Spine Goniometry and MMT Flashcards
What are the landmarks for Thoracolumbar Flexion/ Extension for both tape measure and inclinometer?
C7 and S2
Thoracolumbar Flexion ROM (Inclinometers)
60 degrees
Thoracolumbar Flexion with Tape Measure
10 cm
Thoracolumbar Extension ROM (Inclinometers)
25 degrees
Thoracolumbar Lateral Flexion ROM (Goniometer)
35 degrees
Thoracolumbar Lateral Flexion (Fingertip-to-Thigh)
19.1 - 21.6 cm
Thoracolumbar Lateral Flexion ROM (Inclinometers)
25 degrees
Thoracolumbar Rotation ROM (Goniometer)
0-45 degrees
What are the landmarks for Lumbar Flexion/ Extension?
S2 and 15 cm above S2 (or T12)
Lumbar Flexion ROM (Double Inclinometers)
60 degrees
Lumbar Extension ROM (Double Inclinometers)
20-25 degrees
What is the testing motion for Quadratus Lumborum Muscle Length?
Shoulder of side being tested elevated overhead. Trunk lateral flexion to opposite side with slight trunk forward flexion.
Trunk Flexion 5/5 Instructions
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Trunk Flexion 4/5 Instructions
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Trunk Flexion 3/5 Instructions
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Trunk Flexion 2/5 Instructions
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Trunk Flexion 0 & 1 Instructions
Try to lift your head and shoulders off the table (feel for an abdominal contraction)
0 = absent
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Thoracic and Lumbar Spine Extension 4&5 Instructions
Watch for table positioning.
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Thoracolumbar Extension 3 & 2 Instructions
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Thoracolumbar Extension 0 & 1 Instructions
Try to lift your shoulders off the table. Feel for a contraction in the erector spinae muscle group.
0 = absent
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Trunk Rotation 5/5 Instructions
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Trunk Rotation 4/5 Instructions
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Trunk Rotation 3/5 Instructions
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Trunk Rotation 2/5 Instructions
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Trunk Rotation 0&1 Instructions
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Pelvis Elevation 4 and 5 Instructions
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Pelvic Elevation 2 & 3 Instructions
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Cervical Flexion ROM
0-45
Cervical Flexion ROM (Tape Measure)
1 to 4.3 cm
Cervical Flexion ROM (Single Inclinometer)
57 to 90 degrees
Cervical Extension ROM
0-45 degrees
Cervical Extension ROM (Tape Measure)
18.5 to 22.4 cm
Cervical Extension ROM (Single Inclinometer)
51-67 degrees
Cervical Lateral Flexion ROM
0-45 degrees
Cervical Lateral Flexion ROM (Tape Measure)
11 to 13 cm
Cervical Lateral Flexion ROM (Single Inclinometer)
41 to 48 degrees
Cervical Rotation ROM
0-60 degrees
Cervical Rotation ROM (Tape Measure)
11 to 13.2 cm
Cervical Rotation ROM (Single Inclinometer)
Prone; 75-80 Degrees
Testing Position for Suboccipitals Muscle Length
Maximal upper cervical flexion (chin tuck and head nod down). Slight head tilt to one side will put extra stretch on opposite side.
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Testing Position for Cervical Paraspinals Muscle Length
Chin tuck with maximal upper and lower cervical flexion. Slight lateral flexion to one side will put extra stretch on the opposite side
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Testing Position for Scalenes Muscle Length
Straight lateral flexion of the neck to the contralateral side. Ipsilateral shoulder girdle depression. Patient exhales to depress ribs.
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Testing Position for Sternocleidomastoid Muscle Length
Upper cervical flexion with lower cervical extension (or neutral). Contralateral lateral flexion. Ipsilateral rotation.
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Testing Position for Levator Scapula Muscle Length
Cervical flexion. Contralateral rotation. Slight contralateral lateral flexion.
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Testing Position for Upper Trapezius Muscle Length
Cervical flexion. Contralateral lateral flexion. Ipsilateral rotation. Shoulder girdle depression.
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Capital Flexion 4&5 Instructions
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Capital Flexion 3 and 2 Instructions
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Capital Flexion 0 and 1 Instructions
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Capital Extension 4 and 5 Instructions
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Capital Extension 3 and 2 Instructions
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Capital Extension 1 and 0 Instructions
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Cervical Flexion 3, 4 and 5 Instructions
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Cervical Flexion 0, 1 and 2 Instructions
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Cervical Flexion (Anterolateral) 3, 4 and 5 Instructions
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Cervical Flexion (Anterolateral) 0, 1 and 2 Instructions
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Cervical Extension 4 and 5 Instructions
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Cervical Extension 3/5 Instructions
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Cervical Extension 0, 1, 2 Instructions
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Cervical Rotation 3, 4 and 5 Instructions
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Cervical Rotation 0, 1, and 2 Instructions
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