Muscle Performance Examination and Intervention Principles Flashcards

1
Q

Isotonic Testing

A

Joint movement occurs against a fixed or variable load

includes (concentric) and (eccentric)

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2
Q

Repetition Maximum

A

Maximal weight a person can lift in perfect form

Requires you to determine failure or inability to complete next rep

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3
Q

Isokinetic Testing

A

Joint movement that occurs at a fixed speed

Accommodating resistance

Load is matched

quantifies fatigue or amount or rate of force decline

quantify rate of force development

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4
Q

Isometric Testing

A

No apparent motion at joint (static testing)
external load equals the force produced by the muscle
Manual techniques (MMT)
Instrumented techniques

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5
Q

MMT score

A

ordinal measurement scale
0= no muscle contraction
5= movement through complete ROM against gravity and maximal resistance

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6
Q

Normal (N or 5)

A

full available ROM against gravity
maximal manual resistance

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7
Q

Good (G or 4)

A

full available ROM against gravity
moderate manual resistance

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8
Q

Fair + (F+ or 3+)

A

Full available range of motion against gravity
minimal manual resistance

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9
Q

Fair (F or 3)

A

start here with all patients
Full available range of motion against gravity
no manual resistance

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10
Q

Fair - (F- or 3-)

A

more than half available ROM against gravity
no manual resistance

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11
Q

Poor + (P+ or 2+)

A

less than half available ROM against gravity
no manual resistance

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12
Q

Poor - (P- or 2-)

A

partial ROM in gravity minimized position
no manual resistance

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13
Q

Trace (T or 1)

A

no joint motion, gravity minimized position, muscle contraction palpable or observable

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14
Q

Poor (P or 2)

A

full available ROM in gravity minimized position

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15
Q

What is Subjective?

A

amount of resistance Patient tolerates during test

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16
Q

Objective

A

ability of patient to complete full ROM or to hold position
ability to move against gravity or inability to move at all

17
Q

Break test

A

PT applies resistance until muscle contraction overcome by patient
More force than make test
“hold this position, dont move”

18
Q

Make test

A

Set force level and ask patient to match it
Force lower than break test
commonly used with HHD

19
Q

Intrarater

A

reliability is good

20
Q

Interrater

A

reliability is fair/good

21
Q

Grades above good (4)

A

Not strong with other strength measures

22
Q

Grades below good (4)

A

strong relationships with other strength measures

23
Q

MMT reliability depends on

A

muscle tested
experience/ education of tester
patients
studies

24
Q

Errors affecting reliability

A

submaximal contractions
substitutions
report of wrong side

25
Q

Strengths of MMT

A

always available
inexpensive
useful for individual muscles

26
Q

Weakness of MMT

A

imprecise
reliability/validity issues
ceiling effects