week 4 Flashcards
Explain and demonstrate MMT to the patient Assess unaffected side Test position- either gravity eliminated or against gravity Stabilized the site of attachment of the origin of the muscle (proximal to the joint being tested) Prevent substitutions Gradual resistance is applied in the opposite direction of movement
MMT process
Moves through full ROM against gravity and takes max resistance
5 Normal
Moves through full ROM against gravity and takes mod resistance
4 good
Moves through full ROM against gravity and takes less than mod resistance
4- good minus
Moves through full ROM against gravity and takes min resistance
3+ fair plus
Moves through full ROM against gravity, unable to take resistance
3 fair
Moves less than full ROM against gravity
3- fair minus
Moves through full ROM in gravity-eliminated plane, takes min resistance
2+ poor plus
Moves through full ROM in gravity-eliminated plane, takes no added resistance
2 poor
Moves through less than full ROM in gravity-eliminated plane, takes no added resistance
2- poor minus
Tension is palpated, no motion occurs
1 trace
No tension is palpated, no motion occurs
0
Contraindications of grip and pinch test
healing fracture, ligament repair, tendon laceration, tendon transfer of forearm, wrist, hand
precautions of grip and pinch test
grip/pinch testing is not appropriate in an acute joint, ligament, or tendon injury until resistive exercises are appropriate. Must be sure structures are healed enough for maximal load
grip testing procedure
Measures the extrinsic and intrinsic muscles of the hand. Used to measures hand dysfunction and recovery Should be measured with a calibrated dynamometer Average of 3 trials should be scored (unless painful) Grip held for 3 seconds 15 second intervals between trails Compare to uninvolved side (however correct for dominance) Compare to established norms
rung for standard testing
second
grip testing position
Patient seated with arm adducted at side Elbow flexed to 90, forearm in neutral, wrist at 15-30* of extension and 0-15* of ulnar deviation Patient instructed to squeeze as hard as possible Therapist gently supports the base of the dynamometer