Lecture 1: ROM and MMT

Question 1

What are two types of movement analysis?

Answer 1

Qualitative and Quantitative

Question 2

Qualitative Analysis

Answer 2

direct observation of motion, quality of movement

Question 3

Quantitative Analysis

Answer 3

numeric evaluation of motion

Question 4

What is functional movement

Answer 4

a coordination of movements throughout kinetic chain to produce PURPOSEFUL movements

Question 5

Range of Motion (ROM) assesment

Answer 5

quantitative measure of joint integrity

angle between two bony segments

Question 6

What is the standard measure of error that is accepted?

Answer 6

5 degrees either way

Question 7

AROM goniometer procedure

Answer 7

position pt—explain procedure—AROM—align goni—take reading

Question 8

PROM goniometer procedure

Answer 8

position pt—explain procedure—PROM—assess end feel—align goni—take reading

Question 9

Kaltenborn End feel classifications

Answer 9

1. soft
2. firm
3. hard
4. empty?

Question 10

Soft end feel (tissue approximation)

Answer 10

when two tissues come together and prevent further movement

ex. elbow flexion

Question 11

Firm end feel (capsular)

Answer 11

majority of joints

joint capsule or ligaments are tense

this is ok, unless not near normal

Question 12

Hard (bone to bone)

Answer 12

bone touching bone is limiting ROM

ex. elbow extension

Question 13

Empty end feel

Answer 13

pt. telling PT to stop during ROM screening due to pain

Question 14

What does it mean if AROM and PROM are equal to uninvolved?

Answer 14

Joint integrity is intact

Question 15

PROM greater than AROM?

Answer 15

the pt has some type of muscle dysfunction/strength defecit

Question 16

Both PROM and AROM are decreased?

Answer 16

the pt has joint dysfunction

Question 17

What is a break test?

Answer 17

get pt into motion and try to break that motion

Question 18

Grade 0

Answer 18

zero

no contractions felt in the muscle

Question 19

Grade 1

Answer 19

trace (T)

tendon or muscle shows slight contraction or movement but no movement of part

Question 20

Grade 2-

Answer 20

Poor-

moves through partial range in anti gravity minimized position

Question 21

Grade 2

Answer 21

Poor

moves through complete range in anti gravity position

Question 22

Grade 2+

Answer 22

Poor+

moves through full range of motion with slight resistence

Question 23

Grade 3-

Answer 23

Fair-

does not complete full ROM but more than 50%

Question 24

Grade 3

Answer 24

Fair

full AROM AG with no resistance

Question 25

Grade 3+

Answer 25

Fair+

Full AROM AG, with minimal resistance

Question 26

Grade 4

Answer 26

good

full AROM AG, accepts moderate resistance

Question 27

Grade 5

Answer 27

normal

full AROM AG, accepts maximal resistance

Question 28

Procedure for MMT

Answer 28

position PT in AG position—explain and demo—-stabilize proximal segment—observe movement

then either Full ROM AG with resistance

or Not full ROM AG- position in gravity minimized