Lab foot and ankle MMT

Question 1

how should the patient be positioned for grades 3-5 ankle plantarflexion?

Answer 1

standing on the limb with their knee in full extension

Question 2

how should the patient be positioned for a grade 1-2 ankle plantarflexion?

Answer 2

prone with feet off the end of the table

Question 3

how should the physical therapist be positioned for grades 3-5 ankle plantarflexion?

Answer 3

stand or sit with lateral view of the test limb to ascertain height of heel rise

Question 4

how should the physical therapist be positioned for a grades 2 ankle plantarflexion?

Answer 4

standing at the foot of the patient

Question 5

how should the physical therapist be positioned for grades 0-1 ankle plantarflexion?

Answer 5

standing at the foot of the table in front of the foot being testing palpating the gastoc activity

Question 6

what are the grades for ankle dorsiflexion?

Answer 6

0- no contraction
1- palpable contraction can move partial range
2- hold position against max manual resistance
3- can do only one raise on body weight
4- completes between 2-24 raises at least 50% height
5- completes 25 heel raises full ROM no rest between sets

Question 7

what is the patient position for all grades of ankle dorsiflexion and inversion?

Answer 7

supine with foot at the end of the table

Question 8

what nerve is responsible for ankle dorsiflexion?

Answer 8

tibial nerve (S1-S2)

Question 9

what are the prime movers for ankle dorsiflexion?

Answer 9

gastrocnemius and soleus

Question 10

what is the prime mover for ankle dorsiflexion and inversion?

Answer 10

tibialis anterior

Question 11

what nerve is responsible for ankle dorsiflexion and inversion?

Answer 11

deep fibular nerve (L5)

Question 12

what is the physical therapists position for all grades of ankle dorsiflexion and inversion?

Answer 12

stand at the foot of the table with the patients heel resting on the table. apply resistance as appropriate

Question 13

what should be your cue to patients for dorsiflexion and inversion?

Answer 13

bring your foot up and in towards your body

Question 14

what are the grades for dorsiflexion and inversion?

Answer 14

0- no palpable contraction
1- therapist able to detect activity in muscle
2- completes only partial range
3- completes available range without resistance
4- holds position against strong to moderate resistance
5- holds against max resistance