulder in 90* abduction, elbow flexed to 90*, and forearm in neutral rotation hanging over side of table then extend the elbow

Question 28

Elbow Extension Grades 0-2

Answer 28

Short sitting- shoulder 90* abduction, neutral rotation with elbow flexed to 45* to minimize gravity then try to extend elbow

Question 29

Forearm Supination Grades 0-5

Answer 29

Short sitting- arms at side and elbow flexed to 90*, forearm in full pronation to neutral

Question 30

Forearm Pronation Grades 0-5

Answer 30

Short sitting- arms at side with elbow flexed to 90*, forearm in supination

Question 31

Wrist Flexion Grades 3-5

Answer 31

Short sitting- forearm supinated, wrist in neutral or slightly extended position

Question 32

Wrist Flexion Grade 2

Answer 32

Sitting with elbow supported on table- forearm in midposition with hand resting on ulnar side

Question 33

Wrist Flexion Grade 0-1

Answer 33

Sitting with forearm supported on table in supination

Question 34

Wrist Extension Grades 3-5

Answer 34

Short sitting- elbow flexed, forearm fully pronated and supported on table

Question 35

Wrist Extension Grade 2

Answer 35

Sitting- forearm supported on table in neutral position

Question 36

Wrist Extension Grades 0-1

Answer 36

Sitting- hand and forearm supported on table with forearm fully pronated