Tufts DPT - Manual Muscle Testing Exam 2

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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


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