MMT Shoulder/Elbow Flashcards
Serratus Anterior Action
Scapular Abduction, Upward rotation
Serratus Ant Nerve
LT C5-C7
Serratus MMT
Sitting, Shoulder flexed 130, pt pushes into flexion, PT resists
Serratus Palp
Hand along lower borders of scap with web at inferior angle
Upper Trap/Levator Scap Action
Scapular Elevation
Upper Trap Nerve
CN XI, C3-C4
Levator Scap Nerve
L3-L4, Dorsal Scap C5
Test for UT/LS
Sitting w/arms at side, pt shrugs, resistance downward
Below fair test for traps/lev scap
supine/prone
Palp for utraps/lev scap
Near insertion near clavical/cspine
sub for upper trap/lev scap
hands pushing down on legs/surface or rhomboids
Serratus below fair
therapist takes wt of arm and pt maintains abduction/UR
Middle Trap Action
Scapular Adduction
Middle trap test
prone, shoulder 90 abd, pt lift elbow towards celing and resistance applied downwards
middle trap below fair
therapist takes wt of arm
palp for middle trap
spine of scap from acromion to t1 to t6
middle trap sub
rhomboids- DR with adduction
Lower trap action
scapular depression
adduction
lower trap mmt
prone, arm abd 145, forearm mid postion, thumb at celing–pt lifts arm towards ceiling, resistance towards floor –elbow if strong shoulder, scap if weak shoulder
below fair lower tap
ther has weight of arm
palp for lower trap
below spine of scap and across T7-T12
Rhomboids Action
Scapular adduction
Scapular Downward rotation
Rhomboids Nerve
Dorsal Scap C5
Rhomboids MMT
Prone, shoulder IR, arm adduction w/ elbow flexed and arm on back – pt lifts hand, resistance proximal to elbow, resistance down and out
Rhomboids BF
ther takes wt of arm or short sitting
Rhomboids palp
deep under vertebral border of scap–stron gactivity- fingers will pop out
Rhomboids Sub
Don’t allow elbow to lead
Look for scap adduction w/o rotation (middle trap)
Anterior Delt,
Supraspin
CCB action
Shoulder Flexion
Lat, Teres Major, Posterior delt action
shoulder extension
Lat action (alone)
shoulder depression
delt/supraspinatus action
shoulder scaption
Shoulder flexion MMT
sitting, shoulder flexed 90, elbow slightly flexed, forearm pronated. pt flexes shoulder, PT applies downward resistance
Deltoid Nerve
Axiallary C5C6
Coracobrachialis Nerve
MCN C5C6C7
Lat Nerve
TD C6C7C8
Teres Major Nerve
Lower Subscap C5C6
Supraspinatus Nerve
Suprascapular C5C6
Lat/TMaj/PD MMT
Prone, arms at sides w/sh IR. Patient extens shoulder, resistance proximal to elbow, downwards to floor
Poor Lat/Tmaj/PD
Partial Rang
BF ant delt, supraspin, ccb
sidelying, therapist supports wt of arm OR partial range in short sitting
Lat palpation
lateral thoracic wall below and lateral to inferior angle
posterior deltoid palp
posterior shoulder
teres major palp
lateral border of scap just below axilla
Lat MMT
prone,a rms at sides (sh IR), shoudler hiked to chin, head rotated. pt depresses shoulder, resistance upward at forearm
delt/supraspinatus MMT
sitting, shoulder midway btwn flex/abd, arm 90 to trunk. pt raises arm and resistance applied downard
Middle Delt/SUpraspin MMT
sitting, arm at side, elbow slightly flexed. pt abducts shoulder, resistance downward
middle delt/supraspin BF
supine/partial range in sitting
middle delt/supraspin action
shoulder abduction
middle delt/supraspin SUB
- Trunk should remain erect
- Shoulder should not eleeate
- Biceps! see ER/elbow flexion
Posterior Delt/Pec Major Action
Horizontal Abduction
Pec Major Nerve
Clav: Lat Pectoral C5C6
Sterno: Medial Pectoral C6-T1
PD/Pec MMT
Prone- shoulder abducted 90 and neutral rot, flexed elbow . patient lifts elbow towards ceiling resistance applied downward
Clavicular Pec Major MMR
Shoulder 60 degrees abd
Sternal head shoulder position for mmt
120 abd
grav eliminated pec
sitting at side, shoulder 90 abd, patient slides backwrds (can only test both heads)
shoulder horizontal abd sub
triceps–see elbow extension
Infraspinatus/Teres minor action
shoulder ER
subscap action
Shoulder IR
Subscap nerve
subscap C5C6
Infraspin nerve
suprascap c5c6
teres minor nerve
axiallary c5c6
infraspin/teres minor mmt
prone, head to test side, shoulder abd/elbow flexed, arm supported by table. pt moves into ER, resistance aboce wrists–slowlygradually
sub for infraspin/teres minor
supination in poor grade test
subscap mmt
prone, head to side, shoulder abd 90, elbow flexed, arm supported, have them move into IR then resist above wrist opposite direction
sub for subscap
pronation
Biceps nerve
MCN C5C6
Brachialis Nerve
musculocutaneous c5c6
brachioradialis nerve
radial c5c6
triceps nerve
radial c6c7c8
supinator nerve
radial c6c7
pronator teres nerve
median c6c7
pronator quadratus nerve
median c7c8