Muscle Testing (Biomechanics) Flashcards
Why is muscle testing important?
Assesses whether muscles are acting as they are supposed to. Weak muscles can affect gait & stance & can be strengthened.
What is the action of Tibialis Posterior?
Plantar flexion & inversion of foot
If flexor hallucis longus & flexor digitorum longus are substituting what will occur?
Toes strongly flex
How is Tibialis Posterior tested?
- Pt supine/ sitting
- Fixate above ankle
- Dorsiflex ankle & evert foot
Tibialis posterior weakness is seen clinically as?
If weak single limb raise difficult/ impossible & gross pronation
What is the action of Tibialis Anterior?
Dorsiflexion & Inversion of foot
How is Tibialis Anterior Tested?
- Pt supine/ sitting
- Fixate above ankle
- Plantar flex ankle & evert foot
Tibialis anterior weakness results in?
Gross pronation & dropfoot
What is the action of soleus?
Plantar flexion of foot (without inversion or eversion)
- Inversion/ eversion indicates tibialis posterior? toe flexors or peroneal substitution
How is soleus tested?
- Pt prone (lying face down) with knee flexed
- Fixate leg proximal to ankle
- Dorsiflex foot using calcaneus or plantar surface of foot
Soleus weakness is seen clinically as?
- Cavus position of foot &
- Inability to rise on toes
- Anterior displacement of body, possibly with knee flexion
What is the action of Gastrocnemius?
Plantar flexion of foot
How is gastrocnemius tested?
- Pt prone (lying face down) with knee extended
- Pressure against plantar surface of foot (If Pt is strong)
- Pressure against calcaneus only (If Pt is weaker)
Gastrocnemius weakness is seen clinically as?
The inability to rise on toes &
Hyperextension of knees
What is the action of Peroneus Longus & Brevis?
Eversion & Plantar flexion of foot
Peronus Longus & Brevis weakness is seen clinically as?
Varus position of foot
Decreased lateral stability
Rising on toes
What is the action of Extensor Hallucis Longus &
Extensor Digitorum Brevis (medial slip)?
Extensor Hallucis Longus dorsiflexes the hallux @ the MPJ & assists ankle dorsi flexion
How is Extensor Hallucis Longus & Extensor Digitorum Brevis tested?
- Pt supine or sitting
- Fixate foot behind ankle in plantar position
- Pressure against dorsal surface of hallux
Extensor Hallucis Longus & Extensor Digitorum Brevis weakness is seen clinically as?
Decreased hallux & ankle joint extension,
allowing flexed position of toe
What is the action of extensor digitorum longus & brevis?
Dorsi flexion of all joints of lesser digits &
Aids dorsi flexion at ankle joint
How is extensor digitorum longus & brevis tested?
- Pt supine/ sitting
- Fixate behind ankle with foot plantar flexed
- Apply pressure against dorsal surface of lesser toes
Weakness of extensor digitorum longus & brevis results in?
Foot drop & forefoot varus
What is the action of Flexor Hallucis Brevis?
Plantar flexion of hallux at MPJ
How is Flexor Hallucis Brevis tested?
- Pt supine/ sitting
- Fixate foot & ankle
- MPJ in neutral position
- Apply pressure against plantar surface of proximal phalanx of hallux