Shoulder MMT

Question 1

Shoulder Flexion

Answer 1

Client is sitting with arm down at the side in midposition
“Lift your arm in front of you to shoulder height. Do not let me push it down.”
Stabilize over the clavicle and the scapula
Place hands over the distal end of the humerus, push down toward extension
Prime Mover: anterior deltoid, coracobrachialis, pectoralis major (clavicular head), biceps (both heads)
Gravity eliminated: laying on side

Question 2

Shoulder Extension

Answer 2

Client is sitting with arm down at the side and the humerus internally rotated (palm facing wall)
“Move your arm straight back as far as it will go. Keep your palm facing the back wall”
Stabilize over the clavicle and scapula
Prime Mover: Posterior deltoid, latissimus dorsi, teres major, triceps long head
Gravity eliminated: laying on side

Question 3

Shoulder Abduction

Answer 3

Client is sitting with arm down at the side in mid position
“Raise your arm out to the side to shoulder level. Do not let me push it down”
Stabilize over the clavicle and scapula
Prime Mover: supraspinatus and middle deltoid
Gravity eliminated: snowangel supine with arm supported at the side in midposition

Question 4

Shoulder External Rotation

Answer 4

Question 5

Shoulder Internal Rotation

Answer 5

Client is prone with the humerus abducted to 90°. The elbow is flexed to 90° and hangs over the edge of the mat
“Lift the palm of your hand toward the ceiling”
The humerus is held just proximal to the elbow to allow only rotation
The therapist’s hand, placed on the volar surface of the distal end of the forearm, pushes toward the floor. The other hand keeps the patient’s elbow supported and flexed to 90° to prevent supination
Prime Movers: SPLAT (Subscapularis, Pec Major, Latissimus Dorsi, Anterior Deltoid, Teres Major)
Gravity Eliminated: prone with entire arm hanging over the edge of the mat. The arm is in external rotation