MMT Flashcards
For MMT, before thinking of applying force what do you have to make sure to do?
Test AROM & PROM
For MMT when you are going to apply force to the patient, force is always applied at (mid/end) range of available ROM
mid
When performing MMT for elevation of the scapula what muscle(s) is being tested?
The upper trapezius and the levator scapulae
What is the patient position when performing MMT for elevation of the scapula (upper trapezius)?
Seated
Are you only testing 1 scapula at a time before comparing when doing MMT for elevation of the scapula?
Yes
Where do you apply the force to the patient when MMT for elevation of the scapula?
The acromion
What is the gravity minimized position for the MMT of elevation of the scapula?
Prone on the table
When performing MMT for adduction of the scapula what muscle is being tested?
Middle trapezius
What is the patient position when performing MMT for adduction of the scapula (middle trapezius)?
Prone
What is the therapist position when performing MMT for adduction of the scapula (middle trapezius)?
Standing on the contralateral side of the scapula being tested
What does the patient have to do during MMT of scapula adduction to prove they can get through full range of motion?
Lift their arm from an abducted shoulder that is flexed to 90 degrees in that sort of external rotation position and squeeze the scapulas together
Where is the therapist stabilizing in MMT of adduction of the scapula?
The thorax on the side of the scapula that isn’t being tested
In MMT of scapula adduction the therapist is applying resistance into abduction through the (medial/lateral) border of scapula.
medial
What is the gravity minimized position for MMT of scapular adduction? Is there a towel involved? If so, where is it placed?
Seated on the end of the table as close to the table as possible facing perpendicularly with the towel placed over the entire arm to eliminate resistance
Where is the therapist stabilizing in MMT of adduction of the scapula in a gravity minimized position?
Over the superior aspect of the opposite shoulder
What does the patient have to do in the gravity minimized position for scapular adduction?
Slide the towel to adduct the scapula
When performing MMT for adduction/downward rotation of the scapula what muscle is being tested?
The rhomboids
What is the patient position when performing MMT for adduction/downward rotation (rhomboids) of the scapula
Prone
What is the therapist position when performing MMT for adduction/downward rotation (rhomboids) of the scapula ?
Standing on the contralateral side of the scapula being tested
Where is the therapist stabilizing in MMT of adduction/downward rotation (rhomboids) of the scapula?
The thorax on the side of the scapula that isn’t being tested
What does the patient have to do during MMT of scapula adduction/downward rotation (rhomboids) to prove they can get through full range of motion?
Place their hand behind their back like they are being handcuffed and elevate their arm and shoulder
In MMT of adduction/downward rotation (rhomboids) of the scapula, the therapist will apply resistance through the (lateral/medial) border of the scapula towards scapular abduction and upward rotation
medial
What is the gravity minimized position for testing scapular adduction/downward rotation (rhomboids)?
Seated
What does the patient have to do in the gravity minimized position for scapular adduction/downward rotation (rhomboids)?
Put their hand behind their back like they are being handcuffed and try to lift their hand away from their back
When performing MMT for scapular abduction/upward rotation of the scapula what muscle(s) is being tested?
The serratus anterior
What is the patient position when performing MMT for abduction/upward rotation of the scapula (serratus anterior)?
Seated
What is the therapist position when performing MMT for abduction/upward rotation of the scapula (serratus anterior)?
Standing to the side of the patient
What does the patient have to do to prove that they can get through full ROM when testing for scapular abduction/upward rotation (serratus anterior)?
Flex the shoulder about 130 degrees
The therapist stabilizes the superior aspect of the shoulder and palpates the axillary area between the midline of the thorax and the (medial/lateral) border of the scapula as the patient is going through their full ROM testing during scapular abduction/upward rotation (serratus anterior) MMT testing.
Lateral
Where is the therapist applying pressure to the patient when they are in the 130 degree flexed position when performing MMT for abduction/upward rotation (serratus anterior) of the scapula?
