MMT

Question 1

clinical correlation of capital extensors

Answer 1

they are needed for swallowing and keeping airway open

Question 2

torticollis

Answer 2

contracture of SCM

results in: flexion to affected side, rotation to opposite side

Question 3

forward head clinical correlations

Answer 3

cervical extensors are weak

Question 4

muscles of inspiration

Answer 4

quiet: diaphragm
forced: diaphragm, intercostals

Question 5

muscles of expiration

Answer 5

quiet: diaphragm
forced: all abdominals, intercostals, latissimus dorsi

Question 6

coughing test

Answer 6

functional: crisp, clear, sharp; able to clear secretions

weak functional: labored, decreased air volume, several attempts needed to clear secretions

nonfunctional: minute cough, does not accomplish much
zero: cough is absent

Question 7

when was MMT created

Answer 7

pre-WWI, during the polio pandemic

Question 8

what is the grading scale of MMT

Answer 8

5-0

5 being best possible response

Question 9

methods of MMT (3)

Answer 9

break (our method)
make
active resistance

Question 10

application points for resistance

Answer 10

1 joint muscles: end of range

2 joint muscles: mid range

Question 11

motricity index

Answer 11

for CVA patients

UE: shoulder elevation, elbow flexion, hand grasp

LE: hip flexion, knee extension, ankle dorsiflexion/plantarflexion

Question 12

motor index score

Answer 12

for SCI patients

based on nerve root levels

Question 13

frailty inclusions

3 or more needed

Answer 13

unintentional weight loss
exhaustion
grip strength reduced
walking speed decreased
low activity overall

Question 14

community mobility requirements

Answer 14

ability to walk 300m, on/off curbs, change directions, uneven surfaces, over objects, up/down stairs

stoop, lift, carry 7.5 lbs, reach

Question 15

sulcus sign

Answer 15

weakness or paralysis of deltoid and supraspinatus

results in downward subluxation of humerus if arm remains unsupported in hanging position

Question 16

foot drop

Answer 16

weakness in EDL+B, tibialis anterior

Question 17

clinical significance of weak toe flexors

Answer 17

toes will hyperextended (because flexors are not balancing it)

pronation will occur in WB

Question 18

hammer-toe

Answer 18

weakness of FHB

FHL = flexion @IP
FHB gone, so extension will occur at MTP

Question 19

clinical significance of tibialis posterior weakness

Answer 19

not able to invert and plantarflex

results in pronation and decreased support along longitudinal arch

not able to do single leg heel raise

Question 20

equinus

Answer 20

plantarflexor contracture