National Physical Therapy Examination (NPTE) Practice Exam

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In which position should a patient be to test the left lower trapezius muscle?

Prone
Supine
Left sidelying
Right sidelying

The correct answer is: Prone

To effectively test the left lower trapezius muscle, the patient should be positioned prone. In this position, the individual lies face down, which allows for proper access and engagement of the lower trapezius during the testing procedure. The therapist can then stabilize the shoulder girdle while resistance is applied to the patient's arm, which helps in isolating the action of the left lower trapezius muscle as it works to depress and retract the scapula. Being in a prone position also ensures that gravity can assist in resistance against the muscle's contraction, making it easier to assess strength. The positioning is essential, as alternative positions such as supine or sidelying may not effectively engage the lower trapezius or could involve compensatory movements from other muscle groups, making it difficult to accurately assess the muscle's strength and function.