Evaluation of Muscle Function Flashcards

1
Q

this method is used to evaluate the muscle strength

A

Manual Muscle Test

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2
Q

movement that is away from the floor

A

against gravity

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3
Q

movement that is parallel to the floor

A

gravity-minimized

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4
Q

it is a form of resistance

A

Gravity

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5
Q

what are the general principles of MMT

A
  • Preparation
  • Muscle Grades
  • Substitution
  • Procedure
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6
Q

the mat for testing must be ____ surface

A

hard/firm

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7
Q

which side should be tested first when only 1 side is affected

A

unaffected side

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8
Q

what is the maximal repetition for testing muscle strength

A

3

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9
Q

t/f

if there is presence of pain, swelling and mm spasm, MMT is still possible provided there is assistance and precaution

A

False

-test would not be accurate

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10
Q

t/f

ROM should be tested first before MMT

A

true

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11
Q

t/f

there is a possibility that the pt has limited ROM but normal mm strength

A

true

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12
Q

identify what mm grade is being identified

no mm contraction is felt

A

0 - zero

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13
Q

identify what mm grade is being identified

part moves through complete ROM against gravity and maximal resistance

A

5- normal

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14
Q

identify what mm grade is being identified

-less than 50% ROM against gravity
or
-complete ROM with gravity minimized c slight resistance

A

2+ Poor plus

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15
Q

identify what mm grade is being identified

complete ROM with gravity-minimized

A

2 Poor

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16
Q

identify what mm grade is being identified

-observed contraction but no motion

A

1 trace

17
Q

identify what mm grade is being identified

more than 50% ROM against gravity

A

3- fair minus

18
Q

identify what mm grade is being identified

complete ROM against gravity with moderate resistance

A

4 good

19
Q

identify what mm grade is being identified

complete ROM against gravity

A

3 fair

20
Q

remember:

A

P- (inc ROM; Gravity minimized
P+ (less than 50% ROM; Gravity minimized; slight resistance)
F- (more than 50% ROM; against gravity
F+ (complete ROM; against gravity; slight resistance)

21
Q

6 steps procedure for testin

A
  1. position
  2. stabilize
  3. palpate
  4. observe
  5. Resist
  6. grade
22
Q

which hand should be at the origin of the mm for stabilization

A

proximal hand

23
Q

which hand provides resistance

A

distal hand

24
Q

identify the abnormal muscle tone

absence of tone; absence of deep tendon reflexes

A

Flaccidity

25
Q

identify the abnormal muscle tone

decreased in normal mm tone (low tone)

A

Hypotonus

26
Q

identify the abnormal muscle tone

increase in mm tone

A

Hypertonus

27
Q

tone that is caused by injury of the brain

A

Cerebral hypertonia

28
Q

tone that results from injuries of the spinal cord that is not velocity-dependent

A

spinal hypertonia

29
Q

a motor disorder characterized by velocity-dependent increase in tonic stretch reflex; exaggerated tendon jerks

A

Spasticity

30
Q

type of spasticity characterized by repetitive contraction in antagonistic muscle in response to rapit stretch

A

clonus

31
Q

identify the abnormal muscle tone

simultaneous increase in mm tone of agonist and antagonist mm

A

rigidity

32
Q

type of rigidity

there is constant resistance is felt throughout the ROM when part is moved slowly and passively

A

lead pipe rigidity

33
Q

type of rigidity

rhythmic give in resistance occurs

A

cogwheel rigidity

34
Q

two types of rigidity that occur after TBI that occur immediately after injury and last for few days or weeks or worst no recovery

A

decerebrate and decorticate rigidity

35
Q

type of rigidity

where there is rigid extension posturing of all limbs and neck

A

decerebrate rigidity

36
Q

type of rigidity

flexion hypertonus in UE and Extension tone in LE

A

decorticate rigidity

37
Q

scales used to manually rate spasticity

A

ashworth scale

modiefied ashworth scale

38
Q

ashworth scale grade when there is marked increase in mm tone and limb easily flexed

A

2

39
Q

ashworth scale grade when limb is rigid in flex/ext

A

4