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16 Cards in this Set

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What is MMT
Manual Muscle Testing: It is a way to measure maximal contraction of MS or MS group
Methods of Evaluating MS strength
1-test individual MS as much as possible
2-Assess strength of MS groups
3-Observe while ADLs/activities are performed
What are the 6 Purposes of MMT
1-MS power avail and to establish a baseline
2-To determine how MS weakness is affecting ADL performance
3-Prevent deformities from imbalanced strength
4-Determine need for AD to compensate for reduced strength
5-Will aid in the selection of activities w/in pt's capabilities
6-Evaluate the effectiveness of TX (eval strength to see if the TX is approp for that strength level.
What is the relationship between MMT and ROM
It is the measurement of the MS strength to move the joint thru ROM. Did the MS move the joint thru complete, partial or no ROM?
What are the 4 MMT Limitations
1-Endurance
2-Coordination
3-Motor performance (can't tell if one particular MS is doing the job)
4-Upper Motor Neuron Deficit (CNS problems inhibit a true MS strength measurement)
What factors influence MS function
1- gravity. Grades 0,1,2,3 test in horizontal (transverse)plane; 4,5 grade test in vertical (saggital)plane
2- substitution: eliminate it by correct positioning, stabilization, & palpation
What are the 6 Standard procedures for performing MMT
1-Positioning
2-Stabilizing
3-palpation
4-observing
5-resisting
6-grade the result
what are the MS grades
0 = Zero
1 = Trace
2- = Poor-
2 = Poor
2+ = Poor+
3- = Fair -
3 = Fair
3+ = Fair+
4 = Good
5 = Normal
Define 0, and 1 MS grades
0 (zero/none): is NO MS CONTRACTION
1 (trace): CONTRACTION CAN BE FELT (very little)BUT NO JOINT MOTION
Define 2-, 2, & 2+ MS GRADES
2- (Poor-): Move thru INCOMPLETE ROM, Gravity Decreased
2 (Poor): Move thru COMPLETE ROM, Gravity Decreased
2+ (Poor+):Move thru INCOMPLETE (< 50%) ROM against GRAVITY, OR, move thru COMPLETE ROM w/DECREASED GRAVITY, but against SLIGHT RESISTANCE.
Define 3-, 3, 3+ MS GRADES
3- (FAIR -): Move thru INCOMPLETE ( > 50%) ROM against GRAVITY
3 (Fair): Move thru COMPLETE ROM against GRAVITY
3+ (Fair+): Move thru COMPLETE ROM against Gravity and SLIGHT RESISTANCE
Define 4 & 5 MS GRADES
4 (Good): Move thru COMPLETE ROM with Moderate Resistance
5 (Normal): Move thru COMPLETE ROM with Full Resistance
Normal ROM for Shoulder
Flex
Ext
ABD
INT ROT (position 1)
INT ROT (position 2)
EXT ROT (position 1)
EXT ROT (position 2)
flex: 0-170
ext: 0-60
ABD: 0-170
INT ROT (pos 1): 0-60
INT ROT (pos 2): 0-70
EXT ROT (pos 1): 0-80
EXT ROT (pos 2): 0-90
Normal ROM for FOREARM
supination
pronation
supination: 0-80-90
pronation: 0-80-90
Normal ROM for WRIST
FLEX
EXT
UD
RD
FLEX: 0-80
EXT: 0-70
UD: 0-30
RD: 0-20
Normal ROM FOR ELBOW
FLEX
FLEX 0-135-150