The therapist is applying pressure above the elbow and is trying to downwardly rotate the scapula
What is the gravity minimized position for the patient when MMT the abduction/upward rotation (serratus anterior) of the scapula? Is there a towel involved?
Seated on the side of the table parallel to the table with the towel under the whole arm
What does the patient have to do to test their ROM in the gravity minimized position for the abduction/upward rotation (serratus anterior) of the scapula?
Slide their arm forward or “punch forward”.
When performing MMT for adduction/depression of the scapula what muscle(s) is being tested?
Lower trapezius
What is the patient position when performing MMT for adduction/depression of the scapula (lower trapezius)?
Prone
What is the therapist position for MMT for adduction/depression of the scapula (lower trapezius)?
On the contralateral side of the scapula being tested
What does the patient have to do to test their ROM for MMT for adduction/depression of the scapula (lower trapezius)?
Put their arm in the super man position (shoulder abducted to 130 degrees)
Where is the therapist stabilizing during MMT for adduction/depression of the scapula (lower trapezius)?
The contralateral thorax
Where is the therapist applying force during MMT for adduction/depression of the scapula (lower trapezius)?
The medial border of the scapula towards the arm that is in the super man position
Is there a gravity minimized position for MMT for adduction/depression of the scapula (lower trapezius)?
No, just check for normal things you would check in this position when things are below a grade 3
When performing MMT for shoulder flexion what muscle(s) is being tested?
Anterior deltoid & coracobrachialis
What is the patient position for MMT of shoulder flexion (anterior deltoid & coracobrachialis)?
Seated
For the patient to prove they have full ROM against gravity in MMT of shoulder flexion what do they have to do?
Raise their arm all the way over their head
The therapist is stabilizing the (superior/inferior) aspect of the ipsilateral shoulder during MMT of shoulder flexion
superior
What is the therapist position for MMT of shoulder flexion?
Standing on the ipsilateral side
Where is the force applied during MMT of shoulder flexion?
Proximal to the elbow
What is the gravity minimized position for MMT of shoulder flexion?
Sidelying
When performing MMT for shoulder flexion in the gravity minimized position the therapist provides stabilization by holding the arm and allowing the patient to perform the activity. The therapist is just taking weight off of the arm.
Got it
When performing MMT for shoulder extension what muscle(s) is being tested?
latissimus dorsi, teres major, & posterior deltoid
What is the patient position for MMT of shoulder extension (latissimus dorsi, teres major, & posterior deltoid)?
Prone
For the patient to prove they have full ROM against gravity in MMT of shoulder extension what do they have to do?
Extend the arm off of the table
The therapist is stabilizing the (Ipsilateral/contralateral) border of the scapula staying off of the spinous processes during MMT of shoulder extension
ipsilateral
What is the therapist position for MMT of shoulder extension?
Standing on the ipsilateral side
Where is the force applied during MMT of shoulder extension?
Proximal to the elbow
What is the gravity minimized position for MMT of shoulder extension?
Sidelying
When performing MMT for shoulder extension in the gravity minimized position the therapist provides stabilization by holding the arm and allowing the patient to perform the activity. The therapist is just taking weight off of the arm.
Got it!
When performing MMT for shoulder abduction what muscle(s) is being tested?
Middle deltoid & supraspinatus
What is the patient position for MMT of shoulder abduction (middle deltoid & supraspinatus)?
Seated
For the patient to prove they have full ROM against gravity in MMT of shoulder abduction what do they have to do?
Abduct the shoulder to full ROM
The therapist is stabilizing the (ipsilateral/contralateral) superior aspect of shoulder, avoiding pressure on deltoid during MMT of shoulder abduction
ipsilateral
What is the therapist position for MMT of shoulder abduction?
Standing behind the patient
Where is the force applied during MMT of shoulder abduction?
The distal humerus
What is the gravity minimized position for MMT of shoulder abduction?
Supine
When performing MMT of shoulder abduction in the gravity minimized position, the therapist is stabilizing the (superior/inferior) aspect of the ipsilateral shoulder to avoid shoulder elevation during testing.
