Grade 4-5 : «Good and Normal Strength»
•Patientis sittingas in Gr. 3.
•Therapist is behind,Proximal hand stabilizes the scapula,distal hand gives resistance above the elbow joint.
•Gr.4:Moderate resistance is given opposite the line of motion.
•Gr.5:Maximum resistance + Hold position is kept at the end of the range.
•Command: Pull your arm up in front of you and your palm to the floor + resist (for gr.5 : hold) at the end of the motion(to90°).