-
Capital Extension
- Prone with head hanging over edge
- "Tilt your head up as if you are nodding and look at the wall ... hold it ... don't let me tilt your head back down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- SUPINE - support head with 2 hands under occiput
- 1: Muscle activity
- 0: notta
-
Cervical Extension
- Prone with head hanging over edge - 1 hand under head one on back of head
- "Push your head up on my hand, keep looking at the floor ... hold it ... don't let me tilt your head back down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- SUPINE - Hands at cervical vertebrae
- "push your head into my hands"
- 2: Patient completes some ROM
- 1: Muscle activity
- 0: notta
-
Combined Neck Extension
- Prone with head hanging over edge
- "Lift your head up as if you and look at the ceiling ... hold it ... don't let me push your head back down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- PRONE with head supported on table
- 2: Patient completes some ROM
- 1: Muscle activity in cervical and capital extensors
- 0: notta
-
Capital Flexion
- Supine
- "Tuck your chin into your neck as though you are nodding ... hold it ... don't let me lift your chin"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- 2: Patient completes some ROM
- 1: Muscle activity on capital flexors
- 0: notta
-
Cervical Flexion
- Supine
- "Lift your head from the table and keep looking toward the ceiling, do not lift your shoulders off the table ... hold it ... don't let me push your head down"
- 5: Completes available ROM and tolerates moderate 2-finger resistance
- 4: Completes available ROM and tolerates mild 2-finger resistance
- 3: Complete available ROM w/o resistance
- SUPINE with head supported - Roll head side to side
- 2: Patient completes partial ROM
- 1: Muscle activity on at least one SCM
- 0: notta
-
Combined Cervical Flexion
- Supine
- "Bring your head up until your chin is on your chest but, do not lift your shoulders, don't let me push you down"
- 5: Completes ROM and tolerates strong resistance
- 4: Completes ROM and tolerates moderate resistance
- 3: Complete available ROM w/o resistance
- 2: Patient completes partial ROM
- 1: Contractile Activity
- 0: notta
-
Lumbar Extension
- Prone Hands behind head
- "Raise your head, shoulders and chest off the table. Come up as high as you can"
- 5: Completes motion and holds like a lock
- 4: Completes motion and wavers at end of motion
- 3:
-
Thoracic Extension
- Prone w/ hands behind head; nipples over edge of table
- "Raise your head, shoulders and chest to level of table
- 5: Completes motion with ease
- 4: Completes motion laboriously
- Prone w/ arms at side; nipples over edge
- 3: Completes motion
- Prone
- 2: Completes partial motion
- 1: Muscle Activity
- 0: Notta
-
Trunk Flexion
- Supine with hands behind head
- "Tuck your chin to your chest and bring your head head shoulders and arms off the table as in a sit-up"
- 5: Completes motion
- Supine with hands crossed
- 4: Completes motion
- Supine with arms paralaell & above the body
- 3: Completes motion
- Supine with arms at sides and knees flexed (cradle head)
- "please try to lean forward"
- 2: Rib cage depresses
- 1: Trace
- 0: No activity
-
Trunk Rotation
- Supine with hands behind head
- "Lift your head & shoulders off the table and bring your elbow toward the opposite knee" repeat other side
- 5: Completes motion
- Supine with hands crossed
- 4: Completes motion
- Supine with arms paralaell & above the body
- 3: Pt raises scapula off the table (while rotating to contra)
- "Left your head and reach for your knees"
- 2: Pt is unable to clear scapula
- Supine with arms @ side (cradle neck)
- "try to lift your head & turn contra" reapeat contra
- 1: contraction
- 0: no activity
-
Scapular abduction and upward rotation
- SERRATUS ANTERIOR
- Short Sitting
- "Raise your arm forward until it is over your head ... hold it ... don't let me push it down"
- 5: Completes ROM & scapula maintains position against max resistance
- 4: Completes ROM & Scapula moves against resistance but the deltoid holds the arm in place
- 3: Completes ROM without resistance
- Lift arm above 90 flex and support
- "Hold your arm up, relax, hold your arm up"
- 2: If the arm stays up and the weakness is only in the glenohumeral (scap will abduct & rot up)
- 1: Trace
- 0: nothing
-
Scapular Elevation
- UPPER TRAPS
- Short Sitting (stand behind pt)
- "Raise your shoulders toward your ears ... don't let me push them down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- Prone
- 2: Completes ROM
- 1: Trace
- 0: nothing
-
