Manual Muscle Testing: Shoulder Extension: Difference between revisions
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== Muscles Involved: == | |||
[[Extensor carpi radialis longus]] | |||
Extensor carpi radialis brevis | |||
Extensor carpi ulnaris | |||
== Patient Positioning == | |||
* Patient is seated with palmar surface of forearm supported on table | |||
== Joint start Position == | |||
The forearm in pronation, wrist in neutral. | |||
== Therapist Position == | |||
* Therapist is seated to access test-side | |||
== To Test == | |||
* Patient actively extends the wrist through range. | |||
* For grades 4 to 5 apply resistance through dorsal aspect of hand in a direction opposite to extension. | |||
== Biasing Muscles/ Muscle Groups == | |||
* '''To bias extensor carpi radialis longus & brevis''': preposition the wrist in slight extension and radial deviation and instruct the patient to extend the wrist leading with the thumb side. Resistance is applied over the 2nd metacarpal (radial side) in the direction of flexion and ulnar deviation. | |||
* '''To bias extensor carpi ulnaris''': preposition the wrist in slight extension and ulnar deviation and instruct the patient to extend the wrist leading with the 5th digit ("pinky") side. Resistance is applied over the dorsal surface of the 5th metacarpal (ulna side) in the direction of flexion and radial deviation.<ref>Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.</ref> | |||
{{#ev:youtube|v=_TfVGqPWLEA}} | |||
== References == | |||
<references /> | |||
[[Category:Manual Muscle Testing]] | [[Category:Manual Muscle Testing]] | ||
[[Category:Rehabilitation Foundations]] | [[Category:Rehabilitation Foundations]] |
Revision as of 15:22, 15 November 2018
Muscles Involved:[edit | edit source]
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris
Patient Positioning[edit | edit source]
- Patient is seated with palmar surface of forearm supported on table
Joint start Position[edit | edit source]
The forearm in pronation, wrist in neutral.
Therapist Position[edit | edit source]
- Therapist is seated to access test-side
To Test[edit | edit source]
- Patient actively extends the wrist through range.
- For grades 4 to 5 apply resistance through dorsal aspect of hand in a direction opposite to extension.
Biasing Muscles/ Muscle Groups[edit | edit source]
- To bias extensor carpi radialis longus & brevis: preposition the wrist in slight extension and radial deviation and instruct the patient to extend the wrist leading with the thumb side. Resistance is applied over the 2nd metacarpal (radial side) in the direction of flexion and ulnar deviation.
- To bias extensor carpi ulnaris: preposition the wrist in slight extension and ulnar deviation and instruct the patient to extend the wrist leading with the 5th digit ("pinky") side. Resistance is applied over the dorsal surface of the 5th metacarpal (ulna side) in the direction of flexion and radial deviation.[1]
References[edit | edit source]
- ↑ Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.