MUSCLES OFSHOULDER REGION

OBJECTIVE:Origin and insertion of shoulder muscles

Enlist the flexors & Abductors of the shoulder joint along with their origin and
insertion and nerve supply

Muscle Origin Insertion Nerve supply

Deltoid (Anterior) Clavicle. Deltoid tuberosity on Axillary nerve
(anterior superior lateral humerus.
border of lateral
1/3 of shaft)
Coracobrachialis Coracoid process Middle of the medial Musculocutaneous
of scapula. border of the humeral nerve
shaft.
Supraspinatus Supraspinaous Most superior facet Suprascaplar
forsa,medial 2/3. on the greater nerve.
Supraspinatus tubercle of the
fascia . humerus.
Deltoid (middle) Scapula Humerus. Axillary nerve.
(acromion, lateral (deltoid tuberosity on
margin, superior shaft via humeral
surface and crest tendon)
of spine)
DELTOID (ANTERIOR) & CORACOBRACHAILIS

STARTING INSTRUCTION TO
GRADE MOVEMENT PALPATION
POSITION THE PATIENT

Try to raise your No movement. From the

Short sitting arm. clavicle
1 towards the
anterior
humerus.
Try to raise your Completes partial
Short sitting arm. range of motion
2 against gravity.

Raise your arm Completes test

Short sitting forward to shoulder range (90) but
3 height. without resistance.

Short sitting Raise your arm Holds end position

forward to shoulder against strong to
4 height. Hold it. moderate resistance.
Don’t let me push it
down.
Raise your arm Holds end position
Short sitting forward to shoulder (90) against
5 height. Hold it. maximal resistance.
Don’t let me push it
down.
DELTOID (MIDDLE) & SUPRASPIANTUS

STARTING INSTRUCTION TO
GRADE MOVEMENT PALPATION
POSITION THE PATIENT

Try to hold your No movement. From the

Short sitting arm out to the side. lateral border
of the
1 acromion
down toward
the deltoid
tuberosity.
Try to lift your arm Competes partial
Short sitting out to the side. range of motion.
2

Lift your arm out to Completes range of

Short sitting the side to shoulder motion to 90 with
3 level. no manual
Hold it. Don’t let resistance.
me push it down.
Lift your arm out to Holds end test
Short sitting the side to shoulder position against
4 level. strong to moderate
Hold it. Don’t let resistance.
me push it down
Lift your arm out to Holds end test
Short sitting the side to shoulder position against
5 level. maximal downward
Hold it. Don’t let resistance.
me push it down
OBJECTIVE: Origin and insertion & Manual Muscle Testing of Shoulder Joint

Enlist the extensor of the shoulder joint along with their origin and insertion and
nerve supply

Muscle Origin Insertion Nerve supply

Lattismus dorsi Spinous process of the Medial lip of the Thoracodorsal

lumbar and lower six intertubercular nerve.
thoracic vertebrae. groove of the
( T6-T12 and L1-L5) humerus.
Posterior secrum.
Posterior iliac crest.

Teres major Dorsal surface of Inferior facet on the Lower

inferior angle. posterior surface of Subscapular
the greater tubercle of nerve.
the humerus.
Deltoid Spine on lowerlip of Deltoid tuberosity on Axillary nerve.
(Posterior) lateral and posterior mid shaft via humeral
border. tendon.
DELTOID (POSTERIOR) & LATTISMUS DORSI

STARTING INSTRUCTION TO
GRADE MOVEMENT PALPATION
POSITION THE PATIENT

Prone lying Patient attempt to No movement. From the

lift arm from table lower lip of
on request. spine of the
1 scapula
toward the
posterior
humerus.
Lift your arm as Completes partial
Prone lying high as you can. range of motion.
2

Lift your arm as Completes available

Prone lying high as you can. range of motion with
3 no manual resistance.

Lift your arm as Completes available

Prone lying high as you can. range but yields
4 Hold it. against strong
resistance.
Lift your arm as Completes available
Prone lying high as you can. range and holds
5 Hold it. against maximal
resistance.
DELTOID (POSTERIOR)ISOLTAION

STARTING INSTRUCTION TO
GRADE MOVEMENT PALPATION
POSITION THE PATIENT

5
 OBJECTIVE:Origin and insertion & Manual Muscle Testing of Shoulder Joint

Enlist the adductors of the shoulder joint along with their origin and insertion and
nerve supply.

Muscle Origin Insertion Nerve supply

Lateral lip of Medial and
Clavicle (sternal ½ of
Pectorlis major bicipital groove of lateral pectoral
anterior surface)
humerus. nerves.
PECTORALIS MAJOR:

STARTING INSTRUCTION TO
GRADE MOVEMENT PALPATION
POSITION THE PATIENT

Move your arm No movement. Placing a

Short sitting forward. finger on axilla
and pushing
1 obliquely on
the coracoids
process of
scapula.
Move your arm Patient horizontally
Short sitting forward. adducts shoulder
2 through available
range of motion with
the supported arm.
Move your arm Completes available
Supine lying across your chest. range of motion with
3 no resistance.

Move your arm Completes range of

Supine lying across your chest. motion and takes
4 Hold it. Don’t let stong to moderate
me pull it back. resistance.
Supine lying Move your arm Completes range of
 across your chest. motion and takes
Hold it. Don’t let maximal resistance.
me pull it back.