6. Supine
1) Sternal head – Resist bringing arm across to opposite hip
2) Clavicular head – Resist bringing arm across body over head (mixture of flexion & adduction)
Pectoralis major
Trapezius
Deltoid
Infraspinatus
7. Prone
1) Place palpating fingers superior to spine of scapula
2) Patient abducts arm against resistance
3) Feel is tendon (very important tendon) deep to deltoid
- Locate acromion process then drop off distally & laterally
Supraspinatus
Teres minor
Subscapularis
Infraspinatus
8. Sitting
1) Place arm in small of back
2) Place palpating fingers superior to superior angle of scapula
3) Patient elevates scapula
Subscapularis
Trapezius
Levator scapulae
Serratus anterior
9. Sitting
1) Flex elbow 90*
2) Resist ulnar deviation from a neutral position
3) Palpate muscle just above shaft of ulna
4) See prominent tendon on ulna side of wrist
Extensor digitorum
Flexor carpi radialis
Extensor carpi ulnaris
Flexor carpi ulnaris
10. Supine
1) Bring arm straight up in the air pointing to the ceiling
2) Resist patient reaching towards the ceiling (push down)
3) Palpate on the ribs cage inferior to the axilla (armpit)
Subscapularis
Serratus anterior
Latissimus dorsi
Infraspinatus
11. Sitting
1) Forearm fully supinated
2) Place fingers on proximal medial forearm
3) Patient moves fingers at MCP joints (pretend to type)
• Makes up main body of forearm
• Can also feel in dip next to ulna
Flexor carpi ulnaris
Flexor digitorum superficialis
Flexor pollicis longus
Flexor digitorum profundus
12. Sitting
1) Lie the forearm on the bed with hand pronated
2) Keep extending & relaxing the thumb
3) Palpate the tendon on the medial border of the anatomical snuffbox
Extensor digiti minimi
Extensor pollicis brevis
Extensor pollicis longus
Abductor pollicis longus
13. Sitting
1) Lie the forearm on the bed with hand pronated
2) Keep extending & relaxing the thumb
3) Palpate the tendon on the lateral border of the anatomical snuffbox
Extensor digiti minimi
Extensor pollicis brevis
Abductor pollicis longus
Extensor pollicis longus
14. Sitting
1) Flex elbow 90* with hand in neutral position
2) Keep flexing little finger
• Tendon should be lateral to tendon of extensor digitorum
• Smaller & sits below extensor digitorum (in neutral hand position)
Extensor pollicis brevis
Extensor digiti minimi
Extensor digitorum
Extensor pollicis longus
15. Sitting
1) Resist ulnar deviation
2) See prominent tendon near ulnar on wrist
3) Palpate muscle from tendon running up forearm
Flexor digitorum profundus
Flexor carpi ulnaris
Flexor digitorum superficialis
Flexor carpi radialis
16. Sitting
1) Flex elbow 90* with hand in a neutral position
2) Flex fingers at IP & MCP joints (pretend to type)
3) Palpate muscle about a third of the way along forearm from elbow
4) See tendons at knuckles
Extensor pollicis longus
Flexor digitorum superficialis
Extensor digitorum
Flexor digitorum profundus
17. Sitting
1) Arms abducted 90* with elbow bent 90*
2) Move palms facing upwards and contract back
(Lower fibres)
1) Lie prone
2) Bring arms straight in front of bed
Levator scapulae
Trapezius
Latissimus dorsi
Deltoid
18. Sitting
1) Abduct the thumb
2) Palpate muscle at thenar eminence
3) Tendon is next to extensor pollicis brevis tendon (seems like 1 tendon)
Abductor pollicis longus
Extensor pollicis longus
Extensor pollicis brevis
Extensor digiti minimi
19. Sitting
1) Resist elbow flexion with hand in a neutral position
2) Can palpate along length of forearm
Brachioradialis
Triceps brachii
Biceps brachii
Brachialis
20. Prone
1) One forearm hanging over the edge of the bed
2) Put arm in between knees for resistance and allow client to medially rotate arm
3) Palpate from lateral border of inferior angle towards humerus
• Feel tendon underneath armpit next to tendon of lat