ROM and MMT Upper Limb (Quiz 2) Flashcards
What is the importance of Motion and Strength Assessment?
treatments at their core function by manipulating body mechanics to achieve a desired outcome
gain accurate data on available motion and strength to be able to develop and implement plan of care
How is MMT measured
utilizing observation with both gravity and manual resistance
Active Range of Motion
amount of motion attained by a subject during unassisted voluntary joint motion
provides information on willingness to move, coordination, and general muscle strength
Passive Range of Motion
amount of motion attained by the examiner wihtout assistance from the patient
provides information about the surfaces and surrounding soft tissues
Normal ROM
range of “normal” osteokinematic measures seen across the general population
Functional ROM
range of motion required to perform a specific task
TRUE OR FALSE
MMT is a test of strength
FALSE
it is a measurement of weakness
Manual Muscle Testing
the observation and application of resistance to determine the magnitude of force that can be generated across a joint
What is the MMT grading scale
0 (Zero) - no contraction
1 (Trace) - contraction observed, no segmental movement
2 (Poor) - Partial arc with gravity OR full arc no gravity
3 (Fair) - move body part into test position
4 (Good) - Hold in test position against gravity moderate pressure
5 (Normal) - hold in test position against gravity max pressure
Wrist Flexion ROM
- Passive ROM: Firm
- Active ROM: seated w/palmar forearm on table
- Fulcrum: Ulnar Aspect of wrist (triquetrum)
0-80 deg
Wrist Flexion MMT
Seated with dorsal forearm on table
Wrist Extension ROM
- Passive ROM: Firm
- Active ROM: seated w/ palmar forearm on table
- Fulcrum: ulnar aspect of wrist (triquetrium)
0-70 deg
Wrist Extension MMT
seated with palmar forearm on table
Radial Deviation ROM
- Passive ROM: hard (radial styloid & scaphoid)
- Active ROM: seated with palmar forearm on table
- fulcrum: midline of wrist (capitate)
0-20 deg
Radial Deviation MMT
seated with medial forearm on table
Ulnar Deviation ROM
- Passive ROM: firm
- Active ROM: seated with palmar forearm on table
- Fulcrum: mdiline aspect of wrist (capitate)
0-30 deg
Ulnar Deviation MMT
supine with radial forearm on table
Supination ROM
- Passive ROM: firm
- Active ROM: seated; elbow @ 90 w forearm on flat surface
- Fulcrum: dorsal aspect of 4th/5th MCP joint
0-80 deg
Supination ROM
- Passive ROM: firm
- Active ROM: seated; elbow @ 90 w forearm on flat surface
- Fulcrum: dorsal aspect of 4th/5th MCP joint
0-80 deg
Supination MMT
seated with elbow at 90; handshake grip in supination
try to bring them back to neutral
Pronation ROM
- Passive ROM: firm
- Active ROM: seated; elbow at 90 w/ forearm on flat surface
- Fulcrum: dorsal aspect of 4th/5th MCP joint
0-80 deg
Pronation MMT
seated with elbow at 90; handshake grip in pronation
try to bring back to neutral
Elbow Flexion ROM
- Passive ROM: soft
- Active ROM: supine (pad under elbow)
- Fulcrum: lateral epicondyle
0-140/150 deg
Elbow Flexion MMT
seated shoulder supported
Elbow Extension ROM
- Passive ROM: hard (olecranon and olecranon fossa)
- Active ROM:supine (pad under elbow)
- Fulcrum: lateral epicondyle
140/150-0
Elbow Extension MMT
prone with shoulder abducted 90 deg
Shoulder Flexion ROM
- Passive ROM: firm
- Active ROM: supine
- Fulcrum: acromial process
0-180
Shoulder Flexion MMT
seated w/ arm over head; scap stabilized
Shoulder Extension ROM
- Passive: firm
- Active: prone
- Fulcrum: acromial process
0-50/60
Shoulder Extension MMT
prone; no forearm supination or pronation
Shoulder ABduction ROM
- Passive: firm
- Active: prone, seated, or supine
- Fulcrum: acromial process (anterior side)
0-180
Shoulder ABduction MMT
seated; scapular stabilization
hand raised like asking a question
Shoulder ADduction ROM
- Passive: soft
- Active: standing, seating, supine
- Fulcrum: N/A use orthotic eye
Shoulder ADduction MMT
supine; shoulder abducted to 90 deg
Shoulder Internal Rotation ROM
- Passive: firm
- Active: supine with shoulder abducted to 90
- Fulcrum: oclecranon process
0-80 deg
Shoulder Internal Rotation MMT
prone with shoulder abducted to 90 deg
Shoudler External Rotation ROM
- Passive: Firm
- Active: supine with shoulder abducted to 90 deg
- Fulcrum: olecranon process
0-90 deg