MMT Flashcards

1
Q

Shoulder FL

A

Position: seated
Primary Muscles (2): anterior deltoid, supraspinatus, coracobrachialis
Secondary Muscle(1): pec major, middle deltoid
Grade 2 Position: side lying
Compensation: shoulder elevation, elbow flexion

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2
Q

Shoulder EX

A

Position: prone
Primary Muscles (2): posterior deltoid, lats, teres major
Secondary Muscle(1): lond head of the triceps
Grade 2 Position: side lying
Compensation: shoulder abduction

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3
Q

Shoulder AB

A

Position: seated
Primary Muscles (2): middle deltoid, supraspinatus
Secondary Muscle(1):
Grade 2 Position: supine or support patient’s arm
Compensation: shoulder rotation, shoulder flexion, elbow flexion

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4
Q

Shoulder LR

A
Position: prone
Primary Muscles (2): infraspinatus, teres minor
Secondary Muscle(1): posterior deltoid
Grade 2 Position: seated and use table
Compensation: elbow extension
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5
Q

Shoulder MR

A
Position: prone
Primary Muscles (2): sub scalpularis, teres major, last, pec major
Secondary Muscle(1): anterior deltoid
Grade 2 Position: seated and use table
Compensation:
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6
Q

Shoulder Horizontal Adduction

A
Position: supine
Primary Muscles (2): pec major
Secondary Muscle(1): ant deltoid
Grade 2 Position: seated and arm on table
Compensation: protraction

*don’t forget about sternal and costal movements)

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7
Q

Shoulder Horizontal Abduction

A

Position: prone
Primary Muscles (2): posterior deltoid
Secondary Muscle(1): infraspinatus, teres minor
Grade 2 Position: seated and use table
Compensation: shoulder Elevation/adduction combo, ER or IR

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8
Q

Scapula AB UPR PRO

A

Position: Seated
Primary muscles (2): serratus anterior
Secondary muscles (1): pec minor, upper & lower traps
Grade 2 position: sitting with arm supported
Compensation:

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9
Q

Scap ELV

A

Position: Seated
Primary muscles (2): upper trap, levator scapula
Secondary muscles (1): rhomboids
Grade 2 position: prone or supine (supine is preferred)
Compensation:

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10
Q

Scap AD (retract)

A

Position: prone
Primary muscles (2): middle trap and rhomboid major
Secondary muscles (1): upper and lower trap, levator scapula, rhomboid minor
Grade 2 position: prone, support arm
Compensation:

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11
Q

Scap DEPR AD

A

Position: prone
Primary muscles (2): lower and middle trap
Secondary muscles (1): lats, pec major & minor
Grade 2 position: prone support weight of arm
Compensation:

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12
Q

Scap AD DWNR

A

Position: prone
Primary muscles (2): rhomboid major & minor
Secondary muscles (1): levator scapulae
Grade 2 position: prone but support weight of arm (Partial ROM) or short sitting
Compensation:

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13
Q

Scap DEPR

A
Position: prone or seated
Primary muscles (2): lats 
Secondary muscles (1): lower traps, teres major
Grade 2 position: prone
Compensation:
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14
Q

Elbow FL

A

Position: seated
Primary Muscles (2): biceps brachii, brachialis
Secondary muscles (1): prontaor teres, flexor carpi radialis, flexor carpi ulnaris, extensor carpi radialis longus
Grade 2: supine or sitting with arm rested on bed at 90
Compensation:

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15
Q

PRO

A

Position: seated
Primary Muscles (2): pronator teres, pronator quadratus
Secondary muscles (1): flexor carpi radialis
Grade 2: elbow flexed and neutral
Compensation:

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16
Q

SUP

A
Position: seated
Primary Muscles (2): supination, biceps brachii
Secondary muscles (1): brachioradialis
Grade 2: elbow flexed and neutral
Compensation:
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17
Q

Wrist FL

A

Position: short sitting, forearm supinated, wrist neutral
Primary Muscle: flexor carpi unlaris & radialis
Secondary muscle: palmaris longus, flexor digitourm superficialis & profundus, flexor & Abductor pollicis longus
Grade 2: midposition on ulnar side

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18
Q

Wrist EX

A

Position: forearm pronated
Primary Muscle: extensor carpi radialis (longus & brevis), extensor carpi ulnaris
Secondary muscle: extensor digitorum, extensor digit minimi extensor indicis
Grade 2: ulnar Side of arm resting on table

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19
Q

MCP FL

A

Position: forearm supinated
Primary Muscles: palmar interossei, lumbar I also, dorsal interossi
Secondary Muscles: flexor digitorum (superficialis and profundus), flexor digits minimi brevis, opponents digit minimi extensor digit minimi
Grade 2: neutral on ulnar side
Compensation: wrist flexion

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20
Q

MCP EX

A

Position: forearm is pronated and supported
Primary Muscles: extensor digitorum
Secondary Muscles: extensor indicis, extensor digiti minimi
Grade 2: neutral on ulnar side
Compensation:

