Patient flexes the shoulder to at least 90 degrees and the examiner applies resistance at or below the elbow inferiorly. Patient is lying prone with head in neutral if possible. Scapula and shoulder range of motion and manual muscle testing demonstration videos. Shoulder externalinternal rotation mmt natalie petersen. Shoulder muscle electromyography during shoulder external. This video demonstrates the manual muscle test for shoulder external rotation to evaluate the infraspinatus and teres minor muscles. Patient is prone with shoulder abducted to 90 degrees and forearm hanging vertically over edge of table. The tested movements consisted of hip extension, flexion and abduction and shoulder abduction, extension, flexion, internal and external rotation. For grades 4 to 5 apply resistance through the lateral ankle through range in a direction opposite to internal rotation 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. This video demonstrates the manual muscle test for shoulder internal rotation to evaluate the subscapularis muscle. Body mechanics may be slightly altered due to filming angle. Shoulder external and internal rotation isokinetic strength in masters swimmers article pdf available in journal of sport rehabilitation 141. Pm i chapter 9 manual muscle testing book, cervical.
Shoulder muscle electromyography during shoulder external rotation exercises with and without slight abduction. Pdf shoulder external and internalrotation isokinetic. Ask the patient to rotate his shoulder, assess for full rom 4. This has been clarified in muscle testing books as being performed in 90. Serratus anterior manual muscle testing mmt for an active population duration. Manual muscle testing introduction to physical therapy and.
The intraexaminer reliability of manual muscle testing of the hip and. Perform specific manual muscle tests to the shoulder. Shoulder flexion and extension starkey, brown, ryan, 2010, p. One hand gives resistance at wrist while other hand supports and provides counter pressure at the elbow. Examiner stands at test side at level of patients waist.
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