Superior
What is the patient position for MMT of shoulder internal rotation (subscapularis)? Is there a towel involved?
Prone with shoulder abducted to 90 degrees and humerus supported with a towel
For the patient to prove they have full ROM against gravity in MMT of shoulder internal rotation what do they have to do?
Internally rotate (move their palm towards the ceiling)
The therapist is stabilizing the (ipsilateral/contralateral) scapula, avoiding pressure on tested muscles during MMT of shoulder internal rotation
ipsilateral
What is the therapist position for MMT of shoulder internal rotation?
Standing on the ipsilateral side
Where is the force applied during MMT of shoulder internal rotation?
At the wrist
What is the gravity minimized position for MMT of shoulder internal rotation? Is the shoulder hanging off of the edge of the table? Is there a towel involved?
Prone with the shoulder hanging off of the edge of the table with the towel over the armpit region
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder internal rotation what do they have to do?
Internally rotate their shoulder (move their thumb in towards the table and back towards me)
What is the patient position for MMT of shoulder external rotation (infraspinatus & teres minor)? Is there a towel involved?
Prone with shoulder abducted to 90 degrees and humerus supported with a towel
For the patient to prove they have full ROM against gravity in MMT of shoulder external rotation what do they have to do?
Externally rotate (rotate their thumb into the air while maintaining their arm on the table)
What is the therapist position for MMT of shoulder external rotation?
Standing on the ipsilateral side
The therapist is stabilizing the (ipsilateral/contralateral) scapula, avoiding pressure on tested muscles during MMT of shoulder external rotation
ipsilateral
Where is the force applied during MMT of shoulder external rotation?
At the wrist
What is the gravity minimized position for MMT of shoulder external rotation? Is the shoulder hanging off of the edge of the table? Is there a towel involved?
Prone with the shoulder hanging off of the edge of the table with the towel over the armpit region
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder external rotation what do they have to do?
Externally rotate the shoulder (move the thumb out)
What is the patient position for MMT of shoulder horizontal abduction (posterior deltoid)? Where is the head turned?
Prone and the head is turned away from the shoulder that is being tested
For the patient to prove they have full ROM against gravity in MMT of shoulder horizontal abduction what do they have to do?
Lift their elbow off of the table
What is the therapist position for MMT of shoulder horizontal abduction?
Standing on the ipsilateral side
The therapist is stabilizing the (ipsilateral/contralateral) scapula, during MMT of shoulder horizontal abduction
ipsilateral
Where is the force applied during MMT of shoulder horizontal abduction?
The distal humerus near the elbow
What is the gravity minimized position for MMT of shoulder horizontal abduction? Is there a towel involved for sliding?
Seated on the side of the table parallel to the table with a towel over their whole arm for sliding
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder horizontal abduction what do they have to do?
Slide their elbow backwards
What is the patient position for MMT of shoulder horizontal adduction (pectoralis major)? Is there a towel involved?
Supine with a towel under their arm / armpit area
For the patient to prove they have full ROM against gravity in MMT of shoulder horizontal adduction what do they have to do?
Flex the elbow to 90 degrees and bring her elbow over her chin
What is the therapist position for MMT of shoulder horizontal adduction?
Standing on the ipsilateral side
The therapist is stabilizing the (ipsilateral/contralateral) shoulder on the distal 1/3 of the clavicle, during MMT of shoulder horizontal adduction
ipsilateral
Where is the force applied during MMT of shoulder horizontal adduction?
The anterior surface of the distal humerus
What is the gravity minimized position for MMT of shoulder horizontal adduction? Is there a towel involved for sliding?
Seated on the side of the table parallel to the table with a towel over their whole arm for sliding
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder horizontal adduction what do they have to do?
Slide their elbow forward
What is the patient position for MMT of elbow flexion (biceps brachii, brachialis, & brachioradialis)?
Seated on the edge of the table
What is the therapist position for MMT of elbow flexion (biceps brachii, brachialis, & brachioradialis)?