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21
Q

Finger AB

A

Position: forearm pronated and wrist neutral
Primary Muscles: dorsal interossei
Secondary Muscles:
Grade 2: same position but partial ROM

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22
Q

Finger AD

A

Position: forearm pronated, wrist neutral, fingers adducted
Primary Muscles: palmar interossei
Secondary Muscles: extensor indicis
Grade 2: same positioned but partial ROM

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23
Q

PIP FL

A

Position: forearm supinated
Primary Muscles: flexor digitorum superficialis
Secondary Muscles: abductor digiti minimi, flexor digiti minimi
Grade 2: Partial ROM or full ROM with neutral forearm

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24
Q

PIP EX

A
Position:
Primary Muscles: lumbricals
Secondary Muscles: dorsal interossei, palmar interossei
Grade 2:
Compensation:
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25
Q

DIP FL

A

Position: forearm supinated
Primary Muscles: flexor digitorum profundus
Grade 2: Partial ROM or full ROM with neutral forearm

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26
Q

DIP EX

A

Position:
Primary Muscles: lumbricals
Secondary Muscles: dorsal interossei, palmar interossei
Grade 2: Partial ROM or full ROM with neutral forearm

27
Q

Combined PIP DIP FL

A

Position:
Primary Muscles: flexor digitorum profundus & superficialis
Secondary Muscles:
Grade 2: Partial ROM or full ROM with neutral forearm

28
Q

Thumb MCP FL

A
Position: wrist neutral on ulnar side
Primary Muscles: flexor pollicis brevis and Longus
Secondary Muscles:
Grade 2: partial ROM
Compensation:
29
Q

Thumb IP FL

A

Position: wrist neutral on ulnar side, stabilize MCP
Primary Muscles: flexor pollicis Longus
Secondary Muscles:
Grade 2: partial ROM
Compensation: don’t allow distal phalanx to extend at beginning, otherwise it’ll look like flexion happened

30
Q

Thumb MCP EX

A
Position: wrist neutral on ulnar side
Primary Muscles: extensor pollicis brevis
Secondary Muscles:
Grade 2: partial ROM
Compensation:
31
Q

Thumb IP EX

A
Position: wrist neutral on ulnar side
Primary Muscles: extensor pollicis longus
Secondary Muscles:
Grade 2: partial ROM
Compensation:
32
Q

Thumb AB

A

Position: forearm supinated
Primary Muscles: abductor pollicis longus and brevis
Secondary Muscles: extensor pollicis brevis, palmaris longus, opponents pollicis
Grade 2: partial ROM or full ROM lying on ulnar side
Compensation:

33
Q

Thumb AD

A

Position: seated

Primary Muscles: adductor pollicis
Secondary Muscles:extensor pollicis longus
Grade 2: partial ROM or full ROM lying on ulnar side
Compensation:

34
Q

Opposition

A

Position: forearm supinated
Primary Muscles: opponents pollicis, opponents digit minimi
Secondary Muscles: abductor pollicis brevis, flexor pollicis brevis
Grade 2: partial ROM
Compensation:
Don’t forget to bias each primary muscle

35
Q

Hip FL

A

Position: seated
Primary Muscles (2): Psoas Major, Iliacus
Secondary Muscle(1): Rectus femoris and Sartorius (multiple others)
Grade 2: side-lying
Compensation: ER/IR or ABD of hip

36
Q

Hip FL AB LR w/ knee FL

A

Position: seated
Primary Muscles (2): Sartorius
Secondary Muscle(1): Hip/Knee flexors, Hip ER’s/Abductors
Grade 2: supine
Compensation: solely hip flexion, no ABD/ER

37
Q

hip EX

A

Position: prone
Primary Muscles (2): Gluteus Maximus, Hamstrings
Secondary Muscle(1): ADD magnus, Gluteus medius Grade 2: side-lying
Compensation: trunk ROT

38
Q

hip EX w/ knee FL

A
Position: prone
Primary Muscles (2): Gluteus Maximus
Secondary Muscle(1): ADD magnus, Gluteus medius
Grade 2: side-lying
Compensation: trunk ROT
39
Q

hip AB

A

Position: side-lying
Primary Muscles (2): Gluteus medius/minimus
Secondary Muscle(1): Gluteus Max, TFL (multiple others)
Grade 2: supine
Compensation: Hip hike or ER of hip

40
Q

hip AD

A

Position: side-lying
Primary Muscles (2): ADD magnus/longus/brevis, pectineus, gracilis
Secondary Muscle(1): Obturator ext, Gluteus maximus
Grade 2: supine
Compensation: IR of Hip or Rot from side-lying to supine

41
Q

hip LR

A

Position: seated
Primary Muscles (2): Obturator externus/internus (multiple others)
Secondary Muscle(1): Sartorius, Biceps femoris (many others)
Grade 2: supine
Compensation: lifting hip off table, inc flexion of knee, ABD the test hip

42
Q

hip MR

A

Position: seated
Primary Muscles (2): Gluteus minimus/medius, TFL
Secondary Muscle(1): Semitendinosus, Semimembranosus, ADD magnus/longus
Grade 2: supine
Compensation: lifting hip off of table, ext the knee, ADD & extend hip

