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Upper Trapezius: Now watch me, turn your head like I do and shrug your shoulder up. (demonstrate test position). Now I'm going to try to push your shoulder and Manual Muscle Testing · Perform ROM first. Active range of motion first- then passive PRN (as needed) · Explain procedure to patient. “I'd like to take a look at Perform ROM first · Explain procedure to patient · Demonstrate each movement · Position limb to be tested AGAINST GRAVITY · Have patient move through full AROMAssessment: Upper Extremity Manual Muscle Testing (MMT) Preparation: Pedretti's Occupational Therapy Practice Skills for Physical Dysfunction (7th ed.,