MMT test 2 Flashcards

1
Q
plantar flexion (2 muscles) 
 *know grading sytem
A
  1. gastroc and soleus (do same thing with bent knee) (inn- femoral nerve)
  2. standing on testing leg
  3. 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
  4. sub- toe flexors (tom, dick and harry), inversion, using table to push off
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2
Q

ankle inversion with dorsiflexion

A
  1. tibialis ant (deep fib n L4-S1)
  2. sitting
  3. movement- up and in
  4. palpate
  5. resist- push down and out
  6. sub- tibialis posterior (inversion only), strong toe extension (extensor digitorium longus or extensor hallicus longus)
  7. GE-
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3
Q

ankle inversion with plantarflexion

A
  1. tibialis posterior (tibial n L5-S1)
  2. side ly with testing leg on bottom
  3. invert and plantar flex
  4. palpate- medial malleoli
  5. resist- push eversion and down
  6. sub- inversion only (tibialis ant), dick and harry (flexor)
  7. GE- supine
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4
Q

ankle eversion with plantar flexion (2 muscles)

A
  1. fibularis longus and brevis (sup fib n L4-S1)
  2. side ly with testing leg on top
  3. motion- evert and plantar flex
  4. palpate- 5th MT
  5. resist- push into inversion and dorsiflexion
  6. sub- long toe extensors
  7. GE- supine
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5
Q

toe flexion (4 muscles)

A
  1. FHL, FDL, FHB, FDB (tibial/ med plantar nerve)

2.

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6
Q
toe extension (3 muscles)
 what is this testing?
A
  1. EHL, EDL, EDB (deep fibular nerve) ** GT extension is a good test for L5 compression
  2. sitting
  3. motion- extend toe
  4. palpate- top of foot
  5. resist- push into flexion
  6. sub-
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7
Q

quick assessment - ankle

3 movements to test

A
  1. dorsiflexion
  2. plantarflexion
  3. inversion/eversion
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8
Q

quick assessment - knee
2 movements to test
what are we testing for?

A
  1. flexion
  2. extension
    just to see if there is enough strength for walking, not full ROM
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9
Q

quick assessment- hip

6 movements we are testing for

A
  1. flex
  2. extend
  3. abduction
  4. adduction
  5. rotation
  6. sartorious
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10
Q

sit to stand quick assessment, what are we testing? 3 movements

A
  1. hip extensors
  2. knee extensors
  3. plantar flexors
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11
Q

cranial nerves of eye movements
most are inn by…
2 exceptions

A
  1. all are oculo motor (CN III) except lateral rectus and superior oblique
  2. lat recuts is abducens (CN VI)
  3. superior oblique is trochelar nerve (IV)
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12
Q

lateral rectus

movement and inn

A
  1. track eye laterally

2. inn by abducens (CN VI)

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13
Q

inferior rectus

A

eyes down and in

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14
Q

superior rectus

A

eye up and in

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15
Q

superior oblique

A

down and out

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16
Q

inferior oblique

A

up and out

17
Q

how we test eye muscles

A

keep head straight, look at eyes and see if there is deviation. then put a target in middle and have them follow

18
Q

visual field issues- if have a stroke on left side

specific potential issue and where you lost vision

A
  1. right homonymous hemianopsia

2. lost vision in right temporal field and left nasal field

19
Q

what are you testing when you say…

raise your eyebrowns

A

frontalis

20
Q

what are you testing when you say…

shut your eyes tight

A

orbicularis oculi

21
Q

what are you testing when you say…

pull eyebrows down and distaste look

A

preocerus (helps flare nose?)

22
Q

what are you testing when you say…

smile

A

zygomaticus major- pulls corners of mouth up and out

23
Q

what are you testing when you say…

kissing face

A

orbicularis oris (important for not drooling while you eat)

24
Q

what are you testing when you say…

pull your cheeks in

A

buccinators

25
Q

what are you testing when you say…

pouting

A

mentalis

26
Q

muscles of mastication (4)

and innervation

A
  1. masseter
  2. temporalis
  3. ptergoids (2)
    inn trigeminal nerve
27
Q
inn of leg compartments
 ant
 lateral
 posterior deep
 posterior superficial
A
  1. anterior- deep fibular nerve** tests L5 compression
  2. lateral- superficial fibular nerve
  3. deep posterior - tibial
  4. superficial posterior- tibial