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Patient Management > LE ROM and MMT Testing > Flashcards

LE ROM and MMT Testing Flashcards

1
Q

90/90 Knee Extension PROM

Documentation, normal value, endfeel

A
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2
Q

SLR Position Hip Flexion ROM

- Pt position, landmarks

A
  • Supine, palpate ASIS for post. pelvic tilt
  • PROM only, hamstring length test
  • stationary: trunk midline
  • axis: greater troch
  • moving: femur midline to lat epicondyle
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3
Q

SLR Position Hip Flexion

- document, Normal value, endfeel

A

“Supine PROM SLR R Hip Flexion: 62º”

- no endfeel, or firm muscular if hamstrings tight

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4
Q

Hip Flexion ROM

- Pt position, landmarks

A
  • Supine, palpate ASIS, knee flexes with hip, PROM only
  • Stationary: trunk midline
  • Axis: greater troch
  • moving: midline femur to lat epicondyle
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5
Q

Hip Flexion ROM

- Document, normal, endfeel

A

“Supine PROM L Hip Flexion: 0º-120º”

- no endfeel, post pelvic tilt

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6
Q

1st MTP Extension ROM

- position, landmarks

A
  • Supine w foot off edge
  • stationary: midline 1st MT
  • axis: 1st MTP joint
  • moving: midline 1st proximal phalanx
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7
Q

1st MTP Extension ROM

- document, normal, endfeel

A

“Supine PROM L 1st MTP Extension: 0º-70º with a firm endfeel”

(AROM first)

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8
Q

Ankle Composite PF ROM

- position, landmarks

A
  • supine, foot off edge, do DF first to make sure can get to 0º
  • stationary: midline shank toward fibular head
  • axis: distal to lat malleolus
  • moving: parallel to base of calcaneus
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9
Q

Ankle Composite PF ROM

- document, normal, endfeel

A

“Supine PROM R Ankle Composite PF: 0º-50º with a firm endfeel”

AROM too

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10
Q

Ankle Composite DF ROM

- position, landmarks

A
  • supine, foot off edge
  • note resting position
  • stationary: midline shank to fibular head
  • axis: distal to lat malleolus
  • moving: parallel to base calcaneus
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11
Q

Ankle Composite DF ROM

- document, normal, endfeel

A

“Supine PROM R Ankle Composite DF: 0º-20º with a firm endfeel”

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12
Q

Knee Extension ROM

- position, landmarks

A
  • supine, bolster under ankle
  • stationary: midline femur to greater troch
  • axis: lat epicondyle femur
  • moving: midline shank to lat malleolus
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13
Q

Knee Extension ROM

- document, normal, endfeel

A

“Supine PROM L Knee Ext: 0º with a firm endfeel”
or
0º-5º means hyperext.

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14
Q

Knee Flexion ROM

- position, landmarks

A
  • supine
  • stationary: midline femur to greater troch
  • axis: lat epicondyle femur
  • moving: midline shank to lat malleolus
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15
Q

Knee Flexion ROM

- document, normal, endfeel

A

“Supine PROM L Knee Flexion: 0º-140º with a soft endfeel”

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16
Q

MMT Grading System

A 
5 = holds max resistance
4 = mod resistance
3+ = min resistance
3 = full ROM against gravity
3- = over 50% ROM against gravity
2+ = under 50% ROM against gravity
2 = full ROM in gravity eliminated
2- = partial ROM in gravity eliminated
1 = palpable muscle contraction
0
17
Q

Hip Flexion MMT

A
  • Iliacus & Psoas Major
  • Femoral Nerve
  • Pt seated w legs dangling, stabilize iliac crest or shoulder, don’t need to palpate
  • “R Hip Flexion OR Iliopsoas 4/5” - still normal
18
Q

Knee Extension MMT

A
  • Quadriceps
  • Femoral nerve
  • Pt seated w legs dangling, *towel under test knee, stabilize upper thigh, palpate quads, *apply resistance in slight flexion
  • “R Knee Ext OR Quadriceps MMT 5/5”
19
Q

