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4. Manual Muscle Testing > UE > Flashcards

UE Flashcards

1
Q

What is the MMT position and hand placement for Scapular Abduction and Upward Rotation, Grades 5-3? What is the muscle tested?

A

Position: Sitting (arm 130* scaption)
Hand Placement: One at Inferior Angle of Scap, One Distal Humorous.
MMT: Sarratus Anterior

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2
Q

What is the MMT position and hand placement for Scapular Abduction and Upward Rotation, Grades 2-0 ? What is the muscle tested?

A

Position: Sitting (pt holds arm at 130* scaption) with assistance
Hand Placement: One at Inferior Angle of u, One supporting Proximal Elbow.
MMT: Sarratus Anterior

***Grade 2: pt able to hold position after assist
Grade 1: palpable Sarratus Anterior
Grade 0: no contraction

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3
Q

What is the MMT position and hand placement for Scapular Elevation, Grades 5-3 ? What is the muscle tested?

A

Upper Traps

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4
Q

Scapular Abduction/Protraction & Upward Rotation
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Serratus Anterior
  • Sitting
  • Sitting (supported)
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5
Q

Scapular Elevation
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Upper Traps
  • Sitting
  • Prone (supported)
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6
Q

Scapular Adduction/Retraction
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Middle Traps “rhomboids”
  • Prone (elbow bent)
  • Prone (elbow bent) (supported)
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7
Q

Scapular Depression & Adduction (Retraction)
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Lower Traps
  • Prone (scaption)
  • Prone (scaption) (supported)
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8
Q

Scapular Adduction (Protraction) & Downward Rotation
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Rhomboids
  • Prone
  • Prone (supported)
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9
Q

Scapular Depression
Prime Mover(s)?
5 Position?
4 Position?

A
  • Latissumus Dorsi, Teres Major, P. Deltoid
  • Sitting (pt. push up)
  • Prone (examiner push toward pt head)
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10
Q

Shoulder Flexion
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • A. Deltoid, Supraspinatus, Coracobrachialis
  • Sitting
  • Sitting (supported)
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11
Q

Shoulder Extension
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • P. Deltoid (etc)
  • Prone
  • Prone
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12
Q 
Shoulder Abduction (Protraction)*
Prime Mover(s)?
5,4,3 Position?
2 Position?
1,0 Position?
A
  • M. Deltoid, Supraspinatus
  • Sitting (PTA behind pt.)
  • Sitting (no support)
  • Sitting (supported)
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13
Q

Shoulder H. Abduction
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • P. Deltoid
  • Prone
  • Sitting (supported)
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14
Q

Shoulder H. Adduction
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Pectoralis Major
  • Supine
  • Sitting (supported, elbow flexed)
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15
Q

Shoulder E. Rotation
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Infraspinatus, Teres Minor
  • Prone (with towel, PTA behind)
  • Sitting (supported by table, neutral, alternative ER)
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16
Q

Shoulder I. Rotation
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Subscapularis (PM, LD, TMa)
  • Prone (towel, PTA stabilize elbow)
  • Sitting (neutral)
17
Q

Elbow Flexion
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Biceps “supination”, Brachialis “pronation”, Brachioradialis “neutral”
  • Sitting
  • Sitting To Prone???
18
Q

Elbow Extension
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Triceps Brachii
  • Prone (PTA elbow support, arm 90 off table)
  • Sitting (supported at elbow)
19
Q

Wrist Flexion (forarm supinate)
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Flexor Carpi Radialis, Flexor Carpi Ulnaris
  • Sitting (table supporting)
  • Sitting (hand facing midline, gravity elim)
20
Q

Wrist Extension
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Extensor Carpi Ulnaris, Extensor Carpi Radialis Longus and Brevis
  • Sitting (PTA support wrist prone)
  • Sitting (PTA neutral wrist)
21
Q

Finger MP Flexion
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Lumbricales, Interossei
  • Sitting (PTA supinated hand)
  • Sitting (PTA support neutral hand)
22
Q

PIP and DIP Flexion
Prime Mover(s)?
5,4,3 Position?
2,1,0 Position?

A
  • Flexor Digitorum Superficialis (PIP), Flexor Digitorum Profundus (DIP)
  • Sitting (table supported supinated hand)
  • Sitting (PTA support in neutral)
23
Q

Thumb MP and IP Flexion
Prime Mover(s)?
5,4,3,2 Position?
1,0 Position?

A
  • Flexor Pollicis Brevis (Thumb MP), Flexor Pollicis Longus (IP)
  • Sitting (table supported, hand neutral)
  • Sitting (table supported, hand neutral)
24
Q

Thumb Abduction
Prime Mover(s)?
5,4,3 Position?
2**,1,0 Position?

A
  • Abductor Pollicis Longus and Brevis
  • Sitting (table support, hand supinated)
  • Sitting ( table support)
25
Thumb Adduction Prime Mover(s)? 5,4,3 Position? 2,1,0 Position?
- Adductor Pollicis - Sitting (pronated hand with support) - Sitting (neutral against gravity)

4. Manual Muscle Testing (3 decks)

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