MMT and ROM Flashcards
Grade 0
Zero
Grade 1
Trace
Grade 2
Poor
Grade 3
Fair
Grade 4
Good
Grade 5
Normal
ROM for Hip Flexion
0-120
Positioning for Patient and Examiner for Hip Flexion Grade 5-3
Patient: Sitting with knees at 90 over the edge of the table,
Examiner: Standing next to the limb to be tested. Hand gives resistance to distal thigh.
Positioning for Patient and Examiner for Hip Flexion Grade 2
Patient: Side lying with limb to be tested on top and supported be examiner
Examiner: Standing behind patient. Cradle test limb in one arm with hand support under the knee. Opposite hand maintains trunk alignment at hip.
Positioning for Patient and Examiner for Hip Flexion Grade 1
Patient: Supine, Test limb supported by examiner under the calf with hand behind knee.
Examiner: Standing at side of limb to be tested. Test limb is supported under the calf with hand behind the knee. Free hand palpates the muscle.
ROM for Hip Extension
0-20
Patient and Examiner Positioning for Grades 5-3 For Hip Extension
Patient: Prone.
Examiner: Standing at the side of limb to be tested at the level of the pelvis. Hand providing resistance is just above the ankle. Other hand is placed on the pelvis (at psis level) for stabilization.
Patient and Examiner Positioning for Grade 2 for Hip Extension
Patient: Side lying with test limb on top, Knee Straight and supported by examiner. Lower leg is bent for stability
Examiner: Standing behind patient at thigh level. Supporting test limb just below the knee, cradling the leg. Opposite hand place of pelvic crest for stabilization.
Hip Extension Positioning Grade 1
Patient: Prone
Examiner: Standing on the side of patient to be tested. at level of the hips. Palpate hamstrings at IT. Palpate gleutus maximus with deep finger pressure over the center of the buttocks.
How to isolate the Gluteus Maximus in the test for HIp Extension?
Patient:Prone with knee flexed to 90.
Examiner: Standing at the side of the limb to be tested at the level of the pelvis. Hand providing resistance on posterior thigh, just above the knee. Opposite hand may stabilize or maintain alignment of the pelvis.
Hip Abduction ROM
0 to 45
Hip Abduction Positioning Grade 3-5
Patient: Side-lying with test leg upper most. Start test limb with the limb slightly extended beyond the midline and the pelvis is slightly rotated forward. Lowermost leg is flexed for stability.
Examiner: Standing behind the patient. Resistance hand placed across the lateral surface of the knee. Other hang is used to palpate the gluteus medius is just proximal to the greater trochanter of the femur.
Hip Abduction Positioning Grade 2
Patient: Supine
Examiner: Standing on the side of the limb to be tested. One hand supports and lifts the limb by holding it under the ankle to raise limb just enough to decrease friction. The other hand plapates the glutesus medius just proximal to the greater troch.
Hips Abduction Positioning Grade 1
Patient: Supine
Examiner: Standing at side of limb being tested at level of thigh. One hand supports the limb under the ankle just above the malleoli. Palpate the gluteus medius on the lateral aspect of the hip just above the greater troch.
Hip Adduction ROM
0- 15 or 20
Hip Adduction Positioning Grade 5-3
Patient: Side-lying with the test limb resting on the table. Uppermost limb is 25 degrees abducted, supported by the examiner. The therapist cradle the leg with the forearm, the hand supporting on the medial surface.
Examiner: Standing behind patient at knee level. THe hand giving resistance to the test limb is placed on the medial surface of the distal femur, just proximal to the knee joint. REsistance is directed stright downward toward the table.
HIps Adduction Positioning grade 2
Patient: Supine. THe nontest limb is positioned in some abduction to prevent interference with motion of the test limb.
Examiner: Standing on the side of the test limb at knee level. One hand supports the ankle and elevates it slightly from the table surface to decrease friction as the limb moves across. The opposite hand palpates the adductor mass on the inner aspect of the proximal thigh.
Hip Adduction Positioning Grade 1
Patient: Supine
Examiner: Standing on side of the test limb. One hand supports the limb under the ankle. The other hand palpates the adductor mass on the proximal thigh.
Hip External Rotation ROM
0-45
Hip External Rotation Positioning Grade 5-3
Patient: Short sitting
Examiner: The hand gives resistance graps the ankle joint just above the malleolus. Resistance is applied as a laterally directed force at the ankle. THe other hand is contoured over the lateral aspect of the distal thigh just above the knee. Resistance is given as a medially directed force at the knee.
Hip External Rotation Positioning Grade 2
Patient: Supine. Test limb is in internal rotation
Examiner: Standing at the side of limb to be tested.
