Range Of Motion Values And MMT Testing Values Flashcards
Hip adduction
20*
Hip abduction
45*
Hip flexion
120*
Hip extension
20*
Hip internal/external rotation
45*
Knee flexion
135*
Knee extension
10*
Dorsiflexion
20*
Plantarflexion
50*
Inversion
35*
Eversion
15*
Great toe flexion
45*
Great toe extension
70*
What motions share the same normal ROM value of 45*
Internal, external rotation of the hip
Abduction of the hip
Flexion of the great toe
What motions share the same normal ROM value of 20*?
Hip extension
Hip adduction
Ankle dorsiflexion
what does an MMT score of 5 mean?
“Normal”
Completes full ROM against max resistance OR holds against max resistance
What does an MMT score of 4 mean?
“Good”
“Give” rot “yield” against maximum resistance
What does an MMT score of 3 mean?
“Fair”
Completes full ROM against gravity but yields/breaks with any resistance applied
What does an MMT score of 2 mean?
“Poor”
Completes full ROM in gravity eliminated or gravity minimized position
What does an MMT score of 1 mean?
“Trace”
Visible or palpable muscle contraction in gravity eliminated/ minimized position
What does an MMT score of 0 mean?
No muscle contraction
Factors involved in muscle weakness (8)
Nerve involvement
Intrinsic muscle damage
Neuromuscular inhibition
Stretch weakness
Disuse/atrophy
Fatigue
Pain
Edema
Indications for MMT
Postural asymmetry
Pain
Reported weakness or fatigue
Difficulty with function
Prolonged disuse
MMT - strong and painless
No lesion or neurological deficit
MMT - strong and painful
Minor lesion of tested muscle or tendon
MMT - weak and painless
Disorder of nervous system or neuromuscular junction OR
Complete rupture of muscle or tendon OR
Disuse atrophy
MMT - weak and painful
Fracture or neoplasm OR
Acute inflammatory process that inhibits muscle contraction OR
Partial rupture of muscle or tendon OR
Minor muscle damage and inflammation caused by activity/exercise
End-feel: hip flexion (2)
Soft: due to muscle bulk
Firm: due to tight posterior capsule
End-feel: hip extension
Firm: due to muscle tension, anterior joint capsule, or ligaments
End-feel: hip abduction
Firm: due to medial joint capsule, muscle tension, ligaments
End-feel: hip adduction
Firm: due to lateral capsule, muscle tension, ligaments
End-feel: hip internal rotation, external rotation
Firm: due to posterior joint capsule, muscle tension, ligaments
End-feel: ankle dorsiflexion
Firm: due to posterior joint capsule, muscle tension, ligaments
End-feel: ankle plantar flexion
Firm due to anterior capsule, muscle tension, ligaments
End-feel: ankle inversion/eversion
Firm due to joint capsule, muscle tension, ligaments
End-feel: MTP jt flexion/extension
Flexion: firm due to dorsal joint capsule and muscle tension or ligaments
Extension: firm due to plantar joint capsule and muscle tension
End-feel: IP jt flexion/extension
Firm due to dorsal jt capsule or collateral ligaments