F&A II Ch 8 Assessment of Muscle Strength Flashcards
What is the role of the OTA ?
- Service competency
- State regulations
- Facility policy
- data collection
- measurement for muscle testing
- basic gross muscle testing of the UE.
What must OT link strength to?
Performance
Name the general purposes of muscle strength measurement.
- Used for assessment for various conditions
- Establish a baseline for tx
- Assess its effect on occupational performance
- Prevent deformities
- Determine the need for assistive devices
- Evaluate tx
What are the methods of evaluation?
- Testing individual muscles
- Assessing groups performing a specific function
- Observing the performance of activity
- Using the functional muscle test for screening
- Relationship between joint ROM & muscle testing
Name the relationship between joint ROM & muscle testing.
- Strength of the muscle to move the joint through the available ROM
- Strength of the muscle to hold the joint against resistance
What is the purpose of manual muscle testing?
Used to measure maximal contraction
What are the limitations of manual muscle testing?
- Cannot measure muscle endurance, coordination, or performance capabilities
- Cannot be used when spasticity is present
How does the OTP prepare for manual muscle testing?
Visual check of muscle & observation of quality of movement during ROM
How does the OTP position for manual muscle testing?
Comfortable on a firm surface
Name the 2 factors for influencing muscle function.
- Gravity
- Substitution
For muscle grades, who determines the resistance to be assigned?
Examiner
What Pt factors must be considered when determining muscle grade?
- Age, gender, occupation
- Pain, swelling, spasm
- Psychological factors
What is the muscle grade for no contraction?
0, zero
What is the muscle grade for contraction felt, no motion?
1, trace
What is the muscle grade for incomplete ROM, no gravity?
2-, poor minus
What is the muscle grade for complete ROM, no gravity?
2, poor
What is the muscle grade for incomplete ROM against gravity or complete ROM against slight resistance?
2+, poor plus
What is the muscle grade for incomplete ROM (>50%) against gravity?
3-, fair minus
What is the muscle grade for complete ROM against gravity?
3, fair
What is the muscle grade for complete ROM against gravity with slight resistance?
3+, fair plus