Manual Muscle Testing: Shoulde R Abduction

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MANUAL MUSCLE

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:

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