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Boards > MMT and ROM > Flashcards

MMT and ROM Flashcards

1
Q

Muscle grade 5/5

A

Normal
Full ROM against gravity and max resistance

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2
Q

Muscle grade 4/5

A

Good
Full ROM against gravity and mod resistance

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3
Q

Muscle grade 3/5

A

Fair
Movement is noted against gravity

Score may range from:
- fair (-): incomplete ROM against gravity
- fair: full ROM against gravity with no resistance
- fair (+): full ROM against gravity with slight resistance

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4
Q

Muscle grade 2/5

A

Poor
Movement is noted only in gravity-minimized plane

Score may range from:
- poor (-): able to initiate movement in gravity-minimized plane
- poor: incomplete ROM in gravity-minimized plane
- poor (+): complete ROM in gravity-minimized plane

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5
Q

Muscle grade 0/5

A

No active movement noted
No muscle contraction observed or palpated

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6
Q

ROM plantar flexion

A

0-50º

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7
Q

ROM dorsiflexion

A

0-15º

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8
Q

ROM inversion

A

0-35º

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9
Q

ROM eversion

A

0-20º

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10
Q

ROM knee flexion

A

0-135º

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11
Q

ROM hip flexion

A

0-120º

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12
Q

ROM hip extension

A

0-30º

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13
Q

ROM hip abduction

A

0-40º

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14
Q

ROM hip adduction

A

0-35º

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15
Q

ROM hip internal rotation

A

0-45º

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16
Q

ROM hip external rotation

A

0-45º

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17
Q

ROM MP flexion

A

0-90º

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18
Q

ROM MP hyperextension

A

0-15-45º

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19
Q

ROM PIP flexion

A

0-110º

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20
Q

ROM DIP flexion

A

0-80º

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21
Q

ROM finger abduction

A

0-25º

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22
Q

Muscle grade 1/5

A

Trace
No active movement noted, but muscle contraction is observed or palpated

23
Q

ROM thumb MP flexion

A

0-90º

24
Q

ROM thumb IP flexion

A

0-80/90º

25
Q

ROM thumb abduction

A

0-50º

26
Q

ROM wrist flexion

A

0-80º

27
Q

ROM wrist extension

A

0-70º

28
Q

ROM ulnar deviation

A

0-30º

29
Q

ROM radial deviation

A

0-20º

30
Q

ROM elbow flexion

A

0-135/150º

31
Q

ROM supination

A

0-80/90º

32
Q

ROM pronation

A

0-80/90º

33
Q

ROM shoulder flexion

A

0-170º

34
Q

ROM shoulder extension

A

0-60º

35
Q

ROM shoulder horizontal abduction

A

0-40º

36
Q

ROM shoulder adduction

A

0-130º

37
Q

ROM shoulder internal rotation

A

0-70º

38
Q

ROM shoulder external rotation

A

0-90º

39
Q

ROM thoracic/lumbar spine flexion

A

0-80º

40
Q

ROM thoracic/lumbar spine extension

A

0-30º

41
Q

ROM thoracic/lumbar spine lateral flexion

A

0-40º

42
Q

ROM thoracic/lumbar spine rotation

A

0-45º

43
Q

ROM cervical spine flexion

A

0-45º

44
Q

ROM cervical spine extension

A

0-45º

45
Q

ROM cervical spine lateral flexion

A

0-45º

46
Q

ROM cervical spine rotation

A

0-60º

47
Q

Types of muscle contraction

A

Isometric
Isotonic
- Concentric
- Eccentric

48
Q

Types of pinch tests

A

Tip pincer or 2-point pinch or precision pinch – pinch like a crab; index and thumb
pincer – buttons
Lateral pinch or key pinch (power pinch) – between fist and thumb
2 point pinch or 3 jaw chuck – make a fist, stick index and middle finger out and pinch

49
Q

What is tone?

A

Normal tone is the natural state of ready of any given muscle
CNS disorders only.
It is not the same as strength
The firm feeling of a muscle
Tension of a muscle at rest

50
Q

Types of tone

A

Normal
Hypertonic
- Increase in tone that results in resistance during passive stretch
Spasticity (sometimes just considered hypertonic)
- Resistance to stretch occurs in the first 1/3 of the range
Rigidity
- Resistance throughout the range, preventing movement
- Extreme hypertonicity
Hypotonic
- Low tone, muscle is “floppy”, not firm to touch
Flaccid
- No tone at all

51
Q

How can we increase or decrease tone?

A

Increase:
- proprioceptive input
- crawling on all fours
- jumping
- ice
- tickle or light touch
- unstable

Decrease:
- slow rocking
- heat
- deep pressure
- weighted vest
- stable

52
Q

How do we assess tone using the Ashworth scale?

A

0 = normal tone
1 = slight increase in tone, “catch” but able to go through full ROM
1+ = slight increase in tone, “catch” at ½ mark or more
2 = significant increase in tone, but still able to go through full ROM
3 = considerable increase, ROM is compromised or very difficult
4 = limb is rigid, little to no ROM

53
Q
A

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