Upper Trapezius, Levator scapulae

Scapular Elevation

Gravity Resisted

Gravity Resisted position  - Seated with arms at sides hands not in contact with supporting surface

Palpate upper trapezius just lateral to cervical spinous processes

Examiner :  Instruct patient

Patient:  Moves shoulders up to ears - elevates scapula

Resistance: Over superior aspect of shoulders in inferior direction

Upper Trapezius, Levator scapulae

Scapular Elevation

Gravity Eliminated

Patient Position:  Prone with arms at sides: head in neutral:

Stabilize Palpate: upper trapezius just lateral to cervical spinous processes

Examiner: instruct patient

Patient; moves shoulders to ears

Scapular Adduction (retraction)

Middle trapezius

Gravity Resisted

Position:  Prone  90 shoulder abduction and full lateral rot elbow at 90 flexion. Head turned to contralateral side.

Palpation:  Middle trap between vertebral border and spinous process Stabilize thorax

Examiner: Instruct patient

Patient: performs scapular adduction accompanied with horizontal abductioin of arm.

Resistance: over lateral aspect of the scapula in direction of scapular abduction.

Scapular Adduction (retraction)

Middle trapezius

Gravity Eliminated

Position: Seated with shoulder at 90, full lat rot, elbow slight flex, arm supported on firm surface

Palpation:stabilize over opposite shoulder to prevent trunk rotation

palpate NONE

Examiner:Instruct in movement

Patient:scapular adduction (retraction)

Scapular Adduction and depression

Lower Trapezius

Gravity Resisted

Position:  Prone 130 shoulder abduction, 0 elbow extension

Palpation:  Lower trapezius root of scapula and spinous process

Stabilize opposite thorax

Examiner: instruct

Patient: active adduction and depression of scapula

Resistance: over lateral aspect of scapula

Scapular Adduction and downward rotation

Rhomboid major and minor

Gravity Resisted

Position: Prone arm behind back head to contralateral side

Palpation:  over rhomboids

Stabilization: contralateral thorax

Examiner: instruct

Patient: active scapular adduction and downward rotation

Resistance: vertebral border of scapula in direction of scapular abduction and upward rotation.

Scapular Adduction and downward rotation

Rhomboid major and minor

Gravity Eliminated

Position: sitting arm behind back

Palpation:  over rhomboids

Stabilization: over ipsilateral shoulder

Examiner: instruct

Patient: active scapular adduction and downward rotation

Scapular ABduction and upward rotation

Serratus Anterior

gravity resisted

Position: supine shoulder flexion 90 elbow flexion 0

Palpation: serratus anterior over lateral aspect of upper 8 or 9 ribs

Stabilization:  ipsilateral thorax to prevent trunk rotation

Patient: active scapular abduction by moving hand vertically toward ceiling

Resistance:  grasp wrist and elbow and push down toward table.

Scapular ABduction and upward rotation

Serratus Anterior

gravity eliminated

Position:  Seated with arm in adduction and 90 shoulder flexion 0 elbow extension, arm supported on flat surface.

Palpation: serratus anterior over lateral aspect of upper 8 or 9 ribs

Stabilization:  ipsilateral shoulder to prevent trunk rotation

Patient: active scapular abduction by moving hand forward

Shoulder Flexion

Anterior Deltoid Coracobrachialis

Gravity resisted

Position: Seated with arms at sides

Palpation: Anterior Deltoid

Stabilize over the ipsilateral shoulder

Patient: active flexes shoulder to 90 elbow straight

Resistance:proximal to elbow

Shoulder Flexion

Anterior Deltoid Coracobrachialis

Gravity eliminated

Position: Side lying with arm to be tested supported on

Palpation:

Examiner:

Patient:

Resistance:

Shoulder Flexion and Adduction

Coracobrachialis

Gravity Resisted

Position:  Seated elbow 90 shoulder 0 and full external rot forearm supinated

Palpation: corocobrachialis

stabilize  superior aspect of ipsilateral shoulder

Patient:  flex shoulder to 90 and adducts hmerus while maintaining external rotation

Resistance:  over anterior distal humerus

Shoulder extension

Latissimus dorsi, teres major, posterior deltoid

Gravity resisted

Position:  Prone 0 shoulder adduction, full medial rot (palm faces ceiling) 0 elbow ext

Palpation: lat dorsi along latral rib cage

Stabilize:  one hand over ipsilateral thorax or scapula

Patient:  active moves palm to ceiling keeping arm straight

Resistance: distal humerus just proximal to elbow

Shoulder extension

Latissimus dorsi, teres major, posterior deltoid

Gravity eliminated

Position:  side lying with arm on powder board

Palpation:

Examiner:

Patient:

Resistance:

Shoulder Abduction

Middle Deltoid, Supraspinatus

Gravity Resisted

Position:  Seated shoulder 0 elbow 0

Palpation:middle deltoid

Stabilize:  over superior shoulder

Examiner:

Patient: 90 shoulder abduction

Resistance: proximal to elbow distal humerus

Shoulder Abduction

Middle Deltoid, Supraspinatus

Gravity eliminated

Position: Supine with arm to be tested supported

Palpation: middle deltoid

Examiner:

Patient:  slides arm into 90 abduction

Shoulder horizontal abduction

Posterior deltoid

gravity resisted

Position:  Prone arm in 90 shoulder abduction 90 elbow flextion over edge of table Head to contralateral side

Palpation: posterior deltoid

stabilize ipsilateral scapula

Patient: hoorizontal shoulder abduction

Resistance:

Shoulder horizontal abduction

Posterior deltoid

gravity eliminated

Position:  seated shoulder to 90 elbow to 90 upper arm supported on plinth

Palpation:posterior deltoid

Patient: slides arm abducts shoulder horizontally

Resistance:

Shoulder Horizontal Adduction

Pectoralis Major

Gravity Resisted

Position:  Supine

Palpation:

Examiner:

Patient:

Resistance:

Shoulder Horizontal Adduction

Pectoralis Major

Gravity eliminated

Position: Seated  arm on supported surface 90 shoulder

Palpation:

Examiner:

Patient:

Resistance:

Shoulder Medial Rotation

subscapularis, Pectoralis Major, Latissimus dorsi, Teres Major

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Position:

Palpation:

Examiner:

Patient:

Resistance:

Shoulder lateral Rotation

Infraspinatus

Teres Minor

Gravity resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Shoulder lateral Rotation

Infraspinatus

Teres Minor

Gravity eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Flexion

Biceps Brachi

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Flexion

Biceps Brachi

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Flexion

Brachialis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Flexion

Brachialis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Flexion

Brachioradialis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Flexion

Brachioradialis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Extension

Triceps Brachi

Anconeus

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Elbow Extension

Triceps Brachi

Anconeus

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Forearm Supination

Supinaotr

Biceps Brachi

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Forearm Supination

Supinaotr

Biceps Brachi

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Forearm Pronation

Pronator Quadratus

Pronator Teres

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Forearm Pronation

Pronator Quadratus

Pronator Teres

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Flexion and Radial Deviation

Flexor Carpi Radialis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Flexion and Radial Deviation

Flexor Carpi Radialis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Flexion and Ulnar Deviation

Flexor Carpi Ulnaris

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Flexion and Ulnar Deviation

Flexor Carpi Ulnaris

Gravity resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Extension and Radial Deviation

Extensor Carpi Radialis Longus and Brevis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Extension and Radial Deviation

Extensor Carpi Radialis Longus and Brevis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Extension and Ulnar Deviation

Extensor Carpi Ulnaris

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Wrist Extension and Ulnar Deviation

Extensor Carpi Ulnaris

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Flexion MCP

Lumbricals

Palmar and Dorsal Interossei

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Flexion MCP

Lumbricals

Palmar and Dorsal Interossei

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Flexion PIP

Flexor digitorum superficialis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Flexion PIP

Flexor digitorum superficialis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Flexion DIP

Flexor Digitorium Profundus

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Flexion DIP

Flexor Digitorium Profundus

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Extension

Extensor Digitorum

Extensor Indicis

Extensor Digiti Minimi

Gravity Resisted.

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Extension

Extensor Digitorum

Extensor Indicis

Extensor Digiti Minimi

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Abduction

Dorsal Interossei

Abductor Digiti Minimi

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger Abduction

Dorsal Interossei

Abductor Digiti Minimi

Gravity Eliminated

Position:  (No Seperate test)

Grade 3  - full ROM without resistance

Grade 2 - partial ROM without resistance

Grade 1 - No motion palpable contraction present

Grade 0 - No motion and no contraction

Finger ADduction

Palmar interossei

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Finger ADduction

Palmar interossei

Grades 3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Flexion

Flexor Pollicis Brevis

Gravity resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Flexion

Flexor Pollicis Brevis

Grades 3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Extension MCP

Extensor Pollicis Brevis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Extension MCP

Extensor Pollicis Brevis

3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Extension IP

Extensor Pollicis Longus

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Extension IP

Extensor Pollicis Longus

3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Abduction

Abductor Pollicis longus and Brevis

5, 4

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Abduction

Abductor Pollicis longus and Brevis

3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Adduction

Adductor Pollicis

5,4

Position:

Palpation:

Examiner:

Patient:

Resistance:

Thumb Adduction

Adductor Pollicis

3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Opposition of thumb and Fifth Digit

Opponens Pollicis

Opponens digiti minimi

5,4

Position:

Palpation:

Examiner:

Patient:

Resistance:

Opposition of thumb and Fifth Digit

Opponens Pollicis

Opponens digiti minimi

3,2,1,0

Position:

Palpation:

Examiner:

Patient:

Resistance:

Neck Flexion

Longus capitis

Longus Colli

Rectus capitis anterior

Anterior scalene

Sternocleidomastoid

Position:

Palpation:

Examiner:

Patient:

Resistance:

Anterolateral neck Flexion

Sternocleidomastoid

Position:

Palpation:

Examiner:

Patient:

Resistance:

Neck Extension

Erector Spinae

Obliqus Capitis Superior

Rectus capitis posterior major and minor

Semispinalis capitis and cervicis

Spenius capitis and cervicis

Upper trapezius

Position:

Palpation:

Examiner:

Patient:

Resistance:

Trunk Flexion

Rectus Abdominis

Position:

Palpation:

Examiner:

Patient:

Resistance:

Trunk Rotation

External and Internal Obliques

Position:

Palpation:

Examiner:

Patient:

Resistance:

Trunk Extension

Erector Spinae

Multifidus

Semispinalis Throacis

Quadratus lumborum

Position:

Palpation:

Examiner:

Patient:

Resistance:

Pelvic Elevation

Quadratus Lumborum

Iliocostalis Lumborum

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Flexion

Iliacus and Psoas Major

Gravity resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Flexion

Iliacus and Psoas Major

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Flexion, Abduction and Lateral Rotation

Sartorius

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Flexion, Abduction and Lateral Rotation

Sartorius

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Extension

Gluteus Maximus, Semitendinosus, Semimembranosus, and Biceps Femoris

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Extension

Gluteus Maximus, Semitendinosus, Semimembranosus, and Biceps Femoris

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Abduction

Gluteus Medius and Minimum

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Abduction

Gluteus Medius and Minimum

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Abduction with Flexion

Tensor Fascia Lata

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Abduction with Flexion

Tensor Fascia Lata

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Adduction

Adductor magnus,Adductor longus, adductor brevis, pectineus, gracilis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Adduction

Adductor magnus,Adductor longus, adductor brevis, pectineus, gracilis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Medial Rotation

Tensor Fascia Lata, Gluteus Minimus, Gluteus medius

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Medial Rotation

Tensor Fascia Lata, Gluteus Minimus, Gluteus medius

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Lateral Rotation

Piriformis, Gemellius Superior and Inferior Obturator Internus and externus and quadratus femoris.

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Hip Lateral Rotation

Piriformis, Gemellius Superior and Inferior Obturator Internus and externus and quadratus femoris.

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Knee Extension

Quadriceps Femoris

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Knee Extension

Quadriceps Femoris

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Knee Flexion

Biceps Femoris, Semitendinosus and semimembranosis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Knee Flexion

Biceps Femoris, Semitendinosus and semimembranosis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Ankle Plantar Flexion:  Weight bearing test

Gastrocnemius and Soleus

Position:

Palpation:

Examiner:

Patient:

Resistance:

Ankle Plantar Flexion:  Gravity eliminated  page 321

Gastrocnemius and Soleus

Position:

Palpation:

Examiner:

Patient:

Resistance:

Ankle Plantar Flexion:  Gravity Resisted page 323

Gastrocnemius and Soleus

Position:

Palpation:

Examiner:

Patient:

Resistance:

Ankle Plantar Flexion:  Gravity Resisted page 325

Soleus

Position:

Palpation:

Examiner:

Patient:

Resistance:

Ankle Dorsiflexion and Subtalar Inversion

Tibialis Anterior

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Ankle Dorsiflexion and Subtalar Inversion

Tibialis Anterior

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Subtalar inversion

Tibialis Posterior

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Subtalar inversion

Tibialis Posterior

Gravity Eliminated

Subtalar inversion

Tibialis Posterior

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance:

Subtalar Eversion

Peroneus longus and Brevis

Gravity Resisted

Position:

Palpation:

Examiner:

Patient:

Resistance:

Subtalar Eversion

Peroneus longus and Brevis

Gravity Eliminated

Position:

Palpation:

Examiner:

Patient:

Resistance: