A new manual muscle test for assessing the entire trapezius muscle

Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. Purpose: The purpose of this study was to assess the reliability and validity of a new MMT that assesses the entire trapezius muscle instead of the usual me...

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Published inPhysiotherapy theory and practice Vol. 29; no. 3; pp. 242 - 248
Main Authors Cibulka, Michael T., Weissenborn, Dana, Donham, Megan, Rammacher, Hayley, Cuppy, Patrick, Ross, and Sandy A.
Format Journal Article
LanguageEnglish
Published England Informa Healthcare 01.04.2013
Taylor & Francis
Subjects
Adult
Biomechanical Phenomena
Dysfunction
Electromyography
Female
Humans
Isometric Contraction
Male
Maryland
Muscle Strength
Muscle, Skeletal - physiology
Muscles
Pathology
Predictive Value of Tests
Reference Values
Reliability
Reproducibility of Results
Upper Extremity
Upper limbs
Volition
Young Adult
Maryland
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Abstract Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. Purpose: The purpose of this study was to assess the reliability and validity of a new MMT that assesses the entire trapezius muscle instead of the usual method of separating it into three different parts. The new trapezius MMT is similar to the serratus anterior muscle test; however, the testing is performed in the frontal versus sagittal plane. Methods: A convenience sample of 11 subjects was recruited with no known shoulder pathology. Surface electromyography electrodes were placed on the upper, middle, and lower trapezius fibers according to a previously validated method and MMTs for the three different trapezius muscle test positions were normalized against the new trapezius test position. Results: The new trapezius MMT showed very high maximal voluntary isometric contraction (MVIC; 160.80%) for the upper trapezius muscle, high for the middle trapezius muscle (59.23%), and high for the lower trapezius muscle (47.54%) when normalized against the MVICs for each individual trapezius muscle tests. Conclusions: A new MMT that assesses the whole trapezius in its role as an upward scapular rotator was found to be reliable and valid.
AbstractList Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. Purpose: The purpose of this study was to assess the reliability and validity of a new MMT that assesses the entire trapezius muscle instead of the usual method of separating it into three different parts. The new trapezius MMT is similar to the serratus anterior muscle test; however, the testing is performed in the frontal versus sagittal plane. Methods: A convenience sample of 11 subjects was recruited with no known shoulder pathology. Surface electromyography electrodes were placed on the upper, middle, and lower trapezius fibers according to a previously validated method and MMTs for the three different trapezius muscle test positions were normalized against the new trapezius test position. Results: The new trapezius MMT showed very high maximal voluntary isometric contraction (MVIC; 160.80%) for the upper trapezius muscle, high for the middle trapezius muscle (59.23%), and high for the lower trapezius muscle (47.54%) when normalized against the MVICs for each individual trapezius muscle tests. Conclusions: A new MMT that assesses the whole trapezius in its role as an upward scapular rotator was found to be reliable and valid. Adapted from the source document.
UNLABELLEDManual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain.PURPOSEThe purpose of this study was to assess the reliability and validity of a new MMT that assesses the entire trapezius muscle instead of the usual method of separating it into three different parts. The new trapezius MMT is similar to the serratus anterior muscle test; however, the testing is performed in the frontal versus sagittal plane.METHODSA convenience sample of 11 subjects was recruited with no known shoulder pathology. Surface electromyography electrodes were placed on the upper, middle, and lower trapezius fibers according to a previously validated method and MMTs for the three different trapezius muscle test positions were normalized against the new trapezius test position.RESULTSThe new trapezius MMT showed very high maximal voluntary isometric contraction (MVIC; 160.80%) for the upper trapezius muscle, high for the middle trapezius muscle (59.23%), and high for the lower trapezius muscle (47.54%) when normalized against the MVICs for each individual trapezius muscle tests.CONCLUSIONSA new MMT that assesses the whole trapezius in its role as an upward scapular rotator was found to be reliable and valid.
Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. Purpose: The purpose of this study was to assess the reliability and validity of a new MMT that assesses the entire trapezius muscle instead of the usual method of separating it into three different parts. The new trapezius MMT is similar to the serratus anterior muscle test; however, the testing is performed in the frontal versus sagittal plane. Methods: A convenience sample of 11 subjects was recruited with no known shoulder pathology. Surface electromyography electrodes were placed on the upper, middle, and lower trapezius fibers according to a previously validated method and MMTs for the three different trapezius muscle test positions were normalized against the new trapezius test position. Results: The new trapezius MMT showed very high maximal voluntary isometric contraction (MVIC; 160.80%) for the upper trapezius muscle, high for the middle trapezius muscle (59.23%), and high for the lower trapezius muscle (47.54%) when normalized against the MVICs for each individual trapezius muscle tests. Conclusions: A new MMT that assesses the whole trapezius in its role as an upward scapular rotator was found to be reliable and valid.
Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. The purpose of this study was to assess the reliability and validity of a new MMT that assesses the entire trapezius muscle instead of the usual method of separating it into three different parts. The new trapezius MMT is similar to the serratus anterior muscle test; however, the testing is performed in the frontal versus sagittal plane. A convenience sample of 11 subjects was recruited with no known shoulder pathology. Surface electromyography electrodes were placed on the upper, middle, and lower trapezius fibers according to a previously validated method and MMTs for the three different trapezius muscle test positions were normalized against the new trapezius test position. The new trapezius MMT showed very high maximal voluntary isometric contraction (MVIC; 160.80%) for the upper trapezius muscle, high for the middle trapezius muscle (59.23%), and high for the lower trapezius muscle (47.54%) when normalized against the MVICs for each individual trapezius muscle tests. A new MMT that assesses the whole trapezius in its role as an upward scapular rotator was found to be reliable and valid.
Author Donham, Megan
Cibulka, Michael T.
Weissenborn, Dana
Cuppy, Patrick
Ross, and Sandy A.
Rammacher, Hayley
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  givenname: and Sandy A.
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  fullname: Ross, and Sandy A.
  email: mcibulka@maryville.edu, mcibulka@maryville.edu
  organization: Physical Therapy Program, Maryville University, St. Louis, MO, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22957845$$D View this record in MEDLINE/PubMed
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Snippet Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. Purpose: The...
Manual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or pain. The purpose of...
UNLABELLEDManual muscle testing (MMT), the trapezius muscle is an important part of the examination in patients with upper extremity dysfunction or...
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StartPage 242
SubjectTerms Adult
Biomechanical Phenomena
Dysfunction
Electromyography
Female
Humans
Isometric Contraction
Male
Maryland
Muscle Strength
Muscle, Skeletal - physiology
Muscles
Pathology
Predictive Value of Tests
Reference Values
Reliability
Reproducibility of Results
Upper Extremity
Upper limbs
Volition
Young Adult
Title A new manual muscle test for assessing the entire trapezius muscle
URI https://www.tandfonline.com/doi/abs/10.3109/09593985.2012.718856
https://www.ncbi.nlm.nih.gov/pubmed/22957845
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