Muscle Length Testing Overview

Under the age of three, individuals tend to have extreme ______ (forehead to toes)

Age should be considered into muscle length and ______

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______)

Teens and adults tend to have more limited ROM (fingers typically can’t touch the ______)

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily (only if unable to ______)

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement (hypermobility/lengthened muscles), ultimately, we are assessing ________

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

ROM usually is limited by two joint muscles but not one joint muscles, due to their ability to have sufficient ________

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ________

Muscle length assessment is performed when a muscle is passively elongated over its ________

The results is usually limited ROM, but may show ________ as well

Muscle length assessment is performed when a muscle is passively elongated over its ________

ROM usually is limited by two joint muscles but not one joint muscles, due to their ability to have sufficient ________

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ________

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

The results usually show limited ROM, but may show ________ as well

Muscles cross joints and affect the action that occurs at those joints. Muscles have an important role in supporting and moving the skeletal structures. A muscle must be short enough to provide stability of a joint and long enough to allow normal mobility.” This statement emphasizes the importance of muscle length in relation to joint stability and mobility during ____________.

During muscle length testing, the origin and insertion of a muscle are moved away from each other by elongating the muscle and by bringing the muscle into the opposite direction of its action. An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening muscle. This process ensures a proper assessment of muscle _____________.

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ____________.

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be achieved. This highlights the importance of understanding the role of two-joint muscles in achieving full ____________.

Muscle length assessment is performed when a muscle is passively elongated over its joints. The result is usually limited ROM, but may show hypermobility as well, indicating the importance of evaluating muscle length for assessing musculoskeletal ____________.

Teens and adults tend to have more limited ROM. Fingers typically can't touch the ____________, which demonstrates the natural decrease in flexibility with age.

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily if unable to ______

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement, ultimately, we are assessing ______

Age should be considered into muscle length and ______

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ______

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ______

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ______

Orthopedic assessment works by what would be called “stress and assess”. The orthopedic test procedure adds a physical stress to the client’s body. If the structure to which the stress is added is healthy, the client will feel no pain. These tests are designed to recreate specific symptoms. They help us formulate clinical impressions and rule in certain pathologies. Orthopedic definition: Relating to the branch of medicine dealing with the correction and deformities of bones or muscles. Red Flags: A red flag is a finding in a patient’s history/assessment that indicates the need for ______ to a physician. Red flags in PATIENT HISTORY include: Cancer, Persistent pain at night, Constant pain anywhere in the body, Unexplained weight loss, Loss of appetite, Usual lumps or growths, Unwarranted fatigue, Cardiovascular, Shortness of breath, Dizziness, Pain or feeling of heaviness in the chest, Pulsating pain anywhere in the body, Constant pain in the lower leg (calf) or arm, Discoloured or painful feet, Gastrointestinal/Genitourinary, Frequent or severe abdominal pain, Frequent heartburn or indigestion, Frequent nausea or vomiting, Change in or problems with bowel and/or bladder function, Unusual menstrual irregularities, Miscellaneous, Fever or night sweats, Recent severe emotional disturbances, Swelling or redness in any joint with no history of injury, Pregnancy, Neurological, Changes in hearing, Frequent or severe headaches with no history of injury, Problems with swallowing or changes in speech, Changes in vision, Problems with balance, Faint spells or sudden weakness

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ____________.

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily if unable to ________.

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______).

Muscle length assessment is performed when a muscle is passively elongated over its ________.

Muscles have an important role in supporting and moving the skeletal structures. A muscle must be short enough to provide stability of a joint and long enough to allow normal mobility. This statement emphasizes the importance of muscle length in relation to joint stability and mobility during ____________.

Muscle length assessment is performed when a muscle is passively elongated over its ________

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

Red flags in PATIENT HISTORY indicate the need for referral to a ________

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______)

The results usually show limited ROM, but may show ________ as well

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be ________

Red Flags in __________ indicate the need for medical consultation

The following tests are referred to as red flags and have already been taught in ______

Orthopedic assessment works by what would be called “stress and assess”. The orthopedic test procedure adds a physical stress to the client’s body. If the structure to which the stress is added is healthy, the client will feel no pain. These tests are designed to recreate specific symptoms. They help us formulate clinical impressions and rule in certain pathologies. Orthopedic definition: Relating to the branch of medicine dealing with the correction and deformities of bones or muscles. Red Flags: A red flag is a finding in a patient’s history/assessment that indicates the need for ______ to a physician.

Around the age of six, individuals tend to have what most would consider to be normal (fingers to ______)

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement (hypermobility/lengthened muscles), ultimately, we are assessing ______

Red Flags in ________ indication the need for medical consultation

Sever unremitting ________

The following tests are referred to as red flags and have already been taught in ________

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

Muscle strength testing is used to determine the client’s ability to contract a muscle or muscle groups voluntarily if unable to ________

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

Muscle length assessment is performed when a muscle is passively elongated over its ________.

