Adson’s and travel’s tests Tests for neurovascular compression due to hypertonicity of the anterior or middle scalene. The client is seated and asked to extend and laterally rotate the affected arm while their head remains in a neutral position. The massage therapist monitors the client’s radial pulse. The client rotates their head toward the Costoclavicular syndrome test Tests for a neurovascular compression between the clavicle and first rib. The client is seated. The massage therapist stands behind the client and passively depresses and retracts the Swallowing test Tests to see if difficulty or pain upon swallowing is due to trigger points in the SCM. The client should be supine on the table. The massage therapist will grasp one side of the SCM between their first two fingers and their thumb and palpate the length of the muscle while asking the client where the most tender point in the SCM is. Once the most tender point has Three knuckle test Tests for hypomobility of the temporomandibular joint aka the TMJ. The client may either lay supine, sit or stand. The client will open their mouth as wide as possible. Then, they are to try and fit as many of their flexed fingers (in the form of a fist) into their mouth. The TMJ is considered hypomobile (low ROM) if Orbicularis oculi strength test Tests for Bell’s Palsy, a dysfunction of cranial nerve VII due to trauma or injury. The client should be in a supine or seated position with their eyes closed. The massage therapist will attempt to open the affected eye with a clean or preferably gloved hand while the client resists. Bell’s Palsy may be indicated if the client is unable to keep their eye closed against the therapist’s resistance, particularly if accompanied by the Upper trapezius strength test Tests for a dysfunction of the upper trapezius muscle. The client will be lying supine on the table with their arm abducted to 90 degrees. They will be flexed at the elbow to 90 degrees with the back of their hand on the table. The massage therapist rotates the client’s head away from the side being tested, Scapular adduction strength test Tests for the weakness or a dysfunction of the adductors of the scapula. The client should be in the prone position on the massage table. Their arm will be abducted to 90 degrees and their elbow flexed to 90 degrees so that it is draped off the table. The client is asked to move their elbow toward the Posterior deltoid test Tests for the weakness or dysfunctions of the posterior deltoid. The client should be in the prone position on the massage table, their arm abducted to 90 degrees and elbow flexed to 90 degrees so that it is draped off the table. The client will hold their arm in this position while resisting the therapist’s forward push at the elbow. A weakness or dysfunction of the posterior Shoulder extensors test Tests for the hypomobility and/or hypertonicity of the muscles that extend the shoulder. The client is supine on the table, ideally at least one-quarter of the way down the table. For comfort, the client should bend their knees to 45 degrees so that their feet are resting flat on the table top. The client then Pectoralis major length test I Tests for the hypertonicity of pectoralis major. The client should be in the supine position on the table with the edge of their torso parallel to it. The client’s arm is then abducted to 90 degrees and released. Hypertonicity of the muscle’s sternal and costal fibers is indicated by the arm not dropping below table
affected side, slightly elevates their chin and is asked to hold their breath for 15 to 30 seconds. A positive result is indicated by the radial pulse diminishing or by numbness or tingling of the client’s arm.
scapula. A positive result is indicated by numbness or tingling of the client’s arm.
been found and compressed to 7 on the pain scale of 10, the client is asked to swallow. Difficulty or pain swallowing due to a trigger point will be indicated by reduced pain or tenderness when the client swallows. Note: Difficulty or pain swallowing may also be a symptom of a local infection, a hematoma, a boney cervical overgrowth, or a tumor. the client can only fit one to two flexed fingers in their mouth. Both the masseter and temporalis muscles should be examined bilaterally for hypertonicity or trigger points, particularly where they meet at the zygomatic arch. pathology’s other symptoms such as facial paralysis or numbing, headaches, decrease in the ability to taste, or changes in saliva production. If Bell’s Palsy is suspected, refer the client to a physician. Note: Bell’s Palsy is not an indication of a stroke. It may be caused by recent infections, so the massage therapist should screen for contraindications of an infectious nature.
ORTHOPEDIC TESTS FOR THE SHOULDER GIRDLE
then applies light anteriorly directed pressure (the chin should appear to be approaching the shoulder joint) while the client resists the motion. A weak or dysfunctional upper trapezius muscle is indicated if the client is unable to resist the therapist’s strength. ceiling while trying to squeeze their shoulder blades together while the therapist resists the movement. Weak or dysfunctional middle trapezius or rhomboids is indicated by the client being unable to maintain strength against the therapist’s resistance or pain between either shoulder blade during the test. portion of the deltoid muscle is indicated by the client’s inability to resist the therapist’s directed pressure. If a client’s pain occurs near the spine of the scapula, it is the muscle tendon that may be injured. The massage therapist should check for signs of inflammation and proceed accordingly. fully flexes their arms over their head until their arms are resting on the table or otherwise in line with their body. Hypomobility and/or the hypertonicity of the latissimus dorsi, teres major, or posterior portion of the deltoid muscles are indicated if the client cannot rest their arms on the table. top level. To test the clavicular fibers of the pectoralis major, the client’s arm should be abducted to 135 degrees. Hypertonicity of the clavicular fibers is indicated by the arm not dropping below table level.
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Book Code: MTX1324B
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