Goniometry Landmarks
Axis for Shoulder Abduction
Anterior to the acromion process
Ankle inversion
35 degrees and firm
Hamstrings
Sciatic
A person has full available AROM and can hold the test position for 3 seconds, but can take no resistance. What grade of MMT would you give this person?
Fair (3/5)
SLR and 90-90 are ways to measure the length of this muscle.
Hamstrings
Stationary arm for Ankle DF, PF
Along the lateral aspect of the fibula, reference point the fibular head
Forearm supination and wrist flexion
80 degrees and firm
Deltoid and Teres Minor
Axillary nerve
Describe the standard test position for shoulder complex flexion and abduction. Where is the stabilizing hand placed? What is the gravity eliminated position for each?
short sitting, shoulder flexed or abducted to 90 degrees; stabilizing hand on superior shoulder; GE=sidelying with UE supported by clinician
What upper extremity muscle has the standard test position with the patient positioned in prone?
Triceps
Moving arm for elbow flexion, extension
Along the midline of the lateral aspect of the radius, reference point the radial styloid process.
Hip flexion
120 degrees and soft
TFL
Gluteal
Where should a clinician place their hand when providing the resistance force when testing hip adductors?
At the distal end of the femur on the medial side of the knee
How many reps of unilateral ankle PF does a patient need to complete to receive a 5/5 score?
At least 25
Axis for hip internal, external rotation
Midpoint of the anterior patella
Shoulder external rotation
90 degrees and firm
Triceps and ECU
Radial nerve
If a pt has full AROM in a gravity eliminated position, how should that be documented as far as an MMT grade?
2/5
When performing the Thomas test, the pt holds their left knee to their chest and lowers their right thigh to the table, but it stops and remains in the air above the table. When the pt's right knee is extended, the thigh lowers all the way to the table. What muscle is short?
Rectus femoris
Position of the pt for knee flexion AROM and common substitution seen
Supine, excessive hip flexion (greater than 90)
Cervical flexion and lateral flexion
45 degrees and firm
Tibialis Anterior
Fibular/peroneal nerve
When performing the supine hip extensor test, if a patient's pelvis does not rise off of the table, what could be their recorded muscle grade?
2/5 or 3/5
Sitting in a chair with the forearm supported by the table is the gravity eliminated position for what four muscle tests?
Shoulder complex internal and external rotation, wrist flexion and extension