Trunk ROM and MMT

Question 1

Trunk flexion w/ tape measure

Answer 1

C7 to L5
Have pt bend over “reversing” lordosis curve and not hinging at hips
No norms

Question 2

Trunk flexion and extension w/ inclinometer

Answer 2

C7 and L5 in sagittal plane
Subtract the L5 # from C7 # to eliminate hip motion
No norms

Question 3

Trunk extension w/ tape measure

Answer 3

C7 to L5
Pt put hands on hips for balance
No norms

Question 4

Trunk SB ROM w/ tape measure

Answer 4

Tip of middle finger to floor
No norms

Question 5

Trunk SB ROM w/ Goniometer

Answer 5

SA: perpendicular to floor
F: SI
MA: C7
No norms

Question 6

Trunk SB ROM w/ inclinometer

Answer 6

C7 and L5 in frontal plane
No norms

Question 7

Trunk rotation ROM w/ goniometer

Answer 7

SA: AC joint
Fulcrum: top of head
MA: follows AC

No standard or norm values
Arms across chest

Question 8

Trunk rotation ROM w/ tape measure

Answer 8

Standing w/ arms across chest
AC to opposite ASIS

Question 9

Trunk rotation ROM w/ inclinometer

Answer 9

Pt back parallel to floor against gravity, knees can be bent
C7 to L5 (?) in transverse plane
Cue pt to reach back and up toward ceiling

Question 10

Trunk extension MMT against gravity

Answer 10

Prone- pt’s toes dug into table and hands behind head, PT holds pt’s ankles to stabilize

No 1-3

4- clear belly button but shakes going down
5- clear belly button and “sticks landing”

Question 11

Thoracic extension MMT against gravity

Answer 11

Prone- pt’s chest hanging off table
3- arms at side; belly button clears table
4- pt’s HBH, able to get to horizontal w/ obvious effort
5- pt’s HBH, able to go to horizontal w/ no struggle

Question 12

Thoracic MMT gravity eliminated

Answer 12

Prone- pt fully supported on table
2- partial range
1- palpate
0- no contraction

Question 13

Trunk flexion MMT against gravity

Answer 13

Supine- legs straight, can stabilize pelvis if needed
3- pt’s arms full extension above body; pt lifts inferior angles off table
4- pt’s arms crossed over chest and clears inferior angles
5- pt’s HBH, raises inferior angles off table

Question 14

Sequence 1 of trunk flexion MMT

Answer 14

Pt raises head from table
- If scapula don’t clear table then grade 2
- If pt can’t lift head proceed to sequence two

Question 15

Sequence 2 for trunk flexion MMT

Answer 15

PT cradles upper trunk and head off table, ask pt to lean forward
- If ribs depress, grade 2
- If no depression but visible/palpable contraction, grade 1
- If no activity, grade 0 and move to sequence three