MMT Hand Placements and VC (LE) Flashcards

1
Q

Hip Flexion (Grade 4-5)

A

“sit tall and hold your thigh up, don’t let me push it down”

Resistance: over distal thigh just proximal to knee joint in a downward direction

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2
Q

Hip Flexion (Grade 2)

A

“bring your knee up toward your chest”
One hand: cradle test limb with hand supporting under flexed knee
Other hand: maintain trunk alignment at hip

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3
Q

Hip Flexion (Grade 0-1)

A

“try to bring your knee up to your nose”
One hand: support test limb under calf with hand behind knee
Other hand: palpate Iliopsoas just distal to inguinal ligament on medial side of sartorius

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4
Q

Hip Flexion, Abduction, and External Rotation with Knee Flexion (Grade 4-5)

A

“hold it, don’t let me move your leg or straighten your knee”
One hand: on lateral side of knee (up and out direction)
Other hand: over medial-anterior surface of distal leg (down and in direction)

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5
Q

Hip Flexion, Abduction, and External Rotation with Knee Flexion (Grade 2)

A

“slide your heel up to your knee”
One hand: support limb at calf
Other hand: palpate sartorius

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6
Q

Hip Flexion, Abduction, and External Rotation with Knee Flexion (Grade 0-1)

A

“try to slide your heel up to your knee”
One hand: cradle test limb under calf with hand supporting limb behind knee
Other hand: palpate sartorius on medial side of thigh where muscle crosses femur

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7
Q

Hip Extension (ALL) (Grade 5)

A

“lift your leg up off table as high as you can without bending your knee, hold it”
One hand: stabilize pelvis at PSIS
Resistance: on posterior leg just above the ankle in a downward direction

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8
Q

Hip Extension (ALL) (Grade 4)

A

“lift your leg off table as high as you can without bending your knee, hold it”
One hand: stabilize pelvis at PSIS
Resistance: on posterior leg just above the knee in a downward direction

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9
Q

Hip Extension (ALL) (Grade 2)

A

“bring your leg back toward me, keep your knee straight”
One hand: support test limb just below the knee, cradling the leg
Other hand: over the pelvic crest to maintain pelvic and hip alignment

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10
Q

Hip Extension (ALL) (Grade 0-1)

A

“try to lift your leg from the table/squeeze your buttocks together”

Palpate: hamstrings and gluteus maximus

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11
Q

Hip Abduction (Grade 5)

A

“lift your leg up and back, hold it, don’t let me push it down”
Stabilization: at pelvic crest to maintain alignment
Resistance: at ankle in a downward direction

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12
Q

Hip Abduction (Grade 4)

A

“lift your leg up and back, hold it, don’t let me push it down”
Stabilization: at pelvic crest to maintain alignment
Resistance: at lateral knee in a downward direction

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13
Q

Hip Abduction (Grade 0-2)

A

“try to bring your leg out to the side”
One hand: support limb under ankle just above malleoli
Other hand: palpate gluteus medius on lateral aspect of hip just above the greater trochanter

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14
Q

Hip Abduction from a Flexed Position (Grade 4-5)

A

“lift your leg and hold it, don’t let me push it down”
Stabilization: on the crest on the ilium for pelvic alignment
Resistance: on lateral surface of thigh just above knee in downward direction

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15
Q

Hip Abduction from a Flexed Position (Grade 2)

A

“bring your leg out to the side”
One hand: supports limb under ankle
Other hand: palpates TFL on proximal anterolateral thigh

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16
Q

Hip Abduction from a Flexed Position (Grade 0-1)

A

“try to move your leg out to the side”
One hand: palpates TFL on lateral aspect of knee
Other hand: palpates TFL on anterolateral thigh

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17
Q

Hip Adduction (Grade 4-5)

A

“lift your bottom leg up to your top one, hold it, don’t let me push it down”
One hand: support uppermost limb in 25* of abduction with forearm, arm supporting the limb on the medial surface of knee
Other hand: on medial surface of the distal femur of the lower limb just proximal to knee joint in a downward direction

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18
Q

Hip Adduction (Grade 0-2)

A

“bring your leg in toward the other one”
One hand: supports ankle and elevates it slightly from table
Other hand: palpate adductor mass on inner aspect of the proximal thigh

19
Q

Hip External Rotation (Grade 4-5)

A

“don’t let me turn your leg out”
Resistance hand: on medial aspect of ankle just above malleolus (in an outward direction)
Other hand: contoured over lateral aspect of distal thigh just above the knee (in a medially directed force)

20
Q

Hip External Rotation (Grade 2-3)

A

Grade 2: completes full ROM without resistance

Grade 3: completes full ROM with mild to no resistance

21
Q

Hip External Rotation (Grade 0-1)

