INSTITUTE OF PHYSICAL MEDICINE & REHABILITATION, OJHA CAMPUS
DOW UNIVERSITY OF HEALTH SCIENCES
DEPARTMENT OF PHYSICAL THERAPY
MUSCLE TEST
No: ________________
Date of Birth: ____________________________ Diagnosis: _________________________
Name: ________________________ Age: ___________ Date Onset: __________________
Referred by: ________________________________________________________________
LEFT RIGHT
TRUNK AND LEGS
Sternal S.C.M Sternal
Clavicular “ Clavicular
Cervical Back Cervical
Dorsal “ Dorsal
Lumbar “ Lumbar
Quadratus Lumborum
Upper Anterior abdominals Upper
Lower “ “ Lower
Medial External oblique Medial
Lateral “ “ Lateral
Lying Latissimus Dorsi Lying
Sitting “ “ Sitting
Transversalis
Glutues maximum
Ilio psoas
Sartorius
Tensor Fascia Latae
Hip abductors
Hip adductors
Inward Hip Rotators Inward
Outward “ “ Outward
Quadriceps
Inner Hamstrings Inner
Outer “ Outer
lying Gastroenemius lying
Standing “ Standing
Anteriortibial
Posterioatobial
Peroneals
Extensorlongusdigitorum
Extensorbrevisdigitorum
Extensorpropriushallueis
Flexorlongusdigitorum
Flexorbrevisdigitorum
Flexorlumbricales
Flexorlongushallueis
Flexorbrevishallueis
DEFORMITIES
Back
Hip
Left Arm Name Right Arm
UPPER LIBMS
Anterior Deltoid Anterior
Middle “ Middle
Posterior “ Posterior
Upper Trapezius Upper
Middle “ Middle
Lower “ Lower
Rhomboids
Clavicular Pectoralismajor Clavicular
Sternal “ Sternal
Outward Rotators Outward
Inward “ Inward
Biceps
Brachioradialis
Triceps
Supinators
Pronators
Flexorcarpiuinaris
Flexorcarpiradialis
Palmarislongs
Extensorcarpluinaris
Extensoncarpiradilislongus
Extensorcarpiradialisbrevis
1 Profundus Finger flexors Profundus 1
2 “ “ 2
3 “ “ 3
4 “ “ 4
1 Sublimis “ “ Sublimis 1
2 “ “ 2
3 “ “ 3
4 “ " 4
1 Fingerextensors 1
2 “ “ 2
3 “ “ 3
4 “ " 4
1 Dorsalinterossei 1
2 “ “ 2
3 “ “ 3
4 “ " 4
Abductor mini digiti
1 Palmar interossei 1
2 “ “ 2
3 “ “ 3
Abductorlonguspolticis
Abductorbrevispollicis
Flexorbrevispollicis
Flexorbrevispollicis
Opponens pollicis
Extensorlonguspollicis
Extensorbrevispollicis
DEFORMITTIES
Shoulder
Elbow
Wrist