Manual Muscle Testing: Shoulder Horizontal Adduction: Difference between revisions
Claire Knott (talk | contribs) No edit summary |
mNo edit summary |
||
| (7 intermediate revisions by 2 users not shown) | |||
| Line 1: | Line 1: | ||
<div class="editorbox"> | |||
'''Original Editor '''- Claire Knott | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | |||
</div> | |||
== Muscles Involved: == | == Muscles Involved: == | ||
Pectoralis Major | * [[Pectoralis Major Rupture|Pectoralis Major]] | ||
== Patient Positioning == | == Patient Positioning == | ||
* Supine with elbow flexed to | * Supine with elbow flexed to 90° & shoulder abducted to either 60°, 90° or 120° depending on desired target fibres to be tested. | ||
* For grades 0 to 2 patient is in sitting ('gravity minimal' position) | |||
'''GENERAL SCREENING TEST''' | '''GENERAL FUNCTIONAL SCREENING TEST''' | ||
* shoulder abduction to | *shoulder abduction to 90° | ||
'''CLAVICULAR HEAD -''' C5 + C6 nerve root innervation, superior 1/3 of muscle fibres | '''CLAVICULAR HEAD -''' C5 + C6 nerve root innervation, superior 1/3 of muscle fibres | ||
* shoulder abduction to 60° | * shoulder abduction to 60° | ||
'''STERNAL HEAD -''' C7, C8 + T1 nerve root innervation, inferior 2/3 of muscle fibres | '''STERNAL HEAD -''' C7, C8 + T1 nerve root innervation, inferior 2/3 of muscle fibres | ||
* shoulder abduction to 120° | * shoulder abduction to 120° | ||
== Therapist Position == | == Therapist Position == | ||
| Line 19: | Line 26: | ||
* Patient actively horizontally adducts the shoulder through full available range. | * Patient actively horizontally adducts the shoulder through full available range. | ||
* The difference between this test as a general screen or specifically for clavicular or sternal head will be direction of movement against resistance | * The difference between this test as a general screen or specifically for clavicular or sternal head will be direction of movement against resistance | ||
'''GENERAL SCREENING''' | '''GENERAL SCREENING''' | ||
starting at | starting at 90° abduction, arm horizontally across chest | ||
'''CLAVICULAR HEAD''' | '''CLAVICULAR HEAD''' | ||
starting from | starting from 60° abduction, arm will move up and across chest | ||
'''STERNAL HEAD''' | '''STERNAL HEAD''' | ||
starting from | starting from 120° abduction, arm will move down and across chest | ||
* For grades 4 to 5 apply resistance to forearm, just proximal to wrist in a direction opposite to horizontal adduction<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> | |||
* To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) '''OR''' maintain an end point range (break testing) against maximum resistance. | |||
{{#ev:youtube|v=D4rjZQpl9Lo}} | |||
== References == | == References == | ||
<references /> | |||
[[Category:Manual Muscle Testing]] | [[Category:Manual Muscle Testing]] | ||
[[Category:Rehabilitation Foundations]] | [[Category:Rehabilitation Foundations]] | ||
Latest revision as of 11:29, 19 December 2019
Original Editor - Claire Knott
Top Contributors - Claire Knott and Wanda van Niekerk
Muscles Involved:[edit | edit source]
Patient Positioning[edit | edit source]
- Supine with elbow flexed to 90° & shoulder abducted to either 60°, 90° or 120° depending on desired target fibres to be tested.
- For grades 0 to 2 patient is in sitting ('gravity minimal' position)
GENERAL FUNCTIONAL SCREENING TEST
- shoulder abduction to 90°
CLAVICULAR HEAD - C5 + C6 nerve root innervation, superior 1/3 of muscle fibres
- shoulder abduction to 60°
STERNAL HEAD - C7, C8 + T1 nerve root innervation, inferior 2/3 of muscle fibres
- shoulder abduction to 120°
Therapist Position[edit | edit source]
- Therapist is standing at test side
To Test[edit | edit source]
- Patient actively horizontally adducts the shoulder through full available range.
- The difference between this test as a general screen or specifically for clavicular or sternal head will be direction of movement against resistance
GENERAL SCREENING starting at 90° abduction, arm horizontally across chest
CLAVICULAR HEAD starting from 60° abduction, arm will move up and across chest
STERNAL HEAD starting from 120° abduction, arm will move down and across chest
- For grades 4 to 5 apply resistance to forearm, just proximal to wrist in a direction opposite to horizontal adduction[1]
- To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) OR maintain an end point range (break testing) against maximum resistance.
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.