Standing on the ipsilateral side
For the patient to prove they have full ROM against gravity in MMT of elbow flexion what do they have to do?
Flex the elbow through its’ full ROM
The therapist is stabilizing the (anterior/posterior) portion of the shoulder during MMT of elbow flexion
anterior
Where is the force applied during MMT of elbow flexion?
At the wrist
What is the gravity minimized position for MMT of elbow flexion? Is a towel involved to remove friction during the movement?
Seated on the side of the table perpendicular to the table as close to the table as possible with their arm fully outstretched on the table; Yes
What is the patient position for MMT of elbow extension (triceps brachii)?
Supine
What is the therapist position for MMT of elbow extension (triceps brachii)?
Standing on the ipsilateral side
For the patient to prove they have full ROM against gravity in MMT of elbow extension what do they have to do?
In the position of a tricep extension, have the patient fully extend their elbow
The therapist is stabilizing the (anterior/posterior) portion of the humerus, proximal to the elbow during MMT of elbow extension
anterior
Where is the force applied during MMT of elbow extension?
The ulna (around the wrist)
What is the gravity minimized position for MMT of elbow extension? Is a towel involved to remove friction during the movement?
Seated on the side of the table parallel to the table with the arm abducted to 90 degrees and a towel over the proximal half of the forearm.
What is the patient position for MMT of forearm pronation (pronator teres & pronator quadratus)?
Seated with their elbow flexed to 90 degrees
What is the therapist position for MMT of forearm pronation (pronator teres & pronator quadratus)?
Standing on the ipsilateral side
The therapist is stabilizing over the olecranon process and (medial/lateral) elbow joint of the testing limb during MMT of forearm pronation. You are basically holding/supporting their elbow.
lateral
For the patient to prove they have full ROM against gravity in MMT of forearm pronation what do they have to do?
Pronate the forearm
To apply force during MMT of forearm pronation is the patient already going to be pronated ?
Yes
To apply force during MMT of forearm pronation slide your hand under the patients forearm and try to rotate the patient out of pronation from the (radial/ulnar) side
radial
What is the gravity minimized position for MMT of forearm pronation? Is there a towel involved?
Seated on the side of the table parallel to the table, shoulder abducted, and elbow flexed to 90 degrees with the towel under the elbow
What is the patient position for MMT of forearm supination (biceps brachii & supinator)?
Seated on the edge of the table with elbow flexed to 90 degrees
What is the therapist position for MMT of forearm supination (biceps brachii & supinator)?
Standing on the ipsilateral side
The therapist is stabilizing over the olecranon process and (medial/lateral) elbow joint of the testing limb during MMT of forearm supination. You are basically holding/supporting their elbow.
medial
For the patient to prove they have full ROM against gravity in MMT of forearm supination what do they have to do?
Supinate the forearm
To apply force during MMT of forearm supination is the patient already going to be supinated?
Yes
To apply force during MMT of forearm supination slide your hand under the patients forearm and try to rotate the patient out of supination from the (radial/ulnar) side
radial
What is the gravity minimized position for MMT of forearm supination? Is there a towel involved?
Seated on the side of the table parallel to the table, shoulder abducted, and elbow flexed to 90 degrees with the towel under the elbow
What is the patient position for MMT of wrist flexion (flexor carpi radialis & flexor carpi ulnaris)?
Seated with forearm supinated and resting on the table
What is the therapist position for MMT of wrist flexion (flexor carpi radialis & flexor carpi ulnaris)?
Facing the patient
The therapist is stabilizing the (anterior/posterior) aspect of the distal forearm for MMT of wrist flexion. Essentially supporting their wrist.
posterior
For the patient to prove they have full ROM against gravity in MMT of wrist flexion what do they have to do?
Flex the wrist
To test the flexor carpi radialis for MMT of wrist flexion the force is applied into extension and towards the ulnar side. So I will apply this force on the patients’ (thumb/pinky) side.
thumb
To test the flexor carpi ulnaris for MMT of wrist flexion the force is applied into extension and towards the radial side. So I will apply this force on the patients’ (thumb/pinky) side.
pinky
What is the gravity minimized position for MMT of wrist flexion? Is there a towel involved?
