Resisted Manual Muscle Testing (RmmT)

Question 1

action, test, fixation, and clt position, and pressure for BR

Answer 1

action: flexes elbow, rotates forearm to midprone
clt position: supine or sitting
fixation: therapist puts hand under their elbow
test: FLEX or elbow w/ arm in neutral, feel BR belly to ensure its firing and its not just supporting mms
pressure: against DIST forearm in direction of EXT

Question 2

actions, test, fixation, and clt position, and pressure for biceps brachii

Answer 2

actions: flexes GH and elbow, SUP’N at radioulnar
test: clt flexes elbow w/ hand supinated
fixation: therapist hand under their elbow
clt position: seated
pressure: downwards into EXT

Question 3

test, fixation, and clt position, pressure and action for deltoid (middle)

Answer 3

test: clt sits with elbow bent 90 and hand in neutral, GH is ABD to 90 as starting point
fixation: only need to stabilize the scap if clt has weak scapular fixation mms
clt position: sitting
pressure: downwards into GH add w/ hand on DIST arm just above elbow
action: ABD (more actions from ANT and POST fibers)

Question 4

test, fixation, and clt position, pressure, and action for rhomboid major

Answer 4

test: clt applies upward force
fixation: hand on opposite scapula pushing into table
clt position: prone w/ arm straight, thumb pointing down (IR) and GH abd to 90
pressure: applied at DIST forearm just above wrist downwards
action: RET, elevation, INF ROT of scap

Question 5

test, fixation, and clt position, pressure and action for Pec -

Answer 5

test: forward thrust of SH, clt hand should not be pushing into table
fixation: none
clt position: supine
pressure: against ANT aspect of shoulder, downward to table
action: depresses, anterior tilt

Question 6

test, fixation, clt position, pressure and action for glute max

Answer 6

test: resisted hip EXT w/ knee flexed
fixation: watch for compensations from BK mms, and contralateral hip flexors pushing leg into table
clt position: prone w/ knee flex 90
pressure: against DIST POST thigh
action: resisted hip EXT, assists w/ ER and stabilizing knee during knee EXT

Question 7

test, fixation, clt position, pressure and action for semitendinosus and semimembranosus

Answer 7

test: flex of knee b/w 50-70 w/ thigh in IR
fixation: hold thigh down on table
clt position: prone
pressure: down towards knee ext
action: flexed and IR knee jt, ext and assists IR at hip jt

Question 8

test, fixation, clt position and action for Gastrocnemius

Answer 8

test: 20 single leg calf raises
fixation: ensure clt is pushing upwards w/ balancing hand
clt position: single leg standing
actions: plantar flexion and assists w/ knee flex

Question 9

test, fixation, clt position, pressure and action for tib ant

Answer 9

test: inv and dorsiflex of foot fixation: support leg just above ankle jt
clt position: sitting or supine (knee flexed if gastrocs is tight)
pressure: against MED and dorsal surface of ft into plantarflex and evr
action: DF, inv

Question 10

test, fixation, clt position, pressure and action for Rectus femoris

Answer 10

test: full ext of knee, w/o rotation of thigh
fixation: hand under their thigh to feel for pressure
clt position: seated at edge of table
pressure: downwards into knee flex
action: flexes hip and ext knee