UE MMT

Question 1

Serratus anterior testing position

Answer 1

Sitting with shoulder flexed to 130º

Question 2

Below fair position for serratus

Answer 2

Therapist takes weight of arm- ask pt to lift arm, scap should maintain abd/upward rotation

Question 3

Palpation point for serratus

Answer 3

Along lower borders of scap with web space at inferior angle

Question 4

Upper trap/levator scap testing position

Answer 4

Sitting with arms at sides

Question 5

Substitutions for upper trap/levator scap

Answer 5

Watch hands pushing down on legs or surface

Rhomboids - see add/upward rotation

Question 6

Middle trap testing position

Answer 6

Prone with shoulder at 90º abduction and elbow at 90º

Question 7

Where do you apply resistance while testing middle trap if post delt is weak?

Answer 7

Over scapula. Otherwise, proximal to elbow

Question 8

Below fair scoring for middle trap

Answer 8

Therapist takes weight of arm

Ask for scap adduction

= poor grade and lose the grades around that

Question 9

Substitution for midddle trap

Answer 9

Rhomboids - downward rotation with add

Question 10

Lower trap testing position

Answer 10

Prone: arm abducted 145º

Forearm midposition with thumb pointing to ceiling

Question 11

Where to apply resistance while testing lower trap if shoulder is weak?

Answer 11

Over scap - push upwards and outwards

Question 12

Below fair for lower trap

Answer 12

No gravity eliminated - therapist takes weight of arm

Question 13

Rhomboids testing position

Answer 13

Prone: shoulder internally rotated, arm adducted with elbow flexed, hand on back

Question 14

Gravity minimized position for rhomboids

Answer 14

Short sitting

Question 15

Where to palpate rhomboids?

Answer 15

Deep under vertebral border of scap

Question 16

Rhomboids substitutions

Answer 16

Humeral extension if elbow leads

Middle trap - see add without rot

Question 17

3 muscles responsible for shoulder flexion

Answer 17

Ant delt
Supraspinatus
Coracobrachialis

Question 18

Shoulder flexion testing position

Answer 18

Sitting: shoulder flexed to 90º, neutral rotation elbow slightly flexed with forearm pronated

Question 19

Below fair for shoulder flexion

Answer 19

Side lying with therapist supporting weight of arm OR partial range in short sitting

Question 20

Subs for shoulder flexion

Answer 20

Trunk should remain upright
Biceps - ER
Upper trap - elevation
Pec major - horizontal adduction

Question 21

3 muscles responsible for shoulder extension

Answer 21

Lat dorsi, teres major, post delt

Question 22

Shoulder extension testing position

Answer 22

Prone: arms at sides with palms facing upward

Question 23

Below fair for shoulder extension

Answer 23

Poor = partial range

Question 24

Palpation location for teres major

Answer 24

Lateral border of scap, just below axilla

Question 25

Shoulder depression testing position

Answer 25

Prone: arms at sides with palms facing upward, shoulder hiked tho chin, head rotated to test side

Question 26

Grade 5 for shoulder depression =

Answer 26

Max resistance in normal testing position OR sitting push up

Question 27

Below fair for shoulder depression

Answer 27

Partial range = poor

Question 28

Shoulder scaption testing position

Answer 28

Sitting, shoulder midway between flex/abd, arm 90º to trunk

Question 29

Below fair for scaption

Answer 29

Poor = partial range

Question 30

Shoulder abduction testing position

Answer 30

Sitting, arm at side with elbow slightly flexed

Question 31

Below fair for shoulder abd

Answer 31

Supine OR partial range in sitting

Question 32

Subs for shoulder abduction

Answer 32

Trunk should remain erect Shoulder should not elevate Biceps - see ER + elbow flexion

Question 33

Shoulder horiz abd testing position

Answer 33

Prone: shoulder abducted to 90º and neutral rotation, elbow flexed

Question 34

Below fair for horiz abd

Answer 34

Sitting at side of plinth - shoulder in 90º of abd supported by table Stabilize scap if muscles are weak there

Question 35

Shoulder horiz abd sub

Answer 35

Triceps - elbow extension

Question 36

Shoulder horiz add testing position

Answer 36

Supine Both heads: shoulder 90 abd Clavicular: shoulder 60 abd Sternal: shoulder 120 abd

Question 37

Below fair for shoulder horiz add

Answer 37

Sitting with arm supported by plinth: can only test both heads

Question 38

Shoulder ER testing position

Answer 38

Prone w head turned toward test side, shoulder abd 90º, elbow flexed, arm supported by table

Question 39

Below fair for shoulder ER

Answer 39

Prone: entire UE over edge of table, may have to stabilize at shoulder - supination in poor grade will look like ER

Question 40

Shoulder IR testing position

Answer 40

Prone w head turned toward test side, shoulder abd 90º, elbow flexed, arm supported by table

Question 41

Where to provide resistance for ER/IR

Answer 41

Above wrist with counter-force at elbow

Question 42

Where to palpate for IR?

Answer 42

Deep in axilla

Question 43

Substitutions for elbow flexion

Answer 43

Wrist flexors should stay relaxed

Question 44

Elbow extension test position

Answer 44

Prone w arm abducted to 90º, elbow flexed and hanging over edge of table

Question 45

Elbow extension subs

Answer 45

Don't allow elbow to lock ER - gravity assists extension Horizontal add - rapid motion thrusts arm into extension

Question 46

Testing position for supination and pronation

Answer 46

Sitting with arm at side, elbow flexed to 90º in neutral rotation

Question 47

Supinator palpation

Answer 47

Distal to head of radius on dorsal aspect of arm

Question 48

Supination sub

Answer 48

ER and adduction - gravity assists | Wrist/fingers should remain relaxed

Question 49

Pronator palpation

Answer 49

Upper 1/3 of volar surface of forearm

Question 50

Pronation sub

Answer 50

IR and abduction - gravity assists | Fingers/wrist should remain relaxed