Seated with the forearm in a mid pronated position with the towel under the ulna.
What is the patient position for MMT of wrist extension (extensor carpi radialis longus/brevis and extensor carpi ulnaris)?
Seated with forearm pronated and resting on the table
What is the therapist position for MMT of wrist extension (extensor carpi radialis longus/brevis and extensor carpi ulnaris)?
Facing the patient
The therapist is stabilizing the (anterior/posterior) aspect of the distal forearm for MMT of wrist extension. Essentially holding their wrist.
anterior
For the patient to prove they have full ROM against gravity in MMT of wrist extension what do they have to do?
Extend their wrist
To test the extensor carpi radialis longus and brevis for MMT of wrist extension the force is applied to the base of the 2nd metacarpal pulling into a flexion and ulnar direction. So I will apply this force on the patients’ (thumb/pinky) side.
thumb
To test the extensor carpi ulnaris for MMT of wrist extension the force is applied to the base of the 5th metacarpal pulling into a flexion and radial direction. So I will apply this force on the patients’ (thumb/pinky) side.
pinky
What is the gravity minimized position for MMT of wrist extension? Is there a towel involved?
Seated with the forearm in a mid pronated position and resting on the table. No towel is involved.
Do you use gravity minimized positions for the hand (fingers and thumb) when performing MMT?
No
What is the adjusted scale for 5s, 4s, 3s, 2s, 1s, & 0s for MMT of the hand (fingers & thumb)?
5s = maximum resistance 4s = moderate resistance 3s = full ROM 2s = partial ROM 1s = trace 0s = no contraction
What is the patient position for MMT of MCP flexion (lumbricals)?
Seated with forearm supinated and resting on the table and wrist is in neutral.
What is the therapist position for MMT of MCP flexion (lumbricals)?
Facing the patient
The therapist stabilizes the patient by holding their hand with their fingers in the first web space when performing MMT of MCP flexion
Got it
For the patient to prove they have full ROM against gravity in MMT of MCP flexion what do they have to do?
Flex all of their MCPS without flexing their PIP or DIP
Where is the force applied during MMT of MCP flexion? How many fingers do you use?
To the base of the palmar MCP joint using only one finger
What is the patient position for MMT of MCP extension (extensor digitorum, extensor digiti minimi, & extensor indicis)?
Seated with the forearm pronated and resting on table with wrist in neutral
What is the therapist position for MMT of MCP extension (extensor digitorum, extensor digiti minimi, & extensor indicis)?
Facing the patient
The therapist stabilizes the (palmar/dorsal) aspect of second through fifth metacarpals for MMT of MCP extension. Essentially like a handshake position.
palmar
For the patient to prove they have full ROM against gravity in MMT of MCP extension what do they have to do?
Pull their fingers back into extension by raising the knuckles towards the ceiling
Where is the force applied during MMT of MCP extension? How many fingers do you use?
The dorsal aspect of the MCP using 1 finger
What is the patient position for MMT of PIP flexion (flexor digitorum superficialis)?
Seated with forearm supinated and wrist in neutral
What is the therapist position for MMT of PIP flexion?
Facing the patient
The therapist stabilizes over the (palmar/dorsal) aspect of the MCP joints using the ___ finger when doing MMT of PIP flexion
palmar; index
For the patient to prove they have full ROM against gravity in MMT of PIP flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex the finger; yes
Where is the force applied during MMT of PIP flexion? How many fingers do you use?
The palmar surface in-between the PIP and DIP using 1 finger
What is the patient position for MMT of DIP flexion (flexor digitorum profundus)?
Seated with the forearm supinated and the wrist in neutral
What is the therapist position for MMT of DIP flexion (flexor digitorum profundus)?
