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MSK - 3 - Assessment Skills > Lower Quarter Manual Muscle Testing > Flashcards

Lower Quarter Manual Muscle Testing Flashcards

1
Q

Assessment Skills

Lumbar Flexion (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: N/A
Stabilization: N/A
Hand Placement: Graded by Arm Position
Force Direction: None
* 5 = Hands Behind Head
* 4 = Arms Over Chest
* 3 = Arms By Side
* 2 = Rib Cage Movement
* 1 = Activity Without Movement

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2
Q

Assessment Skills

Lumbar Obliques (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: N/A
Stabilization: N/A
Hand Placement: Graded by Arm Position
Force Direction: None
* 5 = Hands Behind Head
* 4 = Arms Over Chest
* 3 = Arms By Side of Rotation
* 2 = Rib Cage Movement
* 1 = Activity Without Movement

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3
Q

Assessment Skills

Lower Abdominals (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: N/A
Stabilization: N/A
Hand Placement: Graded by Leg Angle
Force Direction: None
* 5 = Lower to 0°
* 4 = Lower to 30°
* 3 = Lower to 75°
* 2 = Able to maintain the start position
* 1 = Unable to maintain the start position

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4
Q

Assessment Skills

Lumbar Extension (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Prone
Therapist Position: N/A
Stabilization: N/A
Hand Placement: Graded by Arm Position and Quality
Force Direction: None
* 5 = Arms Behind Head
* 4 = Arms Behind Head, Wavering
* 3 = Arms at Sides
* 2 = Arms at Sides, Partial Movement
* 1 = Contraction Without Movement

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5
Q

Assessment Skills

Hip Flexion (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sitting
Therapist Position: Standing; Ipsilateral
Stabilization: Ipsilateral Iliac Crest
Hand Placement: Distal Femur
Force Direction: Toward the Floor

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6
Q

Assessment Skills

Hip Extension (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Prone
Therapist Position: Standing
Stabilization: Ipsilateral PSIS
Hand Placement: Distal Femur
Force Direction: Toward the Table

To bias the Gluteus Maximus, bend the patient’s Knee.

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7
Q

Assessment Skills

Hip Abduction (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Up
Therapist Position: Standing Behind Patient
Stabilization: Ipsilateral Pelvis
Hand Placement: Distal Femur
Force Direction: Toward the Table

To bias:
* Glute Medius: Push into Slight Flexion
* Glute Minimus: Push into Slight Extension
* TFL: Push into Extension & ER

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8
Q

Assessment Skills

Hip Adduction (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Down
Therapist Position: Standing Behind Patient
Stabilization: Contralateral Leg
Hand Placement: Distal Femur
Force Direction: Toward the Table

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9
Q

Assessment Skills

Hip Internal Rotation (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sitting
Therapist Position: Sitting
Stabilization: Ipsilateral Iliac Crest
Hand Placement: Lateral Distal Lower Leg
Force Direction: Toward the Patient’s Midline

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10
Q

Assessment Skills

Hip External Rotation (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sitting
Therapist Position: Sitting
Stabilization: Ipsilateral Iliac Crest
Hand Placement: Medial Distal Lower Leg
Force Direction: Away from the Patient’s Midline

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11
Q

Assessment Skills

Hip Flexion (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Down
Therapist Position: Standing Behind Patient
Stabilization: Contralateral Leg
Hand Placement: N/A
Force Direction: None, Towel Under Leg

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12
Q

Assessment Skills

Hip Extension (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Down
Therapist Position: Standing In Front of Patient
Stabilization: Contralateral Leg
Hand Placement: N/A
Force Direction: None, Towel Under Leg

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13
Q

Assessment Skills

Hip Abduction (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing; Ipsilateral
Stabilization: Ipsilateral Pelvis
Hand Placement: N/A
Force Direction: None; Towel Under Leg

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14
Q

Assessment Skills

Hip Adduction (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing; Ipsilateral
Stabilization: Ipsilateral Pelvis
Hand Placement: N/A
Force Direction: None; Towel Under Leg

