Week 9 - MMT Part 2 Flashcards
What is the ceiling effect in regards to MMT?
Can achieve maximal grade 5 and still have functional improvement that would be “masked”. Therefore, grades over 3 not to be directly correlated with functional progress (functional strength testing more appropriate).
When and why do we use alternatives to MMT?
- Strength exceeds functional threshold
- Tester strength not adequate
- When necessary to capture subtle differences between sides
- When power and endurance need to be measured
Is 1 RM recommended?
Yes, when possible
What are the advantages of free weight testing?
- Allow for assessment of con/eccentric strength
- Readily available
- Can be used through multiple planes
- Easily reproducible for patients at home
- Requires greater overall coordination and balance
What is a concern with hand held dynamometry use for MMT?
Concerns with tester applying force
Elastic band strength testing is the _____ and most _______ approach especially for those with soft tissue injuries.
- safest
- comfortable
What are the disadvantages of elastic bands?
- Standardization of full distance
- Positioning
- Interpretation of tests and progress
What are the red flags associated with maximal strength testing?
- Osteoporosis
- Unstable BP
- Recent surgical intervention
- Educate patients to not hold breath, maintain form, and reminder that this test should not cause pain
What is the gold standard for maximal strength testing?
1RM
Maximal strength testing is defined as “amount of load a patient can move one time through full ROM in a _________ manner with _______.
- controlled
- good form
Is maximal strength testing reliable and precise?
Yes
What do we want to do to optimize the 1RM test?
Have patient complete 3-5 submax warm up with 75% of what they believe they can do
- Determine 1RM within 4 reps
- Allow 3-5 minutes between sets
- All reps to be performed at constant speed, rate, and through full ROM
What are the issues with a multiple repetition maximal strength test?
- Safer for those with no exercise history and those with joint related dysfunction
- Fatigue more of a factor than 1RM
A threshold ____ exist for individuals in order for them to be able to perform daily functional activities
does
The Functional Movement Screen was setup for injury risk, however it doesn’t work as well as thought. It is more used for who?
Healthy population
