![ GRADE 0,1 ;
Patients Position: Prone
with arms at sides and
shoulder internally rotated.
Therapist position : Stand
at test side.Finger used for
palpation are placed on the
posterior aspect of the
upper arm[posterior
deltoid]
TEST : Patient attempts to
lift arm from table.
SHOULDER EXTENSION[POSTERIOR FIBERS]](https://image.slidesharecdn.com/mmtsyed2-240830081717-c0d8b9bb/85/MMT-of-deltoid-muscle-using-MRC-grading-system-6-320.jpg)
![ GRADE 0 AND GRADE1;
Patients Position: Short
sitting.
Therapist position :
Standing behind and to
the side of patient.
Providing limb support
to the elbow.
TEST : Patient tries to
maintain the arm in
abduction.
SHOULDER ABDUCTION [MIDDLE FIBERS]](https://image.slidesharecdn.com/mmtsyed2-240830081717-c0d8b9bb/85/MMT-of-deltoid-muscle-using-MRC-grading-system-9-320.jpg)
MMT of deltoid muscle using MRC grading system
- 1. MANUAL MUSCLE TESTING OF DELTOID MUSCLE BY;SYED RUMAN
- 2. MMT is used to determine the extent and degree of muscular weakness resulting from diiseases ,injury and disuse. Grade 0: No Movement Grade 1; Flikering of contraction Grade 2; Full ROM with eliminating gravity Grade 3; Full ROM with against gravity Grade 4; Full ROM with against gravity with min resistance Grade 5:Full ROM with against graviity with max resistance DEFINATION AND GRADES OF MMT
- 3. GRADE 0,1,2 ; Patients Position: Short sitting with arm at side and elbow slightly flexed . Therapist position : Stand at test side. TEST : Patient attempts to flex shoulder at 90 degree SHOULDER FLEXION[ANTERIOR FIBERS
- 4. GRADE 3; Position of Patient: Short sitting, arm at side with elbow slightly flexed and forearm pronated. Therapist position: Stand at test side. Test: Patient flexes shoulder to 90° .
- 5. Patients Position: Short sitting with arm at side and elbow slightly flexed ,Forearm pronated. Therapist position : Stand at test side.Hand giving resistance is contoured over the distal humerus just above the elbow.the other hand may stabilize the shoulder joint. TEST : Patient flexes shoulder at 90 degree without rotation . GRADE 4 AND GRADE 5
- 6. GRADE 0,1 ; Patients Position: Prone with arms at sides and shoulder internally rotated. Therapist position : Stand at test side.Finger used for palpation are placed on the posterior aspect of the upper arm[posterior deltoid] TEST : Patient attempts to lift arm from table. SHOULDER EXTENSION[POSTERIOR FIBERS]
- 7. Patients Position: Prone with head turned to one side ; test arms internally rotated. Therapist position : Stand at test side. TEST : Patient attempts to lift arm as high as he can. GRADE 2 AND GRADE 3
- 8. Patients Position: Prone with arms at sides and shoulder internally rotated. Therapist position : Stand at test side. Hand used for resistance is contoured over the posterior arm ,just above the elbow. TEST : Patient attempts to lift arm from the table ,keeping elbow straight. GRADE 4 AND GRADE 5
- 9. GRADE 0 AND GRADE1; Patients Position: Short sitting. Therapist position : Standing behind and to the side of patient. Providing limb support to the elbow. TEST : Patient tries to maintain the arm in abduction. SHOULDER ABDUCTION [MIDDLE FIBERS]
- 10. Patients Position: Short sitting with arm at side and slight elbow flexion. Therapist position : Standing behind patient to palpate muscle on test side. TEST : Patient attempts to abduct arm. GRADE 2
- 11. Patients Position: Short sitting with arm at side and elbow slightly flexed . Therapist position : Standing behind the patient.Hand giving resistance is contoured over arm just above elbow. TEST : Patient abducts arm to 90 degree. GRADE 3, GRADE4,GRADE 5
- 12. THANK YOU