MMT Flashcards
clinical correlation of capital extensors
they are needed for swallowing and keeping airway open
torticollis
contracture of SCM
results in: flexion to affected side, rotation to opposite side
forward head clinical correlations
cervical extensors are weak
muscles of inspiration
quiet: diaphragm
forced: diaphragm, intercostals
muscles of expiration
quiet: diaphragm
forced: all abdominals, intercostals, latissimus dorsi
coughing test
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
when was MMT created
pre-WWI, during the polio pandemic
what is the grading scale of MMT
5-0
5 being best possible response
methods of MMT (3)
break (our method)
make
active resistance
application points for resistance
1 joint muscles: end of range
2 joint muscles: mid range
motricity index
for CVA patients
UE: shoulder elevation, elbow flexion, hand grasp
LE: hip flexion, knee extension, ankle dorsiflexion/plantarflexion
motor index score
for SCI patients
based on nerve root levels
frailty inclusions
3 or more needed
unintentional weight loss exhaustion grip strength reduced walking speed decreased low activity overall
community mobility requirements
ability to walk 300m, on/off curbs, change directions, uneven surfaces, over objects, up/down stairs
stoop, lift, carry 7.5 lbs, reach
sulcus sign
weakness or paralysis of deltoid and supraspinatus
results in downward subluxation of humerus if arm remains unsupported in hanging position
foot drop
weakness in EDL+B, tibialis anterior
clinical significance of weak toe flexors
toes will hyperextended (because flexors are not balancing it)
pronation will occur in WB
hammer-toe
weakness of FHB
FHL = flexion @IP
FHB gone, so extension will occur at MTP
clinical significance of tibialis posterior weakness
not able to invert and plantarflex
results in pronation and decreased support along longitudinal arch
not able to do single leg heel raise
equinus
plantarflexor contracture
