ROM and MMT Upper Limb (Quiz 2) Flashcards

1
Q

What is the importance of Motion and Strength Assessment?

A

treatments at their core function by manipulating body mechanics to achieve a desired outcome

gain accurate data on available motion and strength to be able to develop and implement plan of care

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2
Q

How is MMT measured

A

utilizing observation with both gravity and manual resistance

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3
Q

Active Range of Motion

A

amount of motion attained by a subject during unassisted voluntary joint motion

provides information on willingness to move, coordination, and general muscle strength

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4
Q

Passive Range of Motion

A

amount of motion attained by the examiner wihtout assistance from the patient

provides information about the surfaces and surrounding soft tissues

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5
Q

Normal ROM

A

range of “normal” osteokinematic measures seen across the general population

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6
Q

Functional ROM

A

range of motion required to perform a specific task

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7
Q

TRUE OR FALSE

MMT is a test of strength

A

FALSE

it is a measurement of weakness

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8
Q

Manual Muscle Testing

A

the observation and application of resistance to determine the magnitude of force that can be generated across a joint

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9
Q

What is the MMT grading scale

A

0 (Zero) - no contraction
1 (Trace) - contraction observed, no segmental movement
2 (Poor) - Partial arc with gravity OR full arc no gravity
3 (Fair) - move body part into test position
4 (Good) - Hold in test position against gravity moderate pressure
5 (Normal) - hold in test position against gravity max pressure

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10
Q

Wrist Flexion ROM

A
  • Passive ROM: Firm
  • Active ROM: seated w/palmar forearm on table
  • Fulcrum: Ulnar Aspect of wrist (triquetrum)

0-80 deg

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11
Q

Wrist Flexion MMT

A

Seated with dorsal forearm on table

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12
Q

Wrist Extension ROM

A
  • Passive ROM: Firm
  • Active ROM: seated w/ palmar forearm on table
  • Fulcrum: ulnar aspect of wrist (triquetrium)

0-70 deg

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13
Q

Wrist Extension MMT

A

seated with palmar forearm on table

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14
Q

Radial Deviation ROM

A
  • Passive ROM: hard (radial styloid & scaphoid)
  • Active ROM: seated with palmar forearm on table
  • fulcrum: midline of wrist (capitate)

0-20 deg

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15
Q

Radial Deviation MMT

A

seated with medial forearm on table

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16
Q

Ulnar Deviation ROM

A
  • Passive ROM: firm
  • Active ROM: seated with palmar forearm on table
  • Fulcrum: mdiline aspect of wrist (capitate)

0-30 deg

17
Q

Ulnar Deviation MMT

A

supine with radial forearm on table

18
Q

Supination ROM

A
  • Passive ROM: firm
  • Active ROM: seated; elbow @ 90 w forearm on flat surface
  • Fulcrum: dorsal aspect of 4th/5th MCP joint

0-80 deg

18
Q

Supination ROM

A
  • Passive ROM: firm
  • Active ROM: seated; elbow @ 90 w forearm on flat surface
  • Fulcrum: dorsal aspect of 4th/5th MCP joint

0-80 deg

19
Q

Supination MMT

A

seated with elbow at 90; handshake grip in supination

try to bring them back to neutral

20
Q

Pronation ROM

A
  • Passive ROM: firm
  • Active ROM: seated; elbow at 90 w/ forearm on flat surface
  • Fulcrum: dorsal aspect of 4th/5th MCP joint

0-80 deg

21
Q

Pronation MMT

A

seated with elbow at 90; handshake grip in pronation

try to bring back to neutral

22
Q

Elbow Flexion ROM

A
  • Passive ROM: soft
  • Active ROM: supine (pad under elbow)
  • Fulcrum: lateral epicondyle

0-140/150 deg

23
Q

Elbow Flexion MMT

A

seated shoulder supported

24
Q

Elbow Extension ROM

A
  • Passive ROM: hard (olecranon and olecranon fossa)
  • Active ROM:supine (pad under elbow)
  • Fulcrum: lateral epicondyle

140/150-0

25
Q

Elbow Extension MMT

A

prone with shoulder abducted 90 deg

26
Q

Shoulder Flexion ROM

A
  • Passive ROM: firm
  • Active ROM: supine
  • Fulcrum: acromial process

0-180

27
Q

Shoulder Flexion MMT

A

seated w/ arm over head; scap stabilized

28
Q

Shoulder Extension ROM

A
  • Passive: firm
  • Active: prone
  • Fulcrum: acromial process

0-50/60

29
Q

Shoulder Extension MMT

A

prone; no forearm supination or pronation

30
Q

Shoulder ABduction ROM

A
  • Passive: firm
  • Active: prone, seated, or supine
  • Fulcrum: acromial process (anterior side)

0-180

31
Q

Shoulder ABduction MMT

A

seated; scapular stabilization

hand raised like asking a question

32
Q

Shoulder ADduction ROM

A
  • Passive: soft
  • Active: standing, seating, supine
  • Fulcrum: N/A use orthotic eye
33
Q

Shoulder ADduction MMT

A

supine; shoulder abducted to 90 deg

34
Q

Shoulder Internal Rotation ROM

A
  • Passive: firm
  • Active: supine with shoulder abducted to 90
  • Fulcrum: oclecranon process

0-80 deg

35
Q

Shoulder Internal Rotation MMT

A

prone with shoulder abducted to 90 deg

36
Q

Shoudler External Rotation ROM

A
  • Passive: Firm
  • Active: supine with shoulder abducted to 90 deg
  • Fulcrum: olecranon process

0-90 deg