Facing the patient
The therapist stabilizes over the (palmar/dorsal) aspect between the PIP & DIP joints using the ___ finger when doing MMT of DIP flexion
palmar; index
For the patient to prove they have full ROM against gravity in MMT of DIP flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex their finger; Yes
Where is the force applied during MMT of DIP flexion? How many fingers do you use?
The space distal to the DIP using 1 finger
What is the patient position for MMT of MCP abduction (dorsal interossei & abductor digiti minimi)?
Seated with forearm pronated and resting on a table
What is the therapist position for MMT of finger abduction (dorsal interossei & abductor digiti minimi)?
Facing the patient
The therapist stabilizes the ____ with the index and the middle finger when performing MMT of MCP abduction.
wrist
For the patient to prove they have full ROM against gravity in MMT of MCP abduction what do they have to do? Is the patient being stabilized while their ROM is being tested?
Abduct their fingers; yes
Where is the force applied during MMT of MCP abduction ? How many fingers do you use?
The lateral side of the MCP that you are testing using 1 finger
Where is the force applied during MMT of MCP abduction when testing the middle finger? How many fingers do you use?
The lateral and medial side of the MCP using 1 finger
What is the patient position for MMT of finger adduction (palmar interossei)?
Seated with forearm pronated and resting on table with the fingers spread out
What is the therapist position for MMT of MCP adduction?
Facing the patient
For stabilization of MCP adduction, for the finger you are testing you have to stabilize the finger before it using the index, middle, and ring finger over it. So if i am testing the pinky I would stabilize the __ finger
ring
For the patient to prove they have full ROM against gravity in MMT of MCP adduction what do they have to do? Is the patient being stabilized while their ROM is being tested?
Adduct their fingers; Yes
Where is the force applied during MMT of MCP adduction? How many fingers do you use?
Between the PIP & DIP joint using the thumb and index finger
What is the patient position for MMT of thumb CMC flexion (flexor pollicis brevis)?
Seated with forearm supinated and resting on the table
What is the therapist position for MMT of thumb CMC flexion (flexor pollicis brevis)?
Facing the patient
The therapist stabilizes the side of the (1st/2nd) metacarpal during MMT of thumb CMC flexion
1st
For the patient to prove they have full ROM against gravity in MMT of thumb CMC flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex the thumb without flexing the IP joint. Yes.
Where is the force applied during MMT of thumb CMC flexion? How many fingers do you use?
Proximal to the IP joint of the thumb using one finger
What is the patient position for MMT of thumb IP flexion (flexor pollicis longus)?
Seated with forearm supinated and resting on the table
What is the therapist position for MMT of thumb IP flexion (flexor pollicis longus)?
Facing the patient
The therapist stabilizes the side of the 1st (carpal/metacarpal) up to the IP joint when doing MMT of thumb IP flexion
metacarpal
For the patient to prove they have full ROM against gravity in MMT of thumb IP flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex the IP joint. Yes.
Where is the force applied during MMT of thumb IP flexion? How many fingers do you use?
Distal to the IP joint using 1 finger
What is the patient position for MMT of thumb IP extension (extensor pollicis longus)?
Seated with forearm supinated and wrist neutral
What is the therapist position for MMT of thumb IP extension?
Facing the patient
The therapist stabilizes the anterior and posterior surface (proximal/distal) to the thumb IP joint when doing MMT of thumb IP extension using the thumb and index finger
proximal
For the patient to prove they have full ROM against gravity in MMT of thumb IP extension what do they have to do? Is the patient being stabilized while their ROM is being tested?
Extend their thumb. Yes.
Where is the force applied during MMT of thumb IP extension? How many fingers do you use?
The finger nail using 1 finger
What is the patient position for MMT of thumb CMC abduction (abductor pollicis longus & abductor pollicis brevis)?
Seated with forearm supinated and resting on the table with wrist in neutral
What is the therapist position for MMT of thumb CMC abduction ?
Facing the patient
The therapist stabilizes at the wrist using the three fingers that are available and the palmar surface of the MCPS using what finger when doing MMT of thumb abduction?
