Upper MMT

Question 1

What muscles are tested in prone?

Answer 1

Rhomboids
Middle Trap
Lower Trap

Question 2

What side is the patient facing, and what side is the PT on for the prone muscles?

Answer 2

Face is towards patient while patient is on opposite side of limb being tested

Question 3

Lower Trapezius testing

Answer 3

Shoulder abducted 130 degrees on opposite limb. thumb towards celing. Face away from side being tested.

Hand stabilizes the closest scapula/trap

Other hand palpates lower trap as hand goes up and promptly goes in presses into deltoid divit

Question 4

Middle trap testing

Answer 4

Prone, face towards patient. Patient near other side of table with shoulder externally rotated and perpendicular to table. Thumb towards ceiling if possible.

Hold trap down and palpate medial of medial border of scapula.

Arms goes up, and palpation hand goes to scapula/shoulder divit.

Question 5

Rhomboids testing

Answer 5

Hand on lower back that is being tested. PT opposide side of patient. Face to PT. Hand on medial border of scapula for palpation. Hand then is pressed into scapula of back.

Question 6

Trapezius OIAN:

Answer 6

O: External occital protuberance, medial 1/3 superior nuchal line. Spinous processes of C7-T12
I: lateral 1/3 clavicle , acromion, spine of scapula,
A: elevates, retracts, rotates scapula
middle fibers retract
lower fibers depress
N: spinal accessory CN 11 and c3,c4

Question 7

Rhomboids OIAN:

Answer 7

O: Major --> SP t2-t5
    Minor --> c7-t1 SP
I: medial border of scapula
A: retracts and inferiorly rotates lateral angle of scap
N: dorsal scap c4,c5

Question 8

Lats OIAN

Answer 8

O: SP of t6-t12 , thoracolumbar fascia, iliac crest and lower 3-4 ribs
I: inferior of intertubecular groove of humerus
A: extends humerus, adducts humerus, medially rotates
N: Thoracodorsal C6,C7,C8

Question 9

Teres Major OIAN

Answer 9

O: Inferior angle of scapula
I: Medial lip of intertubucular groove of humerus
A: adducts and medially rotates arm
N: lower subscap c5-c6-c7

Question 10

Latissimus Dorsi/Teres Major testing

Answer 10

Opposide side. Hold down scapula. Ask patient to internally rotate opposite arm and hyperextend arm. Palpate teres major. Move arm to above elbow and press down and away!!!

Question 11

Testing Posterior Deltoid

Answer 11

Same side. face away. bring elbow in L shape. Hold down opposite scapula, palpate rear delt and place that hand on elbow.

Question 12

Testing shoulder IR

Answer 12

Prone, face away. Same side. Cloth under elbow. Bring palm inside facing ceiling

Question 13

Testing shoulder ER

Answer 13

Prone, face away same side. Cloth under elbow. Bring back of hand towards ceiling

Question 14

Which muscles IR shoulder?

Answer 14

Teres Major, Lats, Pec Minor, Subscap

Question 15

Which muscles ER shoulder?

Answer 15

Teres minor, infraspinatus

Question 16

OIAN Teres minor:

Answer 16

O: Superior part of lateral border of scapula
I: Inferior facet of greater tubercle of humerus.
A: externally rotate shoulder
N: axillary c5.c6

Question 17

OIAN Infraspinatus:

Answer 17

O: infraspinous fossa
I: middle facet of greater tubercle of humerus
A: laterally rotate arm
N: suprascapular c5, c6

Question 18

Pectoralis Major Clavicluar fibers Test

Answer 18

Have patient supine, bring arm overhead bent at 90 over face. Have patient go through full ROM then set at 90 degrees. hold opposite shoulder down and pull on bicep

Question 19

Pectoralis Major Sternal fibers test

Answer 19

Have patient supine bring arm around 120 degrees and go through full rom into opposite hip. Hold opposite hip down and pull arm

Question 20

Test triceps

Answer 20

Supine elbow at 90 degrees over head. Palpate as elbow is extended. Hold shoulder and press down on wrist.

Question 21

What muscle is performed both bilaterally and unilaterally?

Answer 21

Levator Scapulae and Upper trapezius

Question 22

Bilateral Lev Scap and Upper Trap

Answer 22

Shoulder shrug

Question 23

Unilateral Lev Scap and Upper trap.

Answer 23

Instruct patient to bring ear to adjacent shoulder and rotate head slightly to the opposite side.

Ask patient to raise shoulder to that ear and and press more on shoulder than head.

Question 24

Serratus Anterior:

Answer 24

Sitting. Arm straight out punching out as you will.

Arm above elbow and other hand pushing in and adducting scapula. In and around.

Question 25

What muscle is coupled with middle deltoid?

Answer 25

Supraspinatus

Question 26

What muscle is coupled with anterior deltoid?

Answer 26

Coracobrachialis