Practical I

Question 1

MMT supraspinatus

Answer 1

Start: Sitting, neck extended, bend same side, rotate opposite side
Test: shoulder abducted to 90, elbow bent at 90, slight ER & flexion
Pressure: pushing against abduction and ER

Question 2

Normal Muscle Length for pec major

Answer 2

arms drop to table level, back remains flat

Question 3

MMT upper traps

Answer 3

Start: sitting
Test: lift shoulder, side bend same side, rotate opposite
Pressure: one hand shoulder depression, other hand posterior head

Question 4

MMT anterior deltoid

Answer 4

Start: seated
Test: shoulder abduction, slight flexion, slight ER
Pressure: (in front of patient) anteriormedial surface in direction of adduction & extension
Stabilize same shoulder

Question 5

Normal Muscle Length for pec minor

Answer 5

shoulders lay flat on table (examiner at head of table)

Question 6

MLT (Motion) pec minor

Answer 6

arms at sides, elbows extended, palms upwards

Question 7

MMT cervical flexors

Answer 7

Start: supine
Test: flex cervical spine, chin depressed
Pressure: against forehead

Question 8

MLT (Motion) upper trapezius

Answer 8

flex head, side bend opposite side, rotate same side

Question 9

MLT (Motion) per major (upper)

Answer 9

full horizontal abduction, elbow extended, shoulder ER

Question 10

Normal Muscle Length for lats

Answer 10

can bring arms down to table level; keeping them close to head

Question 11

MLT position for pec major, pec minor, and lats

Answer 11

supine, knees bent, low back flat on table

Question 12

MLT (Motion) levator scapulae

Answer 12

flex head, side bend opposite side, rotate opposite side

Question 13

MMT subscapularis

Answer 13

Start: prone
Test: hand on back, resting on posterior iliac crest
Pressure: against the arm above elbow, direction of abduction & flexion

Question 14

MMT lower traps

Answer 14

Start: prone
Test: arm abducted to 135 with thumb up
Pressure: downward force against forearm

Question 15

MMT teres minor

Answer 15

Start: supine
Test: elbow flexed at 90, arm slightly abducted from side
Pressure: towards IR

Question 16

what direction do you apply pressure for MMTs

Answer 16

opposite the direction of action

Question 17

MMT pec major (lower fibers)

Answer 17

Start: supine
Test: stabalize opposite iliac crest; shoulder flexed (<90), slight IR, horizontal adduction towards opposite iliac crest with elbow extended
Pressure: against forearm, pulling towards horizontal abduction (cranially)

Question 18

MMT posterior deltoid

Answer 18

Start: seated
Test: shoulder abduction, slight extension, slight IR
Pressure: (in back of patient) posteriormedial surface in direction of adduction & flexion
Stabilize same shoulder

Question 19

MMT cervical extensors

Answer 19

Start: prone
Test: extend neck
Pressure: back of head inferior direction (*place other hand on forehead in case pt. loses control)

Question 20

MLT (Motion) pec major (lower)

Answer 20

arm abducted to 135 degrees, elbow extended, shoulder ER

Question 21

MLT (Motion) anterior & middle scalene

Answer 21

extend head, side bend opposite side, rotate same side

Question 22

MMT pec major (upper fibers)

Answer 22

Start: supine
Test: stabalize opposite shoulder; shoulder flexed to 90, slight IR, horizontal adduction with elbow extended
Pressure: against forearm, pulling towards horizontal abduction

Question 23

MLT (Motion) lats

Answer 23

flex arms overhead and bring down towards table

Question 24

MMT infraspinatus

Answer 24

Start: prone
Test: shoulder abducted to 90, elbow flexed to 90, support arm under humerus (distal end)
Pressure: towards IR

Question 25

MMT middle traps

Answer 25

Start: prone
Test: shoulder abducted at 90 with thumb up
Pressure: downward force against forearm