A

“try to roll your leg out”

cannot palpate ER muscles except gluteus maximus

22
Q

Hip Internal Rotation (Grade 4-5)

A

“don’t let me turn your leg in”
Resistance hand: on lateral surface of ankle just above malleolus (in an inward directed force)
Other hand: contoured over medial surface of distal thigh just above knee (in an outward directed force)

23
Q

Hip Internal Rotation (Grade 2-3)

A

Grade 2: completes full ROM without resistance

Grade 3: completes full ROM with mild to no resistance

24
Q

Hip Internal Rotation (Grade 0-1)

A

“try to roll your leg in”
One hand: palpate gluteus medius over posterolateral surface of hip above the greater trochanter
Other hand: palpate TFL on anterolateral surface of hip below ASIS

25
Q

Knee Flexion (Grade 4-5)

A

“flex your knee to 45*, hold it, don’t let me straighten it”
Stabilization: over hamstring tendons on posterior thigh with firm pressure to prevent cramping
Resistance: on posterior surface of leg just above ankle in a downward direction

26
Q

Knee Flexion (Grade 4-5) Medial Hamstring

A

Resistance: at ankle using downward and outward force

27
Q

Knee Flexion (Grade 4-5) Lateral Hamstring

A

Resistance: at ankle using downward and inward force

28
Q

Knee Flexion (Grade 2)

A

“bend your knee”
One hand: cradle thigh, providing hand support at medial side of knee
Other hand: supports leg at ankle just above malleolus

29
Q

Knee Flexion (Grade 0-1)

A

“try to bend your knee”
One hand: supports flexed limb at ankle
Other hand: palpates medial and lateral hamstring tendons just above posterior knee

30
Q

Knee Extension (Grade 4-5)

A

“Straighten your knee to 15* flexion, hold it, don’t let me bend it”

Resistance: over the anterior surface of distal leg just above the ankle in a downward direction

31
Q

Knee Extension (Grade 2)

A

“straighten your knee”
One hand: cradles test limb around the thigh with the hand supporting the underside of knee
Other hand: just above the malleolus

32
Q

Knee Extension (Grade 0-1)

A

“push the back of your knee down into the table/tighten your knee cap”

Palpate: Quadriceps tendon above or below patella

33
Q

Ankle Plantar Flexion (Grades 2-5)

A

Stabilization: cupping anterior part of leg just above ankle to lift off table
Resistance: on plantar surface in a downward direction

34
Q

Ankle Plantar Flexion (Grade 0-1)

A

“point your toes down like a ballet dancer”

One hand: palpate Achilles tendon just above calcaneus to monitor gastrocnemius-soleus tendon

35
Q

Foot Dorsiflexion and Inversion (Grade 4-5)

A

“bring your foot up and in, hold it, don’t let me pull it down”
Resistance: on medial aspect of foot over the first ray in a down and out direction
Stabilization: on lateral aspect of lower leg with your forearm

36
Q

Foot Dorsiflexion and Inversion (Grade 2-3)

A

“bring your foot up and in”
Grade 2: completes partial ROM
Grade 3: completes available ROM without resistance

37
Q

Foot Dorsiflexion and Inversion (Grade 0-1)

A

“try to bring your foot up and in”

Palpate: Tibialis anterior on the anteromedial aspect of ankle at about the level of the malleoli

38
Q

Foot Inversion (Grade 4-5)

A

“turn your foot down and in, hold it, don’t let me move it”
Stabilization: on posterior calf just above the malleoli
Resistance: on the foot over the medial side of the forefoot in an up and out direction

39
Q

Foot Inversion (Grade 2-3)

A

“turn your foot down and in”
Grade 2: completes partial ROM
Grade 3: completes full ROM

40
Q

Foot Inversion (Grade 0-1)

A

“try to turn your foot down and in”
One hand: cup calcaneus
Other hand: palpate tibialis posterior between medial malleolus and navicular bone

41
Q

Foot Eversion with PlantarFlexion (Grade 4-5)

A

“turn your foot down and out, hold it, don’t let me move it in”
Stabilization: at ankle just above malleoli
Resistance: contoured around the dorsum and lateral border of forefoot (up and in direction)

42
Q

Foot Eversion with PlantarFlexion (Grade 2-3)

A

“turn your foot down and out”
Grade 2: completes partial ROM
Grade 3: completes full ROM

43
Q

Foot Eversion with Plantarflexion (Grade 0-1)

A

“try to turn your foot down and out”
One hand: hold forefoot
Palpate: fibularis longus on lateral leg over upper one-third just below head of fibula or fibularis brevis tendon as it comes forward behind the lateral malleolus