Goniometry & MMT, Posture & Gait

Question 1

What are the key concepts that the PTA must do to protect the patient and themselves while performing goniometry and MMT

Answer 1

• stabilize the joint

- support of the joint

Question 2

What are the contraindications for goniometry and MMT

Answer 2

• unstable joint
• cancer in the joint
• severe osteoporosis
• muscle tear

Question 3

Which contraindication is specific to MMT

Answer 3

muscle & tendon tear or separation

Question 4

MMT Grades

Answer 4

5(normal) 4(good) 3(fair) 2(poor) 1(trace) 0 (zero)

Question 5

What is the most important activity that the PTA should assess prior to performing an active resistive manual muscle test?

Answer 5

• The patient must be able to complete full ROM against gravity.

Question 6

What muscles are associated with postural control

Answer 6

erector spinae group, rectus abdominus/transverse abdominus, obliques Internal/external

Question 7

What happens to posture when the knees are locked or in hyperextension

Answer 7

hyperlordosis and anterior pelvic tilt

Question 8

Name the 4 major control components/structures associated with balance and postural control

Answer 8

Vision, proprioception, vestibular, cerebellum

Question 9

Paralysis of the tibialis anterior gait pattern

Answer 9

– foot slap (deep peroneal nerve)

Question 10

Paralysis of the right superior gluteal nerve gait pattern

Answer 10

• pelvic drop (contralateral) trendelenberg

Question 11

Paralysis of the inferior gluteal nerve gait pattern

Answer 11

• cant decelerate swing, cant raise the body when walking

Question 12

Acute apophysitis of the greater trochanter gait pattern

Answer 12

• abduction and external rotation will be limited

Question 13

Paralysis of the femoral nerve gait pattern

Answer 13

knee extension (quads)

Question 14

What will the patient do to compensate during the gait cycle for injury to the lesser trochanter

Answer 14

• patient will cicrumduct foot around because of iliac and psoas major