Scapular Adduction
- LOWER TRAPS
- Prone with arm dangling
- "Lift your elbow toward the ceiling ... hold it and don't let me push it back down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- (cradle arm to assist against gravity)
- 2: Complete available ROM
- 1: Trace
- 0: Nothing
-
Scapular Depression and Adduction
- LOWER TRAPS
- Prone with arm at 45
- "Raise your arm from the table as high as possible ... hold it and don't let me push it down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- (cradle arm to assist against gravity)
- 2: Complete available ROM
- 1: Trace
- 0: Nothing
-
Scapular Adduction & Downward Rotation
- RHOMBOIDS
- Prone with chicken wing
- "Lift your hand, hold it and don't let me push it down"
- 5: Completes available ROM and tolerates maximal resistance - fingers should pop out from under scap
- 4: Completes available ROM and tolerates some resistance- fingers should pop out from under scap
- 3: Complete available ROM w/o resistance
- Short sit with chicken wing
- "try to move your hand away from your back"
- 2: Complete available ROM
- 1: Trace
- 0: Nothing
-
Shoulder Flexion
- ANTERIOR DELTOID & CORACOBRACHIALIS
- Short Sitting
- "Raise your arm to 90, hold it & don't let me push it down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- 2: Completes partial ROM
- 1: Trace
- 0: Nothing
-
Shoulder Extension
- LATS, TERES MAJOR, POSTERIOR DELT
- Prone with arm at side palm facing up
- "Raise your arm as high as you can, hold it & don't let me push it down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- 2: Complete partial ROM
- 1: Trace
- 0: Nothing
-
Shoulder Extension
(isolate Lats)
- Prone - Push pt's shoulder toward chin
- "Reach toward your toes, hold it and don't let me push your shoulder back up"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
-
Shoulder Abduction
- MIDDLE DELTOID AND SUPRASPINATUS
- Short sit
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- 2: Complete partial ROM
-
Scaption
- DELTOID AND SUPRASPINATUS
- Short Sit"raise your arm to shoulder height at 45, hold it & don't let me push it down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- 2: Complete partial ROM
- 1: Trace
- 0: Nothing
-
Shoulder Hoorizontal Abduction
- POSTERIOR DELT
- Prone with elbow hanging
- "Lift your elbow toward the ceiling ... hold it and don't let me push it back down"
- 5: Completes available ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- seated in chair with arm abducted to 90
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Shoulder Horizontal Adduction
- PEC MAJOR
- Supine with elbow to ceiling and elbow flexed
- Both heads "Move your arm across your chest, hold it & don't let me pull it back"
- Clavicular head "Move your arm up & in"
- Sternal head "Move you arm down & in"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- Seated in chair with arm abducted to 90
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Shoulder External Rotation
- INFRASPINATUS & TERES MINOR
- Prone with arm dangling at elbow TOWEL
- "Raise your arm to the level of the table, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- Arm dangling at shoulder
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Shoulder Internal Rotation
- SUBSCAPULARIS
- Prone with arm dangling at elbow TOWEL
- "Bring your forearm back, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- Arm dangling at shoulder
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Elbow Flexion
- BICEPS BRACHII, BRACHIALIS, BRACHIORADIALIS
- Short sit with elbow supported (if nec)
- "Bend your elbow, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- Short sitting with arm abducted 90 and flexed 90
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Elbow Extension
- TRICEPS
- Prone arm suppported at elbow
- "straighten your elbow, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- Short sitting with arm abducted 90 and flexed 90
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Forearm Supination
- SUPINATOR & BICEPS BRACHII
- Short sitting; elbow flexed (support elbow) and pronated
- "turn your palm up, hold it & don't let me turn it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- shoulder flexed 45 and arm straigh up at elbow
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Forearm pronation
- PRONATOR TERES & PRONATOR QUADRATAS
- Short sitting; elbow flexed (support elbow) and pronated
- "turn your palm down, hold it & don't let me turn it up"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o resistance
- shoulder flexed 45 and arm straigh up at elbow
