Upper MMT Flashcards
What muscles are tested in prone?
Rhomboids
Middle Trap
Lower Trap
What side is the patient facing, and what side is the PT on for the prone muscles?
Face is towards patient while patient is on opposite side of limb being tested
Lower Trapezius testing
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
Middle trap testing
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.
Rhomboids testing
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.
Trapezius OIAN:
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
Rhomboids OIAN:
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
Lats OIAN
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
Teres Major OIAN
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
Latissimus Dorsi/Teres Major testing
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!!!
Testing Posterior Deltoid
Same side. face away. bring elbow in L shape. Hold down opposite scapula, palpate rear delt and place that hand on elbow.
Testing shoulder IR
Prone, face away. Same side. Cloth under elbow. Bring palm inside facing ceiling
Testing shoulder ER
Prone, face away same side. Cloth under elbow. Bring back of hand towards ceiling
Which muscles IR shoulder?
Teres Major, Lats, Pec Minor, Subscap
Which muscles ER shoulder?
Teres minor, infraspinatus