Manual Muscle Movement Test

Front 1

scapular elevation

Back 1

sitting up
----
lift you shoulders twoard your ear
----------------------
upper trapezius

Front 2

scapular depression

Back 2

pone on mat
--------

reach you hands down toward your feet
-----
lower trapezius

Front 3

scapular ADDuctin /retraction

Back 3

prone arms and elbows flexed at arm abducted 90/ forearm hanging at 90 degrees
----
raise your elbow to the ceiling / don’t let me push it down
------
middle trap

Front 4

scapular Abduction/protraction

Back 4

supine, on back-humerus flexed 90 degrees (elbow FLEXED/or EXTENDED)
---
serratus anterior
----
reach your arm towartd the ceiling

Front 5

shoulder flexion

Back 5

sitting up/arm down at side
---
anterior deltoid
--
lift arm in front of you to shoullder height do not let me push it down

Front 6

shoulder extention

Back 6

sitting up
---
latissiumus dorsi
---
mover your arm straight back as far as it will go, keep yoru palm facing the wall

Front 7

shoulder abduction

Back 7

sitting up
--
supraspinattus
--
raise your arm out to the side to sholder level, do not let me push it down

Front 8

shoulder adduction

Back 8

supine humerus abducted 90 degrees, forearm mid positon
--
pectoralis major
--
move your arm in front of you and across your chest

Front 9

shoulder external rotation

Back 9

prone humerus abducted to 90 degrees elbow flexed to 90 and hanging over edge of table
- infraspinatus
-lift the back of your hand to toward the ceiling

Front 10

shoulder horizontal abduction

Back 10

supine/ humerus abducted 90 degrees,/forearm neutral rotation elbow extended
-pectoralis major-
-raise your elbow to the ceiling / don’t let me push it down

Front 11

shoulder horrizontal adduction

Back 11

-supine/ humerus abducted 90 degrees,/forearm neutral rotation elbow extended
-pectoralis major
-move your arm in front of you and across your chest

Front 12

shoulder external rotation

Back 12

prone humerus abducted to 90 degrees elbow flexed to 90 and hanging over edge of table
-infraspinatus
-lift the back of your hand to toward the ceiling

Front 13

shoulder internal rotation

Back 13

prone humerus abducted to 90 degrees elbow flexed to 90 and hanging over edge of table
- subscapularis
-lift the palm of your hand toward the celing

Front 14

elbow flexion

Back 14

-sitting up/ forearm in pronation
-bicepts
-bend your elbow to touch your shoulder- don’t let me pull it down

Front 15

elbow extension

Back 15

- prone/ humerus abducted 90/ supported on the table, elbow is flexed forarm hanging over the edge of table
- tricepts
- straighten your arm and don’t let me push it down

Front 16

supination

Back 16

sit , humerus adducted elbow flexed to 90 forearm prone
--
supinator
--
turn your palm up twoard the ceiling, don't let me turn it back over

Front 17

wrist extention

Back 17

forearm supported on table in full pronation /fingers slightly flexed
- extensor carpi radialis longus
-lift your wrist as far as you can , dont let me push it down
-resistance- dorsal side hand radial / stabilize fore arem

Front 18

wrist flexion

Back 18

-on table with back of the hand raised off the table
-flexor carpi radialis
-bend your wrist all the way foreward and don’t let me push it back

Front 19

finger mp extention

Back 19

forearm prone, supported on table wrist supported in neutral position
-extensor digitorum
-lift the knuckle straight as far as it will go , keep the rest of your fingers bent, don’t let me push the knuckle down

Front 20

finger inerphalngeal (IP) extention

Back 20

forearm is supinated and supported/wrist neutral
-lumbericales
-bend your knuckles and straighten your fingers
(keep your fingers straight) at the same time

Front 21

finger dip

Back 21

=firmly support middle phalanx of each finger/ wrist neutral
-fdp/ flexor digitorum profundus
- bend the last joint on your finger as far as you can

Front 22

finger mp flex

Back 22

forearm supinated/ hold ipjoint in full extension
-fds/ flexor digitorum superficialis
- bend the knuckle of your _________finger twoard your palm , keep the rest yof your fingers straight

Front 23

finger abduction

Back 23

pronate forarm, wrist in neutral, fingers ar eextended and adducted,mp joint in neutral or slight flexion
- dorsal interossei
-spread your fingers apart, don’t let me push them back together

Front 24

finger adduction

Back 24

-pronate forearm, mps are abducted (together) and in extension
-palmar interossei
- bring your fingers together and don't let me pull them apart
- resistance =head prox phalanx

Front 25

thumb ip ext

Back 25

forearm supported in mid postion, wrist flexion of 10-20 degrees , thumb mp and ip flexion
- epl / extensor pollicis longus
-straighten the end of your thumb

Front 26

thumb mp ext

Back 26

forearm suported in midposition mp and ip joints are flexed
- epb/extensor pollicis brevis
- straighten the knuckle of your thumb while keeping the end joint bent.

Front 27

thumb abduction

Back 27

forarm SUPINATED/ wrist in neutral/ thumb adducted (in)
- apl / abductor pollicis longus
- bring your thumb away from your palm, do not let me push it back in

Front 28

thumb ip flex

Back 28

elbow flexed and on table, forearm supinated palm to ceiling, thumb extened at mp and ip joints
-flexor pollicus longus
-bend your thumb across your palm, keep the end joint of your thumb straight, do not let me pull it back out
-resist at head of 1st metacarpal

Front 29

thumb mp flex

Back 29

- elbow flexed and on table, forearm supinated palm to ceiling, thumb extened at mp and ip joints
-flexor pollicus brevus
- bend your thumb across your palm, keep the end joint of your thumb straight, do not let me pull it back out
-resist head of proximal phalanx to extension

Front 30

thumb adductuion

Back 30

forearm prone, wrist and fingers neutral, thumb abducted, mp/ip joints extended
-adductor pollicis
-lift your thumb into the palm of your hand , do not let me pull it out
-

Front 31

thumb oppositon

Back 31

forearm prone, wrist and fingers neutral, thumb abducted, mp/ip joints extended
-adductor pollicis
-touch the pad of your thumb to the pad of your little finger, don’t let me pull them apart

Front 32

5

Back 32

normal
full rom against gravity
takes maximal resistance

Front 33

4

Back 33

good
full rom agianst gravity
takes moderate resistance

Front 34

4-

Back 34

good minus
full rom against gravity
takes less than
moderate resistance

Front 35

3+

Back 35

fair plus
full rom against gravity
takes minmal resistance

Front 36

3

Back 36

fair
full rom against gravity
unable to take
any added resistanance

Front 37

3-

Back 37

fair minus
less than full range against gravity

Front 38

2+

Back 38

poor plus
full rom in gravity eliminated
takes minimal resistance

Front 39

2

Back 39

poor
full rom in gravity eliminated
no added resistance

Front 40

2-

Back 40

less that full rom gravity eliminated
(no added resistance)

Front 41

1

Back 41

trace
tension is palpated in muscle
no motion occurs

Front 42

0

Back 42

zero
no tension is palpatated in muscle
(no motion occurs

Front 43

4+

Back 43

no 4 plus!!!!