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15
Q

Assessment Skills

Hip Internal Rotation (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing; Ipsilateral
Stabilization: Ipsilateral Pelvis
Hand Placement: N/A
Force Direction: None

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16
Q

Assessment Skills

Hip External Rotation (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing; Ipsilateral
Stabilization: Ipsilateral Pelvis
Hand Placement: N/A
Force Direction: None

17
Q

Assessment Skills

Knee Flexion (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Prone
Therapist Position: Standing; Ipsilateral
Stabilization: Ipsilateral Iliac Crest
Hand Placement: Distal Lower Leg
Force Direction: Into Extension

18
Q

Assessment Skills

Knee Extension (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sitting
Therapist Position: Standing
Stabilization: Ipsilateral Iliac Crest
Hand Placement: Distal Lower Leg
Force Direction: Into Flexion

19
Q

Assessment Skills

Knee Flexion (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-side Down
Therapist Position: Standing In Front of the Patient
Stabilization: Contralateral Leg
Hand Placement: N/A
Force Direction: None

20
Q

Assessment Skills

Knee Extension (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Down
Therapist Position: Standing Behind the Patient
Stabilization: Contralateral Leg
Hand Placement: N/A
Force Direction: None

21
Q

Assessment Skills

Ankle Dorsiflexion (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sitting
Therapist Position: Sitting
Stabilization: Posterior Distal Lower Leg
Hand Placement: Dorsal Medial Foot
Force Direction: Toward Floor/Plantarflexion

22
Q

Assessment Skills

Ankle Plantarflexion (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Standing
Therapist Position: Standing
Stabilization: Wall
Hand Placement: N/A
Force Direction: None, Graded by Reps

  • 3 = 1-9 reps
  • 4 = 10-24 reps
  • 5 = 25+ reps

To bias the gastrocnemius, keep the knee straight.
To bias the soleus, keep the knee bent.

23
Q

Assessment Skills

Ankle Dorsiflexion (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Sitting or Standing
Stabilization: Posterior Distal Lower Leg
Hand Placement: N/A
Force Direction: None

24
Q

Assessment Skills

Ankle Plantarflexion (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Prone
Therapist Position: Standing or Sitting
Stabilization: Anterior Distal Lower Leg
Hand Placement: N/A
Force Direction: None

To bias the gastrocnemius, keep the knee straight.
To bias the soleus, keep the knee bent.

25
Q

Assessment Skills

Ankle Inversion (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Down
Therapist Position: Standing
Stabilization: Anteromedial Tibia
Hand Placement: Medial Foot
Force Direction: Toward the Floor

26
Q

Assessment Skills

Ankle Eversion (3-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Sidelying; Involved-leg Up
Therapist Position: Standing
Stabilization: Anterolateral Tibia
Hand Placement: Lateral Foot
Force Direction: Toward the Floor

27
Q

Assessment Skills

Ankle Inversion (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing
Stabilization: Anteromedial Tibia
Hand Placement: N/A
Force Direction: None

28
Q

Assessment Skills

Ankle Eversion (0-2)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing
Stabilization: Anterolateral Tibia
Hand Placement: N/A
Force Direction: None

29
Q

Assessment Skills

Metatarsophalangeal Flexion (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing
Stabilization: Dorsal Metatarsals
Hand Placement: Proximal Phalange
Force Direction: Into Extension

30
Q

Assessment Skills

Metatarsophalangeal Extension (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing or Sitting
Stabilization: Plantar Metatarsals
Hand Placement: Proximal Phalange
Force Direction: Into Flexion

31
Q

Assessment Skills

Foot Interphalangeal Flexion (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing or Sitting
Stabilization: Proximal Phalange
Hand Placement: Distal Phalange
Force Direction: Into Extension

32
Q

Assessment Skills

Foot Interphalangeal Extension (0-5)
* Patient Position?
* Therapist Position?
* Stabilization?
* Hand Placement?
* Force Direction?

Manual Muscle Testing

A

Patient Position: Supine
Therapist Position: Standing or Sitting
Stabilization: Proximal Phalange
Hand Placement: Distal Phalange
Force Direction: Into Flexion

MSK - 3 - Assessment Skills (9 decks)

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