PECTORALIS MAJOR CONTRACTURE TEST
• Test positioning
The client lies supine with both hands clasped together behind the head.
The therapist stands directly behind the client.
• Action
The therapist passively moves the client's elbows toward the table.
The client is asked to relax the upper extremity musculature during this movement.
• Positive finding
A pectoralis major muscle contracture is suspected if the client is unable to passively have his elbow(s) reach the table.
• Special considerations & comments
It is important to be sure the client is relaxed and no upper trunk rotation occurs, allowing for one side to appear restricted.
This test is primarily used to assess tissue extensibility and should not be accompanied by any unexplained shoulder pain.
The Pectoralis Major Contracture Test is based on the work of Dr. James Cyriax and Dr. Vladimir Janda, whose contributions to understanding muscle function and postural assessment have been significant.