Tufts DPT - Manual Muscle Testing Exam 2
MMT 3
Fair able to move through full range of motion against gravity. Unable to hold against minimal resistance.
MMT Grading: Ankle PF 3
1-9 heel raises
MMT Procedure
1. First check their available ROM to know what "full ROM" is available to go through 2. Ask they can move through their full available ROM against gravity they are at least a 3/5 a. If yes - add resistance b. If no - move to gravity minimized positions 3. If painful with resisted testing, a grade cannot be determined as pain limiting although you may document" at least a ____ limited by pain"
MMT Protocol (6 Steps)
1. Know the patient position 2. Know your position 3. Know what you should be stabilizing 4. Know what you should be palpating - what muscles are being tested?? 5. What the cues are that you will provide and where to apply the resistance 6. Grading of MMT
MMT Grading: Ankle PF 4
10-24 heel raises
MMT Grading: Ankle PF 5
>25 heel raises
MMT Grading: Trunk Flexion and Rotation Testing 1
palpable muscle contraction
MMT Trunk Extension
prone
MMT 4
Good able to hold against moderate resistance.
MMT Hip Alternate Flexion Grades 0-2
Holding weight of leg
MMT 5
Normal able to hold against maximal resistance
MMT Grading: Cervical Spine 5
Able to hold against maximal resistance
MMT Grading: Cervical Spine 4
Able to hold against moderate resistance
MMT Grading: Cervical Spine 3
Able to move through full ROM against gravity
MMT 2
Poor able to move through full range of motion in gravity-eliminated position
MMT 2-
Poor minus able to move through partial range of motion gravity eliminated
MMT 2+
Poor plus moves through partial range of motion against gravity OR moves through complete range of motion gravity eliminated and holds against pressure
MMT Cervical Extension
Prone
MMT Hip Flexion Grades 3-5
Seated
MMT Anterolateral flexion
Supine
MMT Capital Flexion
Supine
MMT Cervical Flexion
Supine
MMT 1
Trace palpable muscle contraction
MMT 0
Zero no palpable muscle contraction
MMT Grading: Trunk Extension 3
able to extend through full range of motion with arms at sides
MMT Grading: Trunk Extension 5
able to extend trunk through full ROM until sternum clears table with hands behind neck
MMT Grading: Trunk Extension 4
able to extend trunk through full range of motion with arms folded across behind back
MMT Grading: Trunk Flexion and Rotation Testing 3
able to flex and rotate trunk through full range of motion with arms at sides
MMT Grading: Trunk Flexion and Rotation Testing 4
able to flex and rotate trunk through full range of motion with arms folded across chest
MMT Grading: Trunk Flexion and Rotation Testing 5
able to flex and rotate trunk until both scapulae completely clear table with hands behind neck
MMT Grading: Ankle PF 2
able to move through full range of motion in gravity-eliminated position
MMT Grading: Cervical Spine 2
able to move through partial ROM
MMT Grading: Trunk Extension 2
able to move through partial range
MMT Grading: Trunk Flexion and Rotation Testing 2
able to move through partial range
MMT Grading: Ankle PF 0
no palpable muscle contraction
MMT Grading: Cervical Spine 0
no palpable muscle contraction
MMT Grading: Trunk Extension 0
no palpable muscle contraction
MMT Grading: Trunk Flexion and Rotation Testing 0
no palpable muscle contraction
MMT Grading: Ankle PF 1
palpable muscle contraction
MMT Grading: Cervical Spine 1
palpable muscle contraction
MMT Grading: Trunk Extension 1
palpable muscle contraction
MMT Ankle PF Grades 0-2
straight or bent
MMT Pelvic Elevation
supine
MMT Trunk Flexion
supine
MMT Trunk Rotation
supine
