Chapter 6 The Muscular System 89 Copyright Goodheart-Willcox Co., Inc. May not be reproduced or posted to a publicly accessible website. Name ________________________________________________________________ 9. Apply a gentle downward pressure on the patient’s arm, attempting to move the shoulder into adduction. See Figure 6.5B. Provide a verbal cue for the patient to contract the deltoid to produce an isometric contraction, preventing the shoulder from moving into adduction. Perform this test for no more than 5 seconds. HINT Use common language such as “don’t let me move your arm” or “hold your arm in place even as I push” these instructions can be understood by patients of all ages. 10. Repeat steps 8 and 9 using the patient’s right shoulder. 11. Record your observations. _ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 12. What muscles are being tested in this manual muscle test? _ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 13. Which are the antagonist muscles? _ _________________________________________________________________________________________________________________ Hip Flexion Test 14. Ask the patient to sit in a comfortable position, with hips and knees flexed at 90 degrees. 15. Ask the patient to move the left hip into about 110 degrees of flexion by lifting the thigh off the chair, as shown in Figure 6.3C. 16. Apply a gentle downward pressure on the thigh, attempting to push the hip toward the chair. Provide a verbal cue for the patient to contract the hip flexor and produce an isometric contraction, preventing the hip from moving into extension. Perform this test for no more than 5 seconds. HINT Use common language such as “don’t let me push your leg down” or “hold your leg in place even as I push” these instructions can be understood by patients of all ages. 17. Repeat steps 15 and 16 using the patient’s right hip. 18. Record your observations. _ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Figure 6.3C Saskia D. Richter, author