Skip to main content

Table 1 The clinical examination

From: Occurrence and co-existence of localized musculoskeletal symptoms and findings in work-attending orchestra musicians - an exploratory cross-sectional study

 

Palpation soreness/ pain

Trigger points

Active range of motion

Functional (active) motion

Pain at active motion

Muscle test (resistance test) for force and pain

Nerve roots or peripheral nerves in tests

Hypermobile

Neck

        

Flexion

  

×~

 

×

   

Extension

  

×~

 

×

   

Rotation

  

×~

 

×

   

Lateral flexion

  

×~

 

×

   

Foramen compression

      

×C5-Th1

 

Posterior paravertebral neck muscles

×

×

      

Scalenus muscles

×

×

      

Upper back

        

Trapezius muscles

×

×

      

Supraspinatus muscles

×

×

      

Infraspinatus muscles

×

×

      

Levator scapulae muscles

×

×

      

Lower back

        

Finger-floor-distance

   

×~

   

×+

Shoulders

        

Flexion

  

× ~ *

 

× ~ *

   

Abduction

  

× ~ *

 

× ~ *

×~

× Ax Ss

 

Extension

  

×~

 

×~

   

Cross over test

   

× ~ *

× ~ *

   

Functional external rotation

   

×*

    

Functional internal rotation

   

×*

    

Elbows

        

Flexion

  

×~

 

×

×~

× Mc

 

Extension

  

×~

 

×

×~

× Ra

×+

Supination

  

×~

 

×

×~

× Mc Ra

 

Pronation

  

×~

 

×

×~

× Me

 

Midposition

     

×

  

Lateral epicondyle

×~

       

Medial epicondyle

×~

       

Wrist flexors, muscle bellies & tendons

×~

       

Wrist extensors, muscle bell. & tendons

×~

       

Wrists and hands

        

Extension of the wrist

  

×~

 

×

×~

× Ra

 

Flexion of the wrist

  

×~

 

×

×~

× Me Ul

 

1st tunnel (ext. poll. br., abductor long.)

×~

       

Finkeltstein

×~

       

Tinnel’s test

      

× Me

 

Opposition of 1st finger

   

×~

×

 

× Me

 

Abduction of 5th finger

   

×~

  

× Ul

 

Froment’s test

   

×

  

× Ul

 

Extension of little finger

       

×+

Thumb to forearm

       

×+

Knees

        

Knees

       

×+

  1. Symbol key:
  2. × = Examined.
  3. ~ = As described by Stanley Hoppenfeld.
  4. * = From the Constant-Murley shoulder test.
  5. + = For Beighton’s hypermobility score.
  6. C5-Th1 = Nerve root C5-Th1.
  7. Ax = axillary nerve.
  8. Ss = Subscapular nerve.
  9. Ra = radial nerve.
  10. Me = median nerve.
  11. Mc = musculocutaneous nerve.