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kinese practical > MMT > Flashcards

MMT Flashcards

1
Q

cervical rotation with lateral flexion

A

muscle: SCM
inn: CN 11 (C2-C3)
position- supine
4. movement- turn head all the way to CL side from testing and lift head
5. resistance- light, against temple
6. GE- none
7. sub- trunk or cervical flexion, trunk rotation

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2
Q

head/ cervical/ AO flexion (4 muscles)

A
  1. RCA, RCL, longus capitus, longus cervicis
  2. inn: (C1-C8)
  3. position- supine
  4. movement- touch chin to chest then lift head off table
  5. resistance- forehead
  6. GE- none
  7. sub- trunk flexion, suprahyoids
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3
Q

head/ cervical/ AO extension (6 muscles)

A

muscles: RCP major/ minor; splenius capitus/ coli; erector spinae; transverse spinae
inn: (C1-C8)
2. position- prone, head hanging over table
3. movement- raise head to at least neutral (can rotate left of right to tease out sides)**if very weak they can rest head on table and look if they can lift it
4. resist- light resistance on upper occiput
5. palpate- traps
6. sub- trunk extension
7. GE- none

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4
Q

trunk flexion (1 muscle) **know grading system

A
  1. rectus abdominus (T7-T12)
  2. position- supine, hands behind head =5 , while PT stabilizes thighs
  3. movement- lift trunk and try to lift past inferior angle of scapula
  4. resistance- none, PT stabilizes thighs (grading hands cross chest =4, hands by sides =3)
  5. palpate- abs
  6. substitution- cervical flexion, hip flexion
  7. GE- none
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5
Q

trunk extension (2 muscles)

A
  1. erector spinae and transversospinales (T1-L5)
  2. position- prone with hands behind head (women should have breasts off table) while PT stabilizes legs
  3. movement- extend spine to raise chest off table past nipple line
  4. resist- some overpressure on upper back
  5. palpate- none
  6. substitution- cervical extension
  7. GE- none
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6
Q

Kendalls test (3- muscle, movement and grading)

A
  1. rectus abdominus (C7-T12)
  2. supine, assist legs to 90 degrees of hip flexion and bring legs down until pelvis tilt cannot be maintained any longer and measure angle
  3. grading:
    3 = 75 degrees
    3+ = 60 degrees
    4- = 45 degrees
    4 = 30 degrees
    4+ = 15 degrees
    5 = <15 degrees
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7
Q

MMT grades summary (2)

A

5-3 - against gravity, full ROM

2-1 gravity eliminated

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8
Q

MMT - grade 5

A

5= full ROM, against gravity, max resistance

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9
Q

MMT grade 4 (3)

A 
4+= full ROM, against gravity, mod-max resistance
4= full ROM, against gravity, mod resistance
4-= full ROM, against gravity, min resistance
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10
Q

MMT grade 3 (3)

A 
3+ = full ROM, against gravity, slight resistance
3= full ROM, against gravity, no resistance
3- = >1/2 ROM, against gravity, no resistance
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11
Q

MMT grade 2 (3)

A 
2+=  > full ROM, gravity eliminated, slight resistance
2= > full ROM, gravity eliminated, no resistance
2-= >1/2 ROM, gravity eliminated, no resistance
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12
Q

MMT grade 1 (2)

A 
1+ = < 1/2 ROM, palpable contraction (= trace contraction)
1= no appreciable  ROM but palpable contraction
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13
Q

MMT grade 0

A

no movement or palpable contraction

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14
Q

hip flexion

A
  1. iliopsosas (femoral nerve)
  2. sit (to minimize thigh muscles)
  3. movement- hip hike
  4. resist- against femur
  5. palpate- none
  6. sub- flex/ aBduct, or hip extension for whole exercise to recruit rec fem
  7. GE- side ly or PT cradles patients leg
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15
Q

hip flexion, aBduction and external rotation

A
  1. Sartorious (femoral nerve)
  2. sit
  3. movement - do sartorious movement
  4. resist- push thigh down and in, calf up and out
  5. palpate- off ASIS
  6. sub- ?
  7. GE- slide active leg up and down opposite shin
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16
Q

hip external rotation (6 muscles)

A
  1. (superior -> inferior) piriformus (nerve to piriformis), gemellis superior, obdurator internus (nerve to OI), gemellis inferior (nerve to quad fem), obdurator externus (obdurator nerve), quadratus femoris (nerve to quad fem)
  2. position- sit
  3. movement- rotate in and out below knee, make sure hip is at 90
  4. resist- prox to medial malleolus
  5. palpate- behind greater trochanter
  6. sub- flex with aBduction
  7. GE- long ly, ext rotate, PT holds leg, but not much resistance
17
Q

hip internal rotation (2 muscles)