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Wrist Flexion
- FLEXOR CARPI RADIALIS & FLEXOR CARPI ULNARIS
- Short sitting with elbow flexed at 90 and wrist in neutral
- "bend your wrist, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o deviation
- seated in chair with arm on table and elbow slightly flexed
- 2: Completes available ROM
- 1: Trace
- 0: nothing
-
Wrist Extension
- EXTENSOR CARPI RADIALIS LONGUS, EXTENSOR CARPI RADIALIS BREVIS & EXTENSOR CARPI ULNARIS
- Short sitting with elbow flexed at 90 and wrist in neutral
- "bend your wrist, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM w/o deviation
- seated in chair with arm on table and elbow slightly flexed
- 2: Completes available ROM
- 1: Trace
- 0: nothing
-
Hip Flexion
- ILIOPSOAS
- Short sitting
- "lift your knee toward the ceiling, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Sidelying
- 2: Completes available ROM
- Supine (list leg into partial hip & knee flexion)
- 1: Trace
- 0: nothing
-
Tailor Sitting
- SARTORIUS
- Short Sitting
- "Slide your heel up your shin, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Supine put heel on contra shin
- "slide your heel up your shin"
- 2: Completes available ROM
- 1: Trace
- 0: nothing
-
Hip Extension
- GLUT MAX & HAMSTRINGSProne
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Sidelying
- "Bring your leg back toward me
- 2: Completes available ROM
- Prone
- 1: Trace
- 0: nothing
-
Hip Abduction
- GLUT MED & GLUT MIN
- Sidelying
- "Lift your leg up toward the ceiling, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Supine support heel
- 2: Completes available ROM
- 1: Trace
- 0: nothing
-
Hip Abduction from Flexed
- TFL
- Sidelying with hip flexed 45
- "Lift your leg up toward the ceiling, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- LONG SITTING
- 3: Complete available ROMSupine support heel
- 2: Completes available ROM
- 1: Trace
- 0: nothing
-
Hip Adduction
- ADDUCTOR MAGNUS, ADDUCTOR LONGUS, ADDUCTOR BREVIS, PECTINIUS & GRACILIS
- Sidelying
- "Lift your BOTTOM leg up to the top one, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Supine support heel
- 2: Completes available ROM
- 1: Trace
- 0: nothing
-
Hip External Rotation
- GLUT MAX & 6 DEEP ROTATORS
- Short sitting bring foot into end range
- "Don't let me turn your leg out"
- 5: Holds against maximum resistance
- 4: Holds against some resistance
- 3: Holds but, tolerates no resistance
- Supine with leg internally rotated"roll your leg out"
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Hip Internal Rotation
- GLUT MIN, GLUT MED & TFL
- Short sitting bring foot into end range
- "Don't let me turn your leg in"
- 5: Holds against maximum resistance
- 4: Holds against some resistance
- 3: Holds but, tolerates no resistance
- Supine with leg internally rotated
- "roll your leg out"
- 2: Completes ROM
- 1: Trace
- 0: Nothing
-
Knee Flexion
- BICEPS FEMORIS, SEMITENDINOSUS, SEMIMEMBRANOSUS
- Prone
- toes pointed in for semis
- toes pointed out for Biceps Fem
- "bend your knee, hold it & don't let me push it
- down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Sidelying
- 2: Completes available ROM
- Prone flex knee to 45
- 1: Trace
- 0: nothing
-
Knee Extension
- RECTUS FEMORIS, VASTUS MEDIALIS, VASTUS INTERMEDIALIS & VASTUS LATERALIS
- Short sitting
- "Straighten your knee & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- Sidelying
- 2: Completes available ROM
- Supine
- 1: Trace
- 0: nothing
-
Plantarflexion
- GASTROC & SOLEUS
- Standing
- bend knee to isolate soleus
ankle pumps - 5: 25+
- 4: 10-24
- 3: 1-9
- 2: Clear heel
- Prone with foot hanging
- 2+: Completes and holds against max resistance
- 2: Completes ROM agains no resistance
- 2-: Partial ROM
- 1: Trace
- 0: Nothing
-
Dorsiflexion and Inversion
- TIBIALIS ANTERIO
- Supine
- "Bring your foot up & in, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- 2: Completes partial ROM
- 1: Trace
- 0: nothing
-
Inversion
- TIBIALIS POSTERIOR
- Short sitting
- "turn your foot down and in, hold it & don't let me push it back"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete available ROM
- 2: Completes partial ROM
- 1: Trace
- 0: nothing
-
Plantarflexion & Eversion
- PERONEUS LONGUS & PERONEUS BREVIS
- Short sitting foot in lap
- "Turn your foot down & out, hold it & don't let me push it down"
- 5: Completes ROM and tolerates maximal resistance
- 4: Completes available ROM and tolerates some resistance
- 3: Complete partial ROM
- 2: Completes available ROM
- 1: Trace
- 0: nothing
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