MMT

Question 1

Work per unit of time =

Answer 1

Power

Question 2

Ability of a muscle to contract repeatedly over time is called…

Answer 2

Endurance

Question 3

Agonist muscles (aka_______) do what?

Answer 3

Agonist (aka prime movers) cause movement at the joint

Question 4

Antagonist muscles have…

Answer 4

Opposite action of the agonist

Question 5

If the biceps are the agonist, the antagonist is

Answer 5

The triceps

Question 6

Synergists contract to..

Answer 6

work along with the agonist to produce desired movement

Question 7

3 types of synergist muscles

Answer 7

Neutralizing/Counteracting, Conjoint, & Stabilizing/Fixating

Question 8

When two or more muscles work together to produce a movement, what kind of synergy is this…

Answer 8

Conjoint Synergists

Question 9

Muscles that contract to prevent unwanted movements produced by the prime mover, type of synergist…

Answer 9

Counteracting/Neutralizing Synergists

Question 10

muscles that fire to prevent/control movements at joints proximal to the prime movements

Answer 10

Stabilizing/Fixating Synergists

Question 11

Precautions to MMT

Answer 11

Extreme Pain & Edema
Weakness
Osteoporosis
Limited Cognitive/Emotional Status
Cardiac Conditions
Anything Where MD says no

Question 12

Contraindications to MMT

Answer 12

Recent Unhealed Fx
Muscle/Tendon/Ligament Tear
Neoplasm
Thrombophlebitis
Inflammation
Pain of Unknown Cause

Question 13

Before MMT have pt perform_____and observe for______

Answer 13

AROM; Observe for Substitutions

Question 14

If patient cant perform AROM through full range, reposition them so…

Answer 14

Gravity eliminated (minimized) position

Question 15

True or false: You want to encourage maximal effort when doing MMT

Answer 15

True

Question 16

Apply what kind of resistance in MMT

Answer 16

Graded

Question 17

Do the “Break Test” after segment has…

Answer 17

completed its range

Question 18

When doing the break test apply the resistance near the…

proximal or distal

Answer 18

distal to where the muscle attaches

Question 19

Break test is ______than active resistive test

more objective or more subjective

Answer 19

more objective

Question 20

What is difficult to assess during the Break test…(2 things

Answer 20

Fatigue & Functional Muscle Strength

Question 21

Active Resistive/Dynamic Testing is when_______ resistance is applied against the direction of movement

Answer 21

Graded Manual Resistance

Question 22

Active Resistive/Dynamic Testing more beneficial than the break test when testing/looking for…

Answer 22

Endurance; Patterns of Substitutions

Question 23

MMT graded on a scale of…

Answer 23

0-5 with (-) and (+) for 2 and 3

Question 24

MMT Test Grade at level ___ when pt cannot break the hold against maximal resistance

Answer 24

5 (Normal)

Question 25

MMT Test Grade at level ___ when cannot tolerate strong resistance, the muscle gives/yields with maximal resistance

Answer 25

4 (Good)

Question 26

MMT Test Grade at level ___ when pt holds end position against resistance

Answer 26

3+ (Fair Plus)

Question 27

MMT Test Grade at level ___ when completes full ROM against gravity

Answer 27

3 (Fair)

Question 28

MMT Test Grade at level ___ when joint does not complete ROM but greater than half range

Answer 28

3- (Fair Minus

Question 29

MMT Test Grade at level ___ when movement can be initiated against gravity. Can be in a gravity minimized position with slight resistance

Answer 29

2+ (Poor Plus)

Question 30

MMT Test Grade at level ___ when ROM can be full in gravity eliminated position, with no resistance.

Answer 30

2 (Poor)

Question 31

MMT Test Grade at level ___ when completes partial ROM in gravity eliminated position

Answer 31

2- (Poor Minus)

Question 32

MMT Test Grade at level ___ when examiner can visually detect or palpate some contractile activity, but no movement

Answer 32

1 (Trace)

Question 33

MMT Test Grade at level ___ when muscle is completely quiet

Answer 33

0 (Zero)

Question 34

Two other methods to measure strength besides MMT or Break Test:

Answer 34

Hand-held or Isokinetic Dynamometry

Question 35

Hand-Held dynamometry values vary with...

Answer 35

``` Method of Application Joint Angle Body Position Lever Arm Stabilization Examiner's Strength ```

Question 36

Isokinetic dynomometry can also measure...

Answer 36

Torque, Work, Endurance

Question 37

When finding muscle weakness, assess...

Answer 37

muscle length

Question 38

2 Types of weakness:

Answer 38

Stretch Weakness & Over-Stretch Weakness

Question 39

What kind of weakness is described here: When muscles remain in an elongated position slightly beyond neutral rest positions but not beyond normal range of muscle length.

Answer 39

Stretch Weakness

Question 40

What kind of weakness is described here: 2-joint or multi-joint muscles that results from repetitive or habitual positions that elongate the muscle beyond normal range of muscle length

Answer 40

Over-Stretch Weakness