MMT test 2 Flashcards
plantar flexion (2 muscles) *know grading sytem
- gastroc and soleus (do same thing with bent knee) (inn- femoral nerve)
- standing on testing leg
- 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
ankle inversion with dorsiflexion
- tibialis ant (deep fib n L4-S1)
- sitting
- movement- up and in
- palpate
- resist- push down and out
- sub- tibialis posterior (inversion only), strong toe extension (extensor digitorium longus or extensor hallicus longus)
- GE-
ankle inversion with plantarflexion
- tibialis posterior (tibial n L5-S1)
- side ly with testing leg on bottom
- invert and plantar flex
- palpate- medial malleoli
- resist- push eversion and down
- sub- inversion only (tibialis ant), dick and harry (flexor)
- GE- supine
ankle eversion with plantar flexion (2 muscles)
- fibularis longus and brevis (sup fib n L4-S1)
- side ly with testing leg on top
- motion- evert and plantar flex
- palpate- 5th MT
- resist- push into inversion and dorsiflexion
- sub- long toe extensors
- GE- supine
toe flexion (4 muscles)
- FHL, FDL, FHB, FDB (tibial/ med plantar nerve)
2.
toe extension (3 muscles) what is this testing?
- EHL, EDL, EDB (deep fibular nerve) ** GT extension is a good test for L5 compression
- sitting
- motion- extend toe
- palpate- top of foot
- resist- push into flexion
- sub-
quick assessment - ankle
3 movements to test
- dorsiflexion
- plantarflexion
- inversion/eversion
quick assessment - knee
2 movements to test
what are we testing for?
- flexion
- extension
just to see if there is enough strength for walking, not full ROM
quick assessment- hip
6 movements we are testing for
- flex
- extend
- abduction
- adduction
- rotation
- sartorious
sit to stand quick assessment, what are we testing? 3 movements
- hip extensors
- knee extensors
- plantar flexors
cranial nerves of eye movements
most are inn by…
2 exceptions
- all are oculo motor (CN III) except lateral rectus and superior oblique
- lat recuts is abducens (CN VI)
- superior oblique is trochelar nerve (IV)
lateral rectus
movement and inn
- track eye laterally
2. inn by abducens (CN VI)
inferior rectus
eyes down and in
superior rectus
eye up and in
superior oblique
down and out
inferior oblique
up and out
how we test eye muscles
keep head straight, look at eyes and see if there is deviation. then put a target in middle and have them follow
visual field issues- if have a stroke on left side
specific potential issue and where you lost vision
- right homonymous hemianopsia
2. lost vision in right temporal field and left nasal field
what are you testing when you say…
raise your eyebrowns
frontalis
what are you testing when you say…
shut your eyes tight
orbicularis oculi
what are you testing when you say…
pull eyebrows down and distaste look
preocerus (helps flare nose?)
what are you testing when you say…
smile
zygomaticus major- pulls corners of mouth up and out
what are you testing when you say…
kissing face
orbicularis oris (important for not drooling while you eat)
what are you testing when you say…
pull your cheeks in
buccinators
what are you testing when you say…
pouting
mentalis
muscles of mastication (4)
and innervation
- masseter
- temporalis
- ptergoids (2)
inn trigeminal nerve
inn of leg compartments ant lateral posterior deep posterior superficial
- anterior- deep fibular nerve** tests L5 compression
- lateral- superficial fibular nerve
- deep posterior - tibial
- superficial posterior- tibial