Knee Flexion MMT

A
  • Hamstrings
  • Sciatic nerve
  • Pt prone w feet off table, stabilize pelvis, palpate hamstrings, *apply resistance in 50-70º flexion
  • *watch for hip flexion (sartiorius) or PF (gastroc)
  • “R Knee Flexion OR hamstrings 5/5”
20
Q

Ankle DF MMT

A
  • Tibialis Anterior
  • Common Fibular
  • Pt seated w legs dangling, stabilize behind calf, palpate tib ant, DF and invert, *apply resistance in PF/eversion direction
  • “R DF or tibialis anterior MMT 5/5”
21
Q

Ankle PF MMT

A
  • Gastroc & Soleus
  • Tibial N
  • Heel raises: *1 bilateral first to see full ROM, then single leg, hold hands for balance, don’t count compensations
  • “R PF or Gastroc-soleus 25/25 single leg heel raises”
22
Q

1st MTP Extension MMT

A
  • Extensor Hallucis Longus
  • Deep Fibular N
  • Pt seated w legs dangling, stabilize forefoot in neutral, palpate tendon, *apply resistance with thumb
  • “R Great toe extension OR extensor hallucis longus MMT 5/5”
23
Q

90/90 Position Knee Extension ROM

- Pt position and landmarks

A
  • supine, testing hip and knee flexed to 90º, other leg extended
  • PROM only, hamstring length test
  • stationary: midline of femur toward greater troch
  • axis: lat epicondyle femur
  • moving: midline of shank to lat malleolus
24
Q

Hip Abduction MMT

A
  • Gluteus medius
  • Pt sidelying, bottom leg flexed, *trunk & pelvis rotated slightly forward (eliminate TFL)
  • Stabilize pelvis (eliminate QL), ABD & slightly extend hip, palpate glut med, resistance on distal aspect of femur
  • “R Hip ABD or Gluteus Medius MMT 5/5”
25
Q

Hip Adduction

A
  • Adductors, Pectineus, Gracilis, L2-L4
  • Pt sidelying, stabilize pelvis w trunk & hold upper leg in *30 ABD, adduction w femur & pelvis in neutral, palpate adductors, resistance on distal femur
  • “R Hip Adduction MMT 5/5”
26
Q

Hip Extension MMT

A
  • Glut max, inf gluteal N
  • Pt prone OR standing with upper body on table (if positive Thomas test)
  • Stabilize pelvis, 90º knee FL (avoid hamstrings**), palpate glut max, if standing hold ankle while applying force to femur
  • “R Hip Extension MMT 5/5”
27
Q

Hip External Rotation MMT

A
  • Little 6 ER’s L4-S2
  • Pt. seated w legs dangling, stabilize distal femur, **watch for hip flexion/trunk lean, no need to palpate
  • “Hip ER MMT 5/5”
28
Q

Hip Internal Rotation MMT

A
  • Glut min/med, TFL, sup gluteal
  • Pt seated w legs dangling, stabilize medial distal femur, palpate glut med/TFL
  • watch for hip flexion/pelvis elevation/trunk lean
  • “R Hip internal rotators MMT 5/5”
29
Q

Toe Extension MMT

A
  • extensor digitorum longus & brevis, deep peroneal N
  • Pt. seated w legs dangling, ankle neutral, stabilize MT, palpate dorsal-lateral foot, apply resistance with fingers on toes like piano keys
  • Compensation: ankle DF
  • “R toe extension MMT 5/5”
30
Q

Peroneals MMT

A
  • Peroneus longus & brevis, superficial peroneal nerve
  • Pt. long sitting/supine w feet off table, stabilize distal shin, PF-evert, palpate peroneals
  • stand on medial side of foot, hold under foot, pull in DF-inversion
  • subs: toe FL, PF-inversion using posterior compartment
  • “R peroneus longus & brevis MMT 5/5”
31
Q

Tibialis Posterior MMT

A
  • Pt. long sitting or supine w feet off table, stabilize shin, PF & invert, palpate tib post tendon
  • Hand wrapped under foot, pull in DF & eversion
  • Watch for toe FL or DF-inversion
  • R tibialis posterior MMT 5/5”

Patient Management (3 decks)

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