A
  1. glut min, TFL (superior gluteal nerve)
  2. postion- sit
  3. movement- rotate in and out below knee, make sure hip is at 90
  4. resist- prox to lateral malleolus
  5. palpate- glut min- ant surface of iliac blade, deepTFL- posterior to ASIS
  6. sub- flex with aDduction
  7. GE- long ly, int rotate, PT holds legs, but not much resistance
18
Q

hip aBduction

A
  1. gluteus medius (superior gluteal nerve)
  2. side ly, PT stands behind, pt bends bottom knee
  3. movement- straight leg raise, make sure hip doesnt bend
  4. resist- distal femur
  5. palpate- below crest of ilium
  6. sub- flexed hip or pelvic hiking
  7. GE- supine
19
Q

hip aBduction with flexed hip

A
  1. TFL (superior gluteal nerve)2. side ly, PT behind, pt bends bottom knee
  2. movement- flex hip to 45 and straigt leg raise
  3. resist- distal femur
  4. palpate- behind ASIS
  5. sub- flex hip more or less
  6. GE- long sit, lean back and aBduct leg
20
Q

hip aDduction (5 muscles)

A
  1. anterior -> posterior pectinus (femoral nerve),
    adductor longus, gracilis, adductor brevis, adductor medius (all others obdurator nerve)
  2. side ly with active leg on bottom, cross other leg over top with foot flat on bench
  3. movement- leg lift
  4. resist- distal femur
  5. palpate- ??
  6. sub- ext/ int rotate
  7. GE- supine
21
Q

hip extension (2 muscles)

A
  1. glut max (inferior gluteal nerve), hamstrings (sciatic nerve)
  2. prone (if pt has tight hip flexors can do against wall)
  3. movement- extend leg- to test gluteus max bend knee
  4. resist distal femur
  5. palpate- butt :) glut max and hamstrings at ischial tuberosity
  6. sub- pelvis rotation, adductor magnus, anterior pelvic tilt
  7. GE- supine
22
Q

plantar flexion (2 muscles) *know grading sytem

A
  1. gastroc and soleus (do same thing with bent knee) (inn- femoral nerve)
  2. standing on testing leg
  3. test- stand on testing leg and push up (hold onto table)grading*
    5 =20 toe push ups
    4= 10-19 toe push ups
    3= 1-9
    1-2 long sit and hold toes and have them push into you
    SUB- toe flexors (tom, dick and harry), inversion, using table to push off
23
Q

ankle inversion with dorsiflexion

A
  1. tibialis ant (deep fib n L4-S1)2. sitting
  2. movement- up and in
  3. palpate
  4. resist- push down and out
  5. sub- tibialis posterior (inversion only), strong toe extension (extensor digitorium longus or extensor hallicus longus)
  6. GE- side ly?
24
Q

ankle inversion with plantarflexion

A
  1. tibialis posterior (tibial n L5-S1)
  2. side ly with testing leg on bottom
  3. invert and plantar flex
  4. palpate- medial malleoli
  5. resist- push eversion and down
  6. sub- inversion only (tibialis ant), dick and harry (flexor)
  7. GE- supine
25
Q

ankle eversion with plantar flexion (2 muscles)

A
  1. fibularis longus and brevis (sup fib n L4-S1)
  2. side ly with testing leg on top
  3. motion- evert and plantar flex
  4. palpate- 5th MT
  5. resist- push into inversion and dorsiflexion
  6. sub- long toe extensors
  7. GE- supine
26
Q

1st MTP flexion

A
  1. FHL (tibial/ med plantar nerve)
27
Q

1st MTP extension

A
  1. EHL/ EHB (deep fibular nerve) ** GT extension is a good test for L5 compression
  2. sitting
  3. motion- extend toe
  4. palpate- top of foot
  5. resist- push into flexion
  6. sub-
28
Q 
inn of leg compartments 
ant 
lateral 
posterior deep 
posterior superficial
A
  1. anterior- deep fibular nerve** tests L5 compression
  2. lateral- superficial fibular nerve
  3. deep posterior - tibial
  4. superficial posterior- tibial
29
Q

knee flexion

A
  1. hamstrings (sciatic nerve)
  2. position- prone, towel under distal thigh for comfort
  3. movement- bend knee
  4. resistance- distally - malleoli
  5. palpate- hamstrings
  6. sub- gastroc, hip hiking, hip flexion
  7. GE- side ly
30
Q

knee extension

A
  1. quads- (femoral nerve)
  2. position- sitting
  3. movement- extend knee
  4. resistance- distal shin
  5. palpate- quads
  6. sub- hip strategy, hip rotation
  7. GE- side ly

kinese practical (3 decks)

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