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ________.

Red Flags in ________ indication the need for medical consultation.

Teens and adults tend to have more limited ROM. Fingers typically can't touch the ________, which demonstrates the natural decrease in flexibility with age.

The shoulder complex is difficult to assess due to many structures located in a small area & its many movements and many lesions, which occur inside and outside the ______. Pain can be caused by intrinsic disease of the shoulder ______, or it may originate from the C spine, chest or visceral Functional shoulder girdle = upper T spine, ribs1&2, manubrium, scapula, clavicle, humerus Full arm elevation must have upper T spine to extend, rotate & ipsilaterally side bend and the bodies of ribs 1&2 to move inferiorly and posterior. Acromioclavicular & sternoclavicular ______s provide mobility of the scapulothoracic ______. Faculty of Massage Therapy Bryan College Revised: November 2023 MT-CL20-SM-11 Page 14 of 82. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. It has a fibrocartilage (aka labrum) that surrounds the glenoid fossa of the scapula to deepen the fossa. Only part of the humeral head contacts the glenoid cavity at any time. 3 axes & 3 degrees freedom Capsular pattern = Lateral rotation-abduction-medial rotation Ligaments With the arm at the side the superior ______ capsule remains taut, and the inferior portion is lax and assumes a forward and medial twist. The tendons of the SITS muscles blend with the fibers of the ______ capsule. Glenohumeral Joint Multiaxial ball and socket synovial ______.

It depends on muscles and ligaments for its support/stability, not the structure of bones. It has a fibrocartilage (aka labrum) that surrounds the glenoid fossa of the scapula to deepen the fossa. Only part of the humeral head contacts the glenoid cavity at any time. 3 axes & 3 degrees freedom Capsular pattern = Lateral rotation-abduction-medial rotation Ligaments With the arm at the side the superior joint capsule remains taut, and the inferior portion is lax and assumes a forward and medial twist. The tendons of the SITS muscles blend with the fibers of the joint capsule.

The tendons of the SITS ______ blend with the fibers of the joint capsule.

Acromioclavicular & sternoclavicular joints provide mobility of the ______ joint.

The shoulder complex depends on muscles and ______ for its support/stability, not the structure of bones.

The shoulder ______ is difficult to assess due to many structures located in a small area & its many movements and many lesions, which occur inside and outside the joint.

The acromioclavicular joint depends on ligaments for its strength, specifically the acromioclavicular & coracoclavicular ________.

The sternoclavicular joint is made up of the medial end of clavicle, the manubrium, and 1st rib. It has an intra-articular disk attached to the clavicle, 1st cartilage & the sternum. It is important in preventing medial dislocation and invariably the clavicle will break, or the A/C joint dislocate. 3 degrees of freedom; Capsular pattern = pain at extremes of ________.

The scapulothoracic joint is not a true joint but is an integral part of the shoulder complex. It forms a closed kinetic chain with A/C joint & S/C joint. Medial border is approx. angled 3 degrees away from the spinous processes from top to bottom. Extends from T2 spinous process (SP) to T7-T9 SPs depending on the size of scapula. The spine of the scapula lies at level of T3 SP. There is a 2 to 1 ratio of humeral to scapular movement. If any angle of the scapula changes, this puts an added strain on the muscles and ligaments to support the ________.

The acromioclavicular joint, sternoclavicular joint, and scapulothoracic joint together form the shoulder ________.

The glenohumeral joint is a multiaxial ball and socket synovial ________.

The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. The tendons of the SITS muscles blend with the fibers of the joint ________.

The subacromial or subdeltoid bursa is attached above to the acromial arch & below to the rotator cuff tendons and greater tubercle. It does not normally communicate with the joint capsule but may in case of cuff tear. This bursa is susceptible to impingement beneath the acromial arch. The name of this bursa is ________

The subscapular bursa overlies the anterior joint capsule and lies beneath the subscapularis muscle. It does communicate with the joint capsule. The name of this bursa is ________

The shoulder complex is difficult to assess due to many structures located in a small area & its many movements and many lesions, which occur inside and outside the joint. This complex depends on muscles and ______ for its support/stability, not the structure of bones.

Biomechanics observation includes the head, cervical spine, thorax, and the entire upper limb. Removal and replacement of clothes from the upper body is also part of the observation. Step deformity, sulcus deformity, abnormal bumps or malalignment of bones are also noted. The dominant side is determined by the arm rotated ______ or laterally.

