Muscle Strength For upper Extremity Flashcards
Factors affecting muscle strength
Speed of contraction
Age differences
Gender differences
Muscle fiber type
Forms of muscle testing
Instrumental
Manual
Functional
Validity and reliability of muscle strength testing
Patient factor…. Age, pain, gender fatigue
Therapist factor… experience, interaction , manner and content of instructions
0 1 2 3 4 5
No visible or palpable contraction
Visible or palpable contraction
Full ROM against gravity
Full ROM against gravity eliminated
Full ROM against gravity.. moderate resistance
Full ROM against gravity… maximum resistance
Limitations of mmt
Umn lesions Presence of pain or swelling Type of contractions Understanding of command Subjectivity
Causes of muscle weakness
Pain
Muscle strain
Rupture
Break test
Resistance is applied at the end range
Patient is asked to hold the part at a point and examiner breaks it
Active resistance test
Examiner gradually increases resistance until maximum tolerance
Application of manual resistance against actively contracting muscles
Upper Trapezius
Function… elevation , upward rotation
Origin… occipital bone
Insertion… acromion
Middle trapezius
Origin… c7-t3
Insertion.. scapula spine
Function.. retraction
Lower trapezius
Origin..spinous process
Insertion.. base of scapula spine
Function.. scapula depression and upward rotation
Levator scapula
Origin. Transverse process of four vertebrae
Function… Scapular elevation and downward rotation
Rhomboid
Minor…. Origin C7-T1
Insertion… medial boader of scapula
Major…..T2-T5
Insertion.. medial boader of scapula
Function… downward rotation.. retraction and elevation
Scapula protraction and upward rotation
Serratus anterior
Depression,protraction, downward rotation and tilt
Pectoralis Molly minor