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MMT Upper Extremity Examination-Scapula and Shoulder PowerPoint Presentation

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Description : How to do physical examination of MMT of upper extremity (scapula and shoulder)

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Published on : Jul 20, 2022 | Views : 3109 | Downloads : 3

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Slide 1-

MMT UPPER EXTREMITY
Slide 2-

MMT SCAPULA & SHOULDER
Slide 3-

Scapula Abduction and upward rotation Elevation Adduction Depression and adduction Adduction and downward rotation Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 4-

1. Scapula : Abduction and upward rotation Muscle : serratus anterior Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 5-

1. Scapula : Abduction and upward rotation Grade 5 : Scapula maintains its abducted and rotated position against maximal resistance given on the arm just above the elbow in a downward direction. Grade 4 : Scapular muscles "give" or "yield“ against maximal resistance given on the arm. The glenohumeral joint is held rigidly in the presence of a strong deltoid, but the serratus yields, and the scapula moves in the direction of adduction and downward rotation. Grade 3 :Complete ROM without resistance Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 6-

1. Scapula : Abduction and upward rotation Grade 2 : If the scapula abducts and rotates upward as the patient attempts to hold the arm in the elevated position, the weakness is in the glenohumeral muscles. The serratus is awarded a grade of 2. The serratus is graded 2- (Poor-) if the scapula does not smoothly abduct and upwardly rotate without the weight of the arm or if the scapula moves toward the vertebral spine. Grade 1 : Muscle contraction is palpable Grade 0 : No contractile activity. Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
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2. Scapula : Elevation Muscle : upper trapezius, levator scapulas Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 8-

2. Scapula : Elevation Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 9-

2. Scapula : Elevation Grade 2 : Complete full range in gravity- minimized position Grade 1 : Palpable contraction of upper trapezius or levator scapula Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
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3. Scapula : adduction Muscle : trapezius - middle fibers, rhomboid major Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 11-

3. Scapula : adduction Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 12-

3. Scapula : adduction Grade 2 : Complete ROM without the weight of the arm Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
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4. Scapula : Depression and adduction Muscle : trapezius – middle and lower fibers Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 14-

4. Scapula : Depression and adduction Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 15-

4. Scapula : Depression and adduction Grade 2 : Complete ROM without the weight of the arm Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 16-

5. Scapula : Adduction and downward rotation Muscle : rhomboid major and minor Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 17-

5. Scapula : Adduction and downward rotation Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 18-

5. Scapula : Adduction and downward rotation Grade 2 : Complete partial scapular motion without the weight of the arm Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 19-

Shoulder Flexion Extension Scaption Abduction Horizontal abduction Horizontal adduction Internal rotation External rotation Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 20-

1. Shoulder : Flexion Muscle : Deltoid anterior Corachobrachialis Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 21-

1. Shoulder : Flexion Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 22-

1. Shoulder : Flexion Grade 2 : Complete partial ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 23-

2. Shoulder : Extension Muscle : Latissimus dorsi Deltoid (posterior) Teres major Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 24-

2. Shoulder : Extension Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 25-

2. Shoulder : Extension Grade 2 : Complete partial ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 26-

3. Shoulder : Scaption Muscle : Deltoid anterior & middle fibers Supraspinatus Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 27-

3. Shoulder : Scaption Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM without resistance Grade 2 : Complete partial ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 28-

4. Shoulder : Abduction Muscle : Deltoid - middle Supraspinatus Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 29-

4. Shoulder : Abduction Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 30-

4. Shoulder : Abduction Grade 2 : Complete partial ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 31-

4. Shoulder : Abduction Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 32-

5. Shoulder : Horizontal abduction Muscle : Deltoid posterior Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 33-

5. Shoulder : Horizontal abduction Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 34-

5. Shoulder : Horizontal abduction Grade 2 : Complete ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 35-

6. Shoulder : Horizontal adduction Muscle : Pectoralis major Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 36-

6. Shoulder : Horizontal adduction Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 37-

6. Shoulder : Horizontal adduction Grade 2 : Complete ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 38-

7. Shoulder : External rotation Muscle : Infraspinatus Teres minor Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 39-

7. Shoulder :External rotation Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 40-

7. Shoulder : External rotation Grade 2 : Complete ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 41-

8. Shoulder : Internal rotation Muscle : Subscapularis Pectoralis major Latissimus dorsi Teres major Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 42-

Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 43-

8. Shoulder : Internal rotation Grade 5 : Complete ROM, tolerate maximal resistance. Grade 4 : Complete ROM, tolerate moderate resistance. Grade 3 : Complete ROM Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.
Slide 44-

8. Shoulder : External rotation Grade 2 : Complete ROM Grade 1 : Palpable contraction Grade 0 : No palpable contractile activity Hislop, H., Avers, D. and Brown, M., 2013. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences.