Indications:

Pectoralis Major Contracture test is a shoulder examination used to determine tightness in the pectoralis major muscles.

Procedure:

  1. Patient supine, examiner instructs patient to interlock fingers together behind head, examiner then proceeds to apply downward pressure over the elbows.
Pectoralis Major Contracture test for shoulder

Patient supine, examiner instructs patient to interlock fingers together behind head, examiner then proceeds to apply downward pressure over the elbows.

Interpretation:

Positive Elbow does not reach examination table → Tight pectoralis major muscle (decreased flexibility).

Clinical notes:

Imbalances of the pectoralis major muscle may result in rolling forward of the shoulders & is commonly seen in patients with prolonged poor postures (hyperkyphosis) or lack of stretching.