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SUMMARY OF MUSCLE LENGTH TESTING

INSTRUCTION:

Complete the summary table for ALL motions of the UE and LE based on Cynthia Norlkin and Joyce White 4th edition
of Mesurement of Joint Motion : A guide to Goniometery book (2009)

ELBOW AND FOREARM

MUSCLE: BICEPS BRACHI


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Supine at the Stabilize humerus. Firm Over lateral Align c lateral Align c lateral
edge of the epicondyle of the midline of the midline of
examining table. humerus humerus(ref: ulna(ref: ulnar
Elbow flexed. center of styloid)
Shoulder full acromion)
extension and 00
abduction,
adduction, and
rotation

MUSCLE: TRICEPS BRACHI


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Supine close at Stabilize humerus Firm Over lateral Over lateral Align c lateral
the edge of the epicondyle of the midline of the midline of
table. Extend humerus humerus(ref: radius(ref:
elbow. Shoulder center of radial styloid)
full extension acromion)
and 00
abduction,
adduction, and
rotation
Supinate
forearm.

*add more rows as needed

WRIST

MUSCLE:FLEXOR DIGITORUM PROFUNDUS and FLEXOR DIGITORUM SUPERFICIALIS


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Sitting next to a Stabilize forearm. Firm Lateral aspect of Lateral midline of Lateral midline
supporting the wrist over the ulna(ref: of 5th
surface c UE triquetrium olecranon and metacarpals.
resting on the ulnar styloid)
surface. Elbow,
MCP, PIP, DIP
joint in
extension.
Pronate forearm,
wrist in neutral.

MUSCLE:EXTENSOR DIGITORUM, EXTENSOR INDICIS and EXTENSOR DIGITI MINIMI


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Sitting nxt to a Stabilize forearm Firm Lateral aspect of Lateral midline of Lateral midline
supporting the wrist over the ulna(ref: of 5th
surface. The triquetrium olecranon and metacarpals.
hand should be ulnar styloid)
free to move
into flexion.
Elbow extended
and MCP, DIP
and PIP joints in
full flexion.
Forearm
pronated, wrist
neutral.

*add more rows as needed

FINGERS

MUSCLE:LUMBRICALS, PALMAR and DORSAL INTEROSSEI


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Sitting, forearm Stabilized Firm Over dorsal Over dorsal Over dorsal
and hand metacarpals and the aspect of MCP midline of midline of
resting on a carpal bones. joint metacarpal proximal
supporting phalanx.
surface.
Forearm in
midway
between
pronation and
supination. Wrist
in neutral. Flex
MCP, PIP, AND
DIP joints.

*add more rows as needed


HIP

MUSCLE: HIP FLEXORS: THOMAS TEST


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Sitting position Hold hip that is not Firm Over lateral Align c lateral Align c lateral
at the end of the being examined in aspect of hip midline of pelvis. midline of
examining table. flexion. joint,(ref: greater femur(ref:
Assist Pt. Into trochanter.) lateral
supine position epicondyle).
by supporting
Pt.’s back and
flexing hips and
knees.
Then flex knees
towards the
chest to flatten
low back area..

MUSCLE: HAMSTRING: SEMINTENDINOSUS, SEMIMEMBRANOSUS and BICEPS FEMORIS


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Supine position, Hold the knees of Firm owing to Center the Align proximal Align distal arm
with both knees the lower back tension in the fulcrum of the arm with the with the lateral
extended and extremities being semimembranos goniometer over lateral midline of midline of the
hips in 0 tested in fulll us, the lateral aspect the pelvis. femur, using
degrees of extension. Keep the semitendinosus of the hip joint, lateral
flexion, other lower and biceps using the greater epicondyle for
extension, extremity flat on the femoris muscle. trochanter of the reference.
abduction, examining table to femur for
adduction and stabilize the pelvic reference.
rotation. If tilt and lumbar
possible remove flexion. Usally, the
clothing weight if the lower
covering the extremity provides
ilium and low adequate
back so the stabilization, but a
pelvis and strap securing the
lumbar spine thigh to the
can be observed examining table can
during the test be added if
necessary.

MUSCLE: TENSOR FASCIAE LATAE


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Side-lying Place one hand in Firm owing to Center the Align proximal Align distal arm
position, with iliac crest to tension in the fulcrum of the arm with with the
the hip being stabilizethe pelvis. tensor fascia goniometer over imaginary line anterior
tested Firm pressure is lata. the ASIS of the extending from midline of the
uppermost. usually required to extremity being one ASIS to the femur, using
Position the prevent the pelvis mesured. other. the midline of
subject near the from laterally tilting the patella for
edge if the during the testing reference.
examining table, motion. Having the
so that the patient flexthe
examiner can buttom hip and knee
stand directly can also hel to
behind the stabilize trunk and
subject. Initially, pelvis.
extend the
upppermost
knee and place
the hip in 0
degrees of
flexion,
extension,
adduction,
abduction and
rotation. The
patient flexes
the buttom hip
and knee to
stabilize the
trunk, flatten
the lumbar
curve, and keep
the pelvis in
slight posterior
tilt.

*add more rows as needed

KNEE

MUSCLE: RECTUS FEMORIS: ELY’S TEST


TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Prone, c both Stabilize hip . Do not -- Over lateral Align c lateral Align c lateral
feet off the end allow to flex. epicondyle of midline of the midline of the
of the examining femur. femur,(ref: fibula,(ref:
table. Extend greater lateral
knees and trochanter.) malleolus and
position hips in fibular head.)
neutral.

MUSCLE:HAMSTRINGS MUSCLES: SEMITENDINOSUS, SEMIMEMBRANOSUS and BICEPS FEMORIS: DISTAL


HAMSTRING LENGTH TEST
TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Supine c hip on Stabilize femur. Firm Over lateral Align c lateral Align c lateral
the side to be epicondyle of midline of the midline of the
tested in 900 femur. femur,(ref: fibula,(ref:
flexion and 00 greater lateral
abduction, trochanter.) malleolus and
adduction and fibular head.)
rotation.
Initially, knee to
be tested must
be relax in
flexion. The
other LE that is
not to be tested
should be
resting on the
examining bed.

*add more rows as needed

ANKLE AND FOOT

MUSCLE: GASTROCNEMIUS
TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM
POSITION
Supine, c knee Hold knee in full Firm Over lateral Align c lateral Parallel to
extended and extension. aspect of of midline of fibula, lateral aspect
0
foot in 0 lateral malleolus. (ref: head of of the 5th
inversion and fibula) metatarsal.
eversion

*add more rows as needed

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