Manual Muscle Testing: Shoulde R Abduction
Manual Muscle Testing: Shoulde R Abduction
Manual Muscle Testing: Shoulde R Abduction
TESTING
SHOULDE R ABDUCTION
ROM: 0-1800
GRADE 5 (NORMAL), GRADE 4
(GOOD), AND GRADE 3 (FAIR)
check for full range of shoulder motion i n all planes
and should observe scapula for stability and
smoothness of movement
Position of Patient :
Short sitting with arm at side and elbow slightly flexed .
Position o f Therapist :
Stand behind patient. Hand giving resistance is contoured
over arm just above elbow
Test :
Patient abducts arm to 90°
Instructions t o Patient :
"Liftyour arm out to the side to shoulder level . Hold it .
Don' t let me push it down
GRADING
Grade 5 (Normal):
Holds
end test position against maximal
downward resistance.
Grade 4 (Good):
Holds
end test position against strong to
moderate downward resistance.
Grade 3 (Fair):
Completesrange of motion to 90 ° with no
manual resistance
GRADE 2 (POOR)
Position o f Patient :
Short sitting with arm at side and slight elbow flexion.
Position o f Therapist :
Stand behind patient to pal-pate muscles on test side.
Palpate the deltoid lateral to the acromial process on
the superior aspect of the shoulder.
The supraspinatus can be pal-pated by placing the
fingers deep under the trapezius in the supraspinous
fossa of the scapula.
Test :
Patient attempts t o abduct arm.
Instruction s t o Patient :
"Try t o lift your arm out to the side.
GRADE 2 (POOR): ALTERNATE
TEST FOR GRADE 2
Position of Patient :
Supine . Arm a t side supported on table.
Position of Therapist :
Standat test side of patient. Hand used for
palpation is positioned as described for Grade 2
test.
Test :
Patient
attempts to abduct shoulder by sliding
arm on table without rotating it.
Instructions to Patient :
"Take your arm out to the side. "
GRADING
Grade 2 (Poor): Completes partial range of
motion for sitting test and full range for
supine test.
GRADE 1 (TRACE) AND GRADE 0
(ZERO)
Position of Patient :
Short sitting.
Position o f Therapist :
Standbehind and to the side of patient.
Therapist cradles test arm with the shoulder in
about 90 ° of abduction , providing limb sup-port
at the elbow
Test :
Patient tries to maintain the arm in abduction .
Instructions to Patient :
"Try to hold your arm in this position.
GRADING
Grade 1 (Trace):
Palpable
or visible contraction of deltoid with no
movement .
Grade 0 (Zero):
No contractile activity.
THANKS
Practical Work: