MMT Shoulder Flashcards
Scapular Elevation MMT
Muscle: Upper Trap (CN XI and ventral rami c3-c4) & Levator (C3-c5 dorsal scapular n)
Position: Sitting
Palpate: Trap at clavicle
Movement: Shrug shoulder amd lat flex and rotate head away; with hands crossed at mastoid and top of shoulder resist
Stabilize: Top of shoulder
GR Position: Prone shrug
Scapular Adduction MMT
Muscle: Middle trap (CN XI and ventral rami c3-c4)
Position: Prone; 90/90 thumb up; head on opposite side
Palpate: middle trap near midline
Movement: Lift arms; push medial border into protraction OR long lever at distal humerus then functional at wrist
Stabilize: Contra thorax
GR Position: Seated; towel under straightened elbow; thumb up
Scapular Depression and Adduction MMT
Muscle: Lower Trap (CN XI and ventral rami c3-c4)
Position: Prone; thumb up; arm in y pose (130 ab), head on opposite side
Palpate: lower trap near SP
Movement: Lift arm and push scap down into hand; resist on medial boarder of scap OR at distal humerus then functional at wrist
Stabilize: contra thorax
GR Position: N/A
Scapular Downward Rotation and Adduction MMT
Muscle: Rhomboids (C5 dorsal scap n)
Position: Prone; hand behind back; head on opposite side OR UE bent in slight abd
Palpate: Rhomboids between med border
Movement: lift hand and resist a medial border OR olecranon
Stablize: Contra throax
GR Position: Seated (not for AP)
Scapular Upward Rotation and Abduction MMT
Muscle: Serratus Ant. (c5-C7 long thoracic)
Position: Seated, scaption (130)
Palpate: btwn ribs and ant scap
Movement: Lift arm and stand in front and resist distal humerus AND lat border of scap resisting UR
Stabilize: Ipsi shoulder GH
GR Position: N/a
Shoulder Flexion MMT
Muscle: ant. delt (c5-c7 axillary) and coracobrach (c5-c7 musculocute)
Position: Seated, thumb up
Palpate: ant delt
Movement: lift arm; resist distal humerus then wrist for functional
Stablilize: superior acromion
GR Position: sidelying
Shoulder Extension MMT
Muscle: c5-c8 post delt (axillary), lats (thoracodorsal), teres minor (subscap)
Position: prone; palm up
Palpate: lateral ribs near lat
Movement: lift arm, resist distal humerus
Stabilize: ipsi thorax
GR Position: sidelying
Shoulder Scaption MMT
Muscle: ant delt, mid delt, supraspinatus (c5-c7)
Position: seated, thumb up
Palpate: supraspinatus
Movement: lift arm, resist distal humerus
Stabilize: superior acromion
GR Position: semi-sidelying
Shoulder Abduction MMT
Muscle: c5-c6 mid delt and supraspinatus (suprascap)
Position: Sitting,
Palpate: mid delt
Movement: lift arm, resist distal humerus
Stabilize: superior acromion
GR Position: Supine
Shoulder Horizontal Abduction MMT
Muscle: post delt (c5-c6) axillary
Position: prone, 90 elbow, neural shoulder
Palpate: post delt
Movement: lift elbow toward back, resist distal humerus
Stabilize: ipsi thorax
GR Position: seated with elbow on towel, palm down
Shoulder Horizontal Adduction MMT
Muscle: pec major (c5-t1 med and lat pectoral nerves)
Position: Supine, edge of bed,
Palpate: pec major lateral side
Movement: General: flexed arm across body; resist at distal humerus
Clavicular: straight arm
Sternal: straight arm; thumb toward opposite ASIS
Stabilize: ipsi lat clavicle
GR Position: sitting; elbow on towel
Shoulder External Rotation MMT
Muscle: infraspinatus (c5-c6 suprascapular) & teres major (c5-c6 axillary)
Position: Prone; 90/90; use towel
Palpate: teres major
Movement: Lift arm; resist distal radius using webspace
Stabilize: Scapula
GR Position: Prone with dangling arm
Shoulder Internal Rotation MMT
Muscle: subscap (c5-t1 upper and lower subscapular) & pec major (c5-t1 me and lat pectoral) & lats (c5-t1 thoeracodorsal)
Position: Prone; 90/90; use towel
Palpate: subscap under scap
Movement: Lift arm posteriorly; resist distal radius using webspace
Stabilize: upper scap
GR Position:
