Scribd Logo
Upload

Welcome to Scribd!

  • 77 views

    2 - MMT Elbow Flexor

    Uploaded by

    DaniJaral
    This document describes how to perform muscle testing of the elbow flexors (biceps, brachialis, and brachioradialis muscles). It outlines the positioning of the patient and therapist for each test, provides instructions to the patient, and defines the grading system from 5 (normal) to 0 (zero). Muscle testing involves resisting elbow flexion in different forearm positions to isolate each muscle while grading the strength on a scale from full range of motion against resistance to no palpable muscle activity.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    2 - MMT Elbow Flexor

    Uploaded by

    DaniJaral
    77 views20 pages
    This document describes how to perform muscle testing of the elbow flexors (biceps, brachialis, and brachioradialis muscles). It outlines the positioning of the patient and therapist for each test, provides instructions to the patient, and defines the grading system from 5 (normal) to 0 (zero). Muscle testing involves resisting elbow flexion in different forearm positions to isolate each muscle while grading the strength on a scale from full range of motion against resistance to no palpable muscle activity.

    Original Title

    2- MMT Elbow Flexor

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document describes how to perform muscle testing of the elbow flexors (biceps, brachialis, and brachioradialis muscles). It outlines the positioning of the patient and therapist for each test, provides instructions to the patient, and defines the grading system from 5 (normal) to 0 (zero). Muscle testing involves resisting elbow flexion in different forearm positions to isolate each muscle while grading the strength on a scale from full range of motion against resistance to no palpable muscle activity.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    77 views20 pages

    2 - MMT Elbow Flexor

    Uploaded by

    DaniJaral
    This document describes how to perform muscle testing of the elbow flexors (biceps, brachialis, and brachioradialis muscles). It outlines the positioning of the patient and therapist for each test, provides instructions to the patient, and defines the grading system from 5 (normal) to 0 (zero). Muscle testing involves resisting elbow flexion in different forearm positions to isolate each muscle while grading the strength on a scale from full range of motion against resistance to no palpable muscle activity.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 20

    MUSCLE TESTING

    Elbow flexion
    ELBOW FLEXION

     Main muscles of elbow flexion are


    Biceps,
    Brachialis
    Brachioradialis
    ELBOW FLEXION
    NERVE SUPPLY
    GRADE 5 (NORMAL), GRADE 4
    (GOOD), AND GRADE 3 (FAIR)
     Position of patient :
     Short sitting with arms at sides.

     Biceps brachii:
     Forearm in supination

     Brachialis:
     Forearm in pronation

     Brachioradialis:
     Forearm in mid position between pronation and supination
    Resisted flexion with forearm
    in supination and pronation
    GRADE 5 (NORMAL), GRADE 4
    (GOOD), AND GRADE 3 (FAIR)

     Position of Therapist:
     Stand in front of patient toward the test side.
     Hand giving resistance is contoured over the flexor
    surface of the forearm proximal to the wrist.
     The other hand applies counter force by cupping the
    palm over the anterior superior surface of the shoulder.
    Position of therapist
    INSTRUCTIONS TO PATIENT
    (ALL THREE TEST)

     Grades 5 and 4: "Bend your elbow. Hold it. Don't


    let me pull it down. "

     Grade 3: "Bend your elbow. "


    GRADING

     Grade 5 (Normal): Completes available range and


    holds firmly against maximal resistance.

     Grade 4 (Good): Completes available range against


    strong to moderate resistance, but the end point may
    not be firm.

     Grade 3 (Fair): Completes available range in each


    forearm position with no manual resistance.
    Position for grade 3
    GRADE 2 (POOR)

     Position of Patient:
     All Elbow Flexors: Short sitting with arm abducted to 90° and
    supported by examiner.
     Forearm is Supinated (biceps),
    Pronated (brachialis), and in
    Midposition (brachioradialis).

     Alternate position for grade 2 test


    Position of Patient:
     Supine: Elbow is flexed to about 45 °with

    - Supinated (for biceps)


    - Pronated (for brachialis),
    - Mid position (for brachioradialis)
    Alternate position for grade 2 test
    Position of therapist for grade 2

     All Three Flexors:


    Palpate the tendon of the biceps in the antecubital
    space.

    Palpate the brachialis in the distal arm medial to


    the tendon of the biceps.

    Palpate the brachioradialis on the proximal volar


    surface of the forearm , where it forms the lateral
    border of the cubital fossa .
    GRADE 1 (TRACE) AND GRADE 0
    (ZERO)

     Positions of Patient and Therapist:


    Supine for all three muscles with therapist
    standing at test side

     Test:
    Patientattempts to bend elbow with hand
    supinated, pronated , and in midposition.
     Test:
    Patient attempts to flex the elbow.

     Instructions to Patient:
    "Try to bend your elbow. "
    GRADING

     Grade 2 (Poor): Completes range of motion (in


    each of the muscles tested).

     Grade 1 (Trace): Examiner can palpate a


    contractile response in each of the three muscles
    for which a Trace grade is given.

     Grade 0 (Zero): No palpable contractile activity.


    THANK YOU

    You might also like