UE Muscle Length Tests

Question 1

Pec major clavicular head?

Answer 1

similar set up to apprehension test except elbow can be extended or flexed and UE moved into horizontal ABD and judge if slight barrier (normal) or hard barrier (abnormal)

feel for humeral head or rib cage elevation or pt is unable to get humerus level with table

Question 2

Pec major sternal head?

Answer 2

pt arm moved into full ABD and full horizontal ABD , pts arm should remain in contact with table entire time

Question 3

PEc minor?

Answer 3

patient lies supine and assess if lateral border of scap is more than 1 inch off table

Question 4

Lats?

Answer 4

pt is supine and performs B shoulder flexion, PT stabilizes trunk

observe shoulder flexion and lumbar lordosis

provide over pressure as needed

Question 5

Biceps?

Answer 5

pt seated or supine and arm put into hyperextension, elbow extension and pronation and see if elbow can or cannot fully extend

anterior capsule can also restrict elbow

Question 6

Triceps?

Answer 6

pt supine or sitting and shoulder completely flexed PT then passively flexes elbow and stabilizes shoulder jt

if elbow can’t flex then could be tricep shortness and measure flexion with goni

if arm not in full flexion and triceps still shortened could be posterior capsule