Scapular tilt, winging, rotary winging, and static winging are observed during biomechanics evaluation. The spine of scapula and angle of scapulas are also assessed. Acromioclavicular & sternoclavicular ______ provide mobility of the scapulothoracic ______.

The scapulothoracic joint is not a true joint but is an integral part of the shoulder complex. It forms a closed kinetic chain with A/C joint & S/C joint. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. If any angle of the scapula changes, this puts an added strain on the muscles and ligaments to support the ________.

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement, ultimately, we are assessing ______.

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

The glenohumeral joint is a multiaxial ball and socket synovial ________.

Red flags in PATIENT HISTORY indicate the need for referral to a ________.

Muscle length testing is used to assess for limitations of ROM (shortened muscles) and excessive movement, ultimately, we are assessing ____________.

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ____________.

Red flags in PATIENT HISTORY indicate the need for referral to a ____________.

The shoulder complex depends on muscles and ____________ for its support/stability, not the structure of bones.

When a muscle that spans two or more joints is elongated over one joint and slack over the other joint, then full ROM can be achieved. This highlights the importance of understanding the role of two-joint muscles in achieving full ____________.

The scapulohumeral rhythm assesses the coordination of the scapula and humerus during movement to identify any altered ____________ rhythm

During assessment of the Shoulder Girdle General Tests, a positive sign for subacromial bursitis may include pain or inability to reach ____________

Anterior instability of the GH joint may present with increased apprehension of pain with slow, passive external rotation of the arm, while posterior instability of the glenohumeral joint may have increased apprehension of pain with slow, passive posterior translation of the ____________

The Apley's Scratch Test is used to assess the ____________ of the shoulder complex during movement

Joint and Ligament Testing involves assessing for conditions like anterior instability of the GH joint and posterior instability of the glenohumeral joint to identify any increased apprehension of pain with specific passive ____________

The shoulder complex heavily relies on muscles and ligaments for its support and stability, emphasizing the importance of assessing for any altered ____________ patterns during clinical examinations

The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. The tendons of the SITS muscles blend with the fibers of the joint ________.

Acromioclavicular & sternoclavicular joints provide mobility of the ______ joint.

ROM is assessed in degrees. ROM usually is limited by two-joint muscles but not one-joint muscles, due to their ability to have sufficient ________.

The subscapular bursa overlies the anterior joint capsule and lies beneath the subscapularis muscle. It does communicate with the joint capsule. The name of this bursa is ________.

The scapulothoracic joint is not a true joint but is an integral part of the shoulder complex. It forms a closed kinetic chain with A/C joint & S/C joint. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. If any angle of the scapula changes, this puts an added strain on the muscles and ligaments to support the ________.

Faculty of Massage Therapy Bryan College Revised: November 2023 MT-CL20-SM-11 Page 14 of 82. The shoulder complex depends on muscles and ligaments for its support/stability, not the structure of bones. It has a fibrocartilage (aka labrum) that surrounds the glenoid fossa of the scapula to deepen the fossa. Only part of the humeral head contacts the glenoid cavity at any time. 3 axes & 3 degrees freedom Capsular pattern = Lateral rotation-abduction-medial rotation Ligaments With the arm at the side the superior ______ capsule remains taut, and the inferior portion is lax and assumes a forward and medial twist. The tendons of the SITS muscles blend with the fibers of the ______ capsule. Glenohumeral Joint Multiaxial ball and socket synovial ______.

What is the positive sign for anterior instability of the glenohumeral joint?

Which joint is a ball and socket synovial joint?

What is the positive sign for posterior instability of the glenohumeral joint?

Which test is used to assess rotator cuff tear with supraspinatus tendon rupture?

What does the term 'clinical impression' refer to in the context provided?

What is the positive sign indicating anterior instability of the glenohumeral joint in the Anterior Drawer Test?

In the Posterior Drawer Test, what does a positive sign indicate?

What is the positive sign indicating a rotator cuff tear in the Drop Arm Test?

Which joint is described as a 'ball and socket synovial joint' in the text?

What is the primary purpose of muscle length testing mentioned in the text?

Muscle length assessment is performed when a muscle is passively elongated over its ________

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________

Red flags in PATIENT HISTORY indicate the need for referral to a ________

The acromioclavicular joint, sternoclavicular joint, and scapulothoracic joint together form the shoulder ________

Red flags in __________ indicate the need for medical consultation

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

The shoulder complex depends on muscles and ______ for its support/stability, not the structure of bones.

Muscle length assessment is performed when a muscle is passively elongated over its ________.

An accurate length testing usually requires that the bone of the origin be in a fixed position, while the bone of the insertion moves into the direction of the lengthening ________.

Red flags in PATIENT HISTORY indicate the need for referral to a ________.