The thumb
For the patient to prove they have full ROM against gravity in MMT of thumb abduction what do they have to do? Is the patient being stabilized while their ROM is being tested?
Abduct the thumb (holding a large cup); Yes
Where is the force applied during MMT of thumb abduction? How many fingers do you use?
Lateral to the MCP joint of the thumb using 1 finger
What is the patient position for MMT of thumb CMC adduction (adductor pollicis)? Is the patient’s hand/wrist being supported by the therapist? Is the thumb already going to be in abduction?
Seated with forearm pronated; Yes; Yes
What is the therapist position for MMT of thumb CMC adduction?
Facing the patient
The therapist is going to support the wrist of the patient by holding it with the therapist’s thumb on the patients’ ___ when doing MMT of thumb adduction
palm
Is there any stabilization when doing MMT of thumb adduction apart from holding the patients wrist ?
No
For the patient to prove they have full ROM against gravity in MMT of thumb adduction what do they have to do?
Adduct the thumb (bring the thumb to meet the second finger)
What do you do to apply force during MMT of thumb adduction? How many fingers do you use? What direction is the therapist going to pull to test the patients’ strength?
You slide one finger between the thumb and index finger at the level of the thumb IP joint and ask the patient to squeeze my finger while I pull down
What is the patient position for MMT of thumb CMC opposition (opponens pollicis & opponens digiti minimi)?
Seated with the forearm supinated and resting on the table with the wrist in neutral
What is the therapist position for MMT of thumb CMC opposition (opponens pollicis & opponens digiti minimi)?
Facing the patient
Is there any stabilization when doing MMT of thumb opposition ?
No
How does the therapist physically support the patient when doing MMT of thumb opposition?
By putting your hand under their wrist
For the patient to prove they have full ROM against gravity in MMT of thumb opposition what do they have to do?
Oppose the thumb (bring the tip of the and the tip of the 5th finger together as tight as possible)
Where is the force applied during MMT of thumb opposition? Do you use both hands? What finger from both hands do you use?
The force is applied to the thenar and hypothenar eminence trying to separate the thumb and pinky using the thumb of both hands
What is the adjusted scale for 5s, 4s, 3s, 2s, 1s, & 0s for MMT in the cervical region (fingers & thumb)?
5s = maximum resistance 4s = moderate resistance 3s = full ROM 2s = partial ROM 1s = trace 0s = no contraction
What is the patient position for MMT of cervical spine flexion?
Supine with elbow and shoulders abducted to 90 (hands up don’t shoot position)
What is the therapist position for MMT of cervical spine flexion?
Standing beside the patient
For the patient to prove they have full ROM against gravity in MMT of cervical spine flexion what do they have to do?
Flex the neck (bring their chin to their chest).
What is an indicator that a patient is at the end of normal ROM for cervical flexion?
The back clears the table when flexing
The therapist stabilizes over the (anterior/posterior) aspect of the shoulder when performing MMT of cervical spine flexion
anterior
Where is the force applied during MMT of cervical spine flexion?
Directly on the forehead pushing down
What is the patient position for MMT of cervical spine extension?
Prone
What is the therapist position for MMT of cervical spine extension?
Standing beside the patient
For the patient to prove they have full ROM against gravity in MMT of cervical spine extension what do they have to do?
Lift their head up off of the table
The therapist stabilizes over the upper thoracic spine right below C_ when performing MMT of cervical spine extension
C7
Where is the force applied during MMT of cervical spine extension?
The base of the head
What is the patient position for MMT of the SCM?
Supine
What is the therapist position for MMT of the SCM?
Standing beside the patient
If you are testing the right SCM, what do you tell the patient to do to get in position for MMT? This is also how to check if the patient has full ROM for the the SCM.
Turn their head to the left and lift their ear towards the ceiling
If you are testing the left SCM, what do you tell the patient to do to get in position for MMT? This is also how to check if the patient has full ROM for the the SCM.
Turn their head to the right and lift their ear towards the ceiling
Where is the force applied during MMT of the SCM?
To the side of the patient’s forehead