Hip External Rotation Positioning Grade 1
Patient: Supine with test limb placed in internal rotation
Examiner: Standing at side of limb to be tested
Hip Internal Rotation ROM
0 to 45
Hip External Rotation Positioning Grade 5-3
Patient: Short sitting. Arms may be used for trunk support at sides or maybe crossed
Examiner: Sitting or kneeling. One hand grasps the lateral surface of the ankle kust above the malleolus. Resistance is given as a medially directed force at the ankle. The opposite hand. which offers counterpressure, is contoured over the medial surface of the distal thigh just above the knee. Resistance is applied as a laterally directed force at the knee.
Hip Internal Rotation Positioning Grade 2
Patient: Supine. Test limb in partial external rotation.
Examiner: Standing next to test leg. Palpate the gluteus medius proximal to the greater troch and the tensor fasciae latae.
Hip Internal Rotation Positioning Grade 1
Patient: Supine with test limb placed in external rotation
Examiner: Standing next to test leg.
Knee Flexion ROM
0-135
Knee Flexion Positioning Grade 5-3
Patient: Prone with limbs straight and toes hanging over the edge of the table.
Examiner: Standing next to limb to be tested . Hand giving resistance is contoured around the posterior surface of the leg just above the ankle. Resistance is applied in the direction of knee extension. The other hand is placed over the hamstrings tendons on the posterior thigh.
Medial Hamstring Test
Patient: Prone with knee flexed less than 90. Leg in internal rotation (toes toward the midline).
Lateral Hamstring Test (Biceps Femoris)
Patient: Prone with knee flexed to less than 90. Leg is in external rotation (toes pointing laterally)
Knee Flexion Positioning Grade 2
Patient: Side-lying with test limb supported by examiner. Lower limb flexed for stability.
Examiner: Standing behind patient at knee level. One arm is used to cradle thigh, providing hand support at medial side of knee. Other hand supports the leg at the ankle jst above the malleolus.
Knee Flexion Positioning Grade 1
Patient: Prone. Limbs are straight with toes extending over end of table. Knee is partially flexed and supported at ankle by examiner.
Examiner: Standing next to test limb at knee level. One hand supports the flexed limb at the ankle. The opposite hand palpates both the medial and the lateral hamstring tendons just above the posterior knee.
Knee Extension ROM
135-0
Knee Extension Positioning Grade 5-3
Patient: Short Sitting. Dont allow patient to hyperextend knee
Examiner: Standing at the side of the limb that is being tested. The hand giving resistance is contured over the anterior surface of the distal leg just above the ankle.
Knee Extension Positioning Grade 2
Patient: Side lying with test limb upper most. Lowermost limb maybe flexed for stability. Limb to be tested is held in 90 degrees of flexion.
Examiner: Standing behind patient at knee level. One arm cradles the test limb underside of the knee. The other hand holds the leg just above the malleolus.
Knee Extension Positioning Grade 1
Patient: Supine
Examiner: Standing next to limb to be tested at knee level. Hand used for palpation should be on the quad tendon just above the knee with the tendon held gently between the thumb and fingers.
Plantar Flexion ROM
0-45
Plantar Flexion Positioning Grade 5-3
Patient: Patient stands on tested limb, knee extended. Patient is likely to need external support (1-2 fingers on the table)
Examiner: Standing or sitting with lateral view
Grade 5= 25 heel raises
Grade 4= 10-24
Grade 3= 1-9
Plantar Flexion Positioning Grade 2 Standing
Patient: Same as 5-3.
Grade 2+ The patient can just clear the heel from the floor and cannot get up on the toes to end test position.
Plantar Flexion Prone Test
Patient: Prone with feet off end of table.
Examiner: Standing at the end of the table in front of the foot to be tested. One hand is contoured under and around the test leg just above the heel. Heel and palm of hand giving resistance are placed against the plantar surface at the level of the metatarsal heads.
Plantar Flexion Prone Test Grades
Grade 2+ Completes PF range and holds against maximal resistance
Grade 2: Patient Completes PF range but tolerates no resistance
Grade 2-: Patient completes only partial ROM
Plantar Flexion Positioning Grade 1
Patient : Prone with feet off end of table
Examiner: Standing at end of table in front of foot to be tested. ONe hand palpates gastroc-soleus activity by monoitoring tension in the achillies tendon, just above the calcaneus.
PF test-Soleus Only
Same positioning as PF standing test. Patients limb that is being tested now has to maintain a flexed knee through full ROM.
Dorsi Flexion and Inversion ROM
0-20
DF and Inversion Positioning Grade 5-0
Patient: Short Sitting
Examiner: Sitting on stool in front of patient with patients heel resting on thigh. One hand is contoured around the posterior leg just above the malleoli. THe hand providing resistance for the same grade is cupped over the dorsomedial aspect of the foot.
Foot Inversion ROM (TIb Post)
0-35
Foot Inversion Positioning Grade 5-3
Patient: Short sitting with ankle in slight PF
Examiner: Hands over dorsum of foot and other hand just post/proximal to Malleoli.
