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PT Exam > MMT UE > Flashcards

MMT UE Flashcards

1
Q

Lower Trapezius

A

PRONE
Scapular adduction and depression
- STAND on contralateral side
- Shoulder abducted to 130 degrees and externally rotated; point thumb to ceiling, face away from side tested
- STABILIZE on other scapula
- PALPATE as pt goes through full ROM
- PRESS on ACROMION PROCESS in line with lower trap muscle fibers
- Note: Avoid pressing down on humerus, you are looking at GH muscles only

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2
Q

Middle trap

A

PRONE
Scapular adduction
- STAND on contralateral side
- Shoulder externally rotated; elbow bent at 90 degrees, palm down, face away from side tested
- STABILIZE on other scapula
- PALPATE as pt goes through full ROM
- PRESS on acromion process in line with middle trap muscle fibers
- Note: Avoid pressing down on humerus, you are looking at GH muscles only

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3
Q

Rhomboid

A

PRONE
Scapular adduction and downward rotation
- STAND on contralateral side
- Back of hand on low back region, shoulder internally rotated, head away from side being tested
- STABILIZE ipsilateral scapula
- PALPATE as pt goes through full ROM
- PRESS on medial border of scapula towards acromion process
- Note: Avoid pressing down on humerus, you are looking at GH muscles only

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4
Q

Shoulder extension

A 
PRONE
Latissimus dorsi
Teres Major
- STAND on contralateral side
- Shoulder barely abducted, palm up
- STABILIZE medial border of same scapula
- PALPATE as pt goes through full ROM
- PRESS down above the elbow (push into flexion and abduction)
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5
Q

Posterior Deltoid

A 
PRONE
Horizontal abduction
- Have patient hang arm off table so elbow is bent at 90 degrees
- STABILIZE opposite scapula
- PALPATE as pt goes through full ROM
- PRESS down on back of arm
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6
Q

Shoulder external rotators

A 
PRONE
Infraspinatus
Teres Minor
- Place towel roll under arm
- Hang arm off table so elbow is 90 degrees
- STABILIZE scapula on same side  
-PALPATE through full ROM
- PRESS down proximal to wrist
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7
Q

Shoulder internal rotators

A 
PRONE
Subscapularis
Pec Major
Latissimus Dorsi
- Place towel roll under arm
- Hang arm off table so elbow is 90 degrees  
- STABILIZE scapula on same side
- PALPATE through full ROM
- PRESS down proximal to wrist
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8
Q

Cervical Extension

A 
PRONE
- With arm at 90 degrees, elbow bent at 90 degrees
- STABILIZE on upper thoracic spine
- PALPATE as pt lifts head up
- PRESS against back of head
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9
Q

Pectoralis Major

- Clavicular fibers

A

SUPINE
Horizontal adductor
- Hold arm out, elbow bent at 90 degrees
- STABILIZE under same scapula
- PALPATE full ROM as pt brings arm across body “shield”
- PULL arm towards you

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10
Q

Pectoralis major

- Sternal fibers

A 
SUPINE	
- Abduct arm out at 130 degrees
- STABILIZE diagonal ASIS
- PALPATE full ROM as pt puts sword into pocket
- PULL arm towards you
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11
Q

Elbow extension

A 
SUPINE
o	Triceps Brachii
	Elbow pointing to ceiling, hand folded down
	Patient extends arm part of the way
	Stabilize on shoulder of same side
	Press arm back down into flexion
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12
Q

Serratus anterior

A

SUPINE
o Scapular abduction and upward rotation
o Arm is in front of patient
o Instruct patient to punch wall in front
o “Lock shoulder in place” so that you can push back on arm and affect scapular movement
o Stabilize under scapula

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13
Q

Cervical muscles

Flexion

A 
SUPINE
	With arm at 90 degrees, elbow bent at 90 degrees
	Stabilize on sternum
	Lift chin to chest
	Press against forehead
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14
Q

Cervical muscles

Rotation

A

SUPINE
 With arm at 90 degrees, elbow bent at 90 degrees
 Palpate SCM
 Instruct patient to turn head to other side
 Stabilize on sternum
 Press against temple further into rotation

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15
Q

Upper trapezius / levator scapula

Bilateral

A 
SITTING
o	Bilateral scapular elevation
o	Stand behind patient
o	Patient is instructed to elevate shoulder toward head as far as possible
o	Press shoulders down out of shrug
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16
Q

Upper trapezius / levator scapula

Unilateral

A

SITTING
o Unilateral scapular elevation
o Stand behind patient
o Patient is instructed to rotate head slightly to opposite side and elevate shouder toward head as far as possible
o Press down on one shoulder with one hand and press into head with other hand

17
Q

Shoulder abduction

A 
SITTING
o	Middle deltoid
o	Supraspinatus
	Abduct arm straight out to side
	Stabilize shoulder on same side
	Press down just proximal to elbow
18
Q

Shoulder flexors

A 
SITTING
o	Anterior deltoid
o	Coracobrachialis
	Flex arm straight in front, thumb up
	Stabilize shoulder on same side
	Press down just proximal to elbow
o	Pectoralis major
o	Biceps
19
Q

Elbow flexors

Biceps Brachii

A 
SITTING
o	Biceps Brachii
	Biceps curl
	Stabilize same shoulder
	Pull towards you just proximal to wrist
20
Q

Elbow flexors

Brachialis

A

SITTING
 Biceps curl, palm facing away
 Stabilize same shoulder
 Pull towards you just proximal to wrist

21
Q

Elbow flexors

Brachioradialis

A

SITTING
 Biceps curl, thumb facing you
 Stabilize same shoulder
 Pull towards you just proximal to wrist

22
Q

Forearm supinators

A 
SITTING
o	Palpate anterior to lateral epicondyle
o	Arm adducted against side, forearm out with elbow bent at 90 degrees, palm up
o	Stabilize above the elbow
o	Press hand into pronation
23
Q

Forearm pronators

A 
SITTING
o	Palpate at radial humeral joint
o	Place forearm into pronation
o	Stabilize above the elbow
o	Try to push arm into supination
24
Q

Extensor carpi ulnaris

A

SITTING WITH ARM ON TABLE
Palpate where ring finger meets wrist
 Stabilize gripping proximal to wrist
 Instruct patient to bring hand up and out
 Press in opposite direction

25
Q

Extensor carpi radialis

A 
SITTING WITH ARM ON TABLE
	Longus and brevis
	Stabilize gripping proximal to wrist
	Instruct patient to bring hand in along table and up
	Press in opposite direction
26
Q

Flexor carpi ulnaris

A

SITTING WITH ARM ON TABLE
 With palm face up, bring wrist up and in
 Stabilize gripping proximal to wrist
 Press into movement

27
Q

Extensor digitorum

A

SITTING WITH ARM ON TABLE
 Curl fingers into claw
 Stabilize gripping proximal to wrist
 Press down on PIP

28
Q

Flexor digitorum superficialis

A

SITTING WITH ARM ON TABLE
 Dorsum of hand down on table
 Stabilize by laying one finger across PIP joints
 Instruct patient to lift fingers off table
 Pull down on each finger

29
Q

Flexor digitorum profundus

A

SITTING WITH ARM ON TABLE
o Dorsum of hand down on table
o Stabilize by covering all fingers up to DIP joint
o Pull tip of finger down

PT Exam (16 decks)

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