MMT - Cervical
During this, the pt. is supine, they tuck their chin and flex their neck while the PTA applies opposite pressure
What is an anterior neck flexor MMT?
Both scapulae clear the table completely with the hands behind the neck
What is a 5/5 MMT grade for the trunk flexors (rectus abdominis)?
find landmarks, have pt. do AROM, measure AROM
What should we do first when taking a ROM measurement?
Is this as far as you can go? Is there any pain with this movement?
What are questions to ask while a pt. does AROM?
Take the muscle into the opposite direction of it's action
What is how to stretch a muscle?
Right SCM: R cervical side bend, L rotation
Left SCM: L cervical side bend, R rotation
pt. is supine, PTA applies pressure opposite the motion to the temporal region
What are the test positions for the anterolateral neck flexors?
pt. is supine, PTA stabilizes the thighs, and the pt. beings their shoulder to opposite hip trying to clear the inferior angle of the scapula
What is a MMT test for the oblique trunk flexors?
have pt. complete AROM, PTA provides overpressure for PROM, then measure PROM
What should we do second/last when taking ROM measurements?
pt. stands and bends forward to touch floor, measure distance (cm) between floor & 3rd fingertip (LOOSE END/0 OF TAPE MEASURE AT FLOOR)
What is measuring thoracolumbar flexion ROM?
30 seconds, 3 reps
What is the correct time/reps to hold a stretch?
pt. is prone, PTA fixates at the upper thoracic spine, and the pt. performs cervical extension while the PTA applies pressure in an anterior direction
What is the correct way to perform a MMT test for the neck extensors?
pt. is supine, they draw their bellybutton down into the table, while the PTA palpates for muscle activation
What is a MMT for the transverse abdominis?
90-degree angle is 0, read the red numbers on goniometer, axis=ear, stationary arm=perpendicular to floor, moving arm=base of nostrils. Normal is 45-degrees for both
What is cervical flexion/extension ROM?
pt. stands with hands at sides, they laterally flex and slide arm down thigh, PTA measures distance (cm) between floor and 3rd fingertip - ensure they avoid rotating, flexing or extending (LOOSE END/0 OF TAPE MEASURE AT FLOOR)
What is measuring thoracolumbar lateral side bending ROM?
increased/decreased lordosis, anterior or posterior pelvic tilt, lateral pelvic tilt, laterally deviated spine
What are common lumbar spine postural deviations?
pt. is prone, they turn their head towards the side being tested and extend while PTA applies pressure in an anterolateral direction
What is the correct way to do a posterolateral neck extensor MMT?
pt. is prone, PTA fixates at the posterior mid thighs, and the pt. extends trying to clear xiphoid process from surface
What is a MMT for the lumbar extensors?
Goniometer starts in straight line (read black numbers), axis=C7, stationary arm=along spine perpendicular to floor, moving arm=bisecting the head vertically, normal is 45-degrees, firm end feel
What is cervical lateral side bending ROM?
pt. stands with hands on posterior aspects of thigh, slide hands down as they extend - measure distance (cm) front 3rd fingertip to floor (make sure pt.'s hips do not go forward)
What is measuring thoracolumbar extension ROM?
forward head posture, lateral tilt/unequal ear heights, exaggerated or flattened curve, asymmetrical mandible
What are common deviations seen during a cervical-spine posture assessment?
Bilaterally: extend neck
Unilaterally: lateral neck flexion to the same side
What are the muscle actions of the scalene?
Shoulder is 2" off surface (fair), shoulder is 4" off surface (good), or trunk raises through entire ROM (normal)
What are the MMT grades for the lateral trunk flexors?
goniometer starts at 90-degrees (read red numbers), axis=top/center of head, stationary arm=lines up with acromion, moving arm=follows nose, normal=60-degrees, firm end feel
What is cervical rotation ROM?
goniometer arms start together (read black numbers?) pt. sits with arms folded across chest, axis=center of cranium, stationary arm=iliac crest, moving arm=acromion, normal=45-degrees
exaggerated thoracic curve (kyphosis), forward/rounded shoulders, elevated/depressed shoulders, winged scapula, uneven shoulders, laterally deviated spine
What are common thoracic spine posture deviations?