43
Q

knee FL

A

Position: prone
Primary Muscles (2): Biceps femoris, Semitendinosus, Semimembranosis
Secondary Muscle(1): Gracilis, TFL (multiple others)
Grade 2: side-lying
Compensation: FL or ER of hip

44
Q

knee EX

A

Position: seated
Primary Muscles (2): Rectus femoris, Vastus intermedius/lateralis, VMO/VML
Secondary Muscle(1): TFL
Grade 2: side-lying
Compensation: pelvis rising when seated, Hip IR in side-lying

45
Q

PFL

A
Position: standing
Primary Muscles (2): Gastroc, Soleus
Secondary Muscle(1): Tibialis posterior, plantaris (multiple others)
Grade 2: prone
Compensation: foot eversion
46
Q

DFL INV

A
Position: sitting
Primary Muscles (2): Tibialis anterior
Secondary Muscle(1): Peroneus tertius, EDL, EHL
Grade 2: same position
Compensation: toe extension
47
Q

EVR PFL

A
Position: sitting
Primary Muscles (2): Peroneus longus/brevis
Secondary Muscle(1):
Gastroc
Grade 2: same position
Compensation: toe extension
48
Q

INV

A
Position: sitting
Primary Muscles (2): Tibialis posterior
Secondary Muscle(1): Tib anterior, FDL, FHL (others)
Grade 2: same position
Compensation: toe flexion
49
Q

Hallux and toe MP FL

A

Position: sitting with foot in therapist lap
Primary Muscles (2): FHB & Lumbricales
Secondary Muscle(1):
Interossei
Grade 2: same
Compensation: IP joint flexion and MP hyperextesion

50
Q

Hallux and toe MP/IP EX

A
Position: sitting with foot in therapist lap
Hallux muscle: EHL/B
Toe MP/IP: EDL/B
Grade 2: same
Compensation:
51
Q

Hallux and toe PIP FL

A
Position: sitting with foot in therapist lap
Hallux muscle: FHL
Toe MCP: Primary: FDB, Secondary: FDL
Toe PIP: Primary: FDL, Secondary: QP
Grade 2: same
Compensation:
52
Q

Cervical EX

A

Position: prone w/ head off table
Primary Muscles (2): Longissimus cervicis, Semispinalis cervicis (many others)
Secondary Muscles (1): levator scap, interspinalis cervicis (many others)
Grade 2: supine w/ head on table
Compensation:

53
Q

Capital EX

A
Position: prone w/ head off table
Primary Muscles (2): RCP major/minor (many others)
Secondary Muscles (1): SCM
Grade 2: supine w/ head on table
Compensation:
54
Q

Combined neck EX

A

Position: prone w/ head off table
Primary Muscles (2): Capital plus cervical
Grade 2: prone w/ head off table
Compensation:

55
Q

capital FL

A
Position: supine
Primary Muscles (2): RCA/L and longus capitis
Secondary Muscles (1): Suprahyoids
Grade 2: supine
Compensation: lifting head from table?
56
Q

Cervical FL

A

Position: supine
Primary Muscles (2): SCM, longus colli, anterior scalene
Secondary Muscles (1): middle/posterior scalenes and infrahyoids
Grade 2: supine
Compensation: platysma contraction

57
Q

Combined neck FL

A

Position: supine
Primary Muscles (2): Capital plus Cervical
Grade 2: supine
Compensation: raising shoulders off of table?

58
Q

Cervicle FL isolate SCM

A

Position: supine (turn head left to test right SCM)
Primary Muscles (2): SCM
Secondary Muscles (1): middle/posterior scalenes and infrahyoids
Grade 2: supine
Compensation: platysma contraction

59
Q

Cervical ROT

A
Position: supine
Primary Muscles (2): SCM, semispinalis (multiple others)
Secondary Muscles (1):
Grade 2: sitting
Compensation:
60
Q

Combined Trunk EX

A

can be tested separately for grades 4 and 5, but below that they are tested together
Primary muscles involved (2): iliocostalis thoracic/lumborum (multiple others)
Secondary Muscles (1): Gluteus max
Compensation: posterior tilt of pelvis when strong hip extensors/weak spine extensors or hyperextension of lower back when weak hip extensors/strong back extensors

61
Q

Lumbar Extension Grade 4&5 position

A

prone

62
Q

Thoracic Extension Grade 4&5 position

A

prone with chest off table

63
Q

Trunk Flexion

A

Position: supine
Primary Muscles (2): Rectus abdominus, int/ext obliques
Secondary Muscles (1): Psoas maj/min
Grade 2: hook lying
Compensation: lumbar lordosis if ab muscles are weak or posterior tilt of pelvis if lumbar extensor muscles are weak

64
Q

Trunk Rotation

A
Position: supine
Primary Muscles (2): Int/Ext obliques
Secondary Muscles (1): Deep back muscles
Grade 2: supine
Compensation: shoulder shrug/elevation