MMT Ankle and Foot

Question 1

Ankle Plantar Flexion MMT

Answer 1

Muscle: Gastroc and soleus (S1-s2)

Position: Standing, 2 fingers for balance

Palpate: Achilles

Movement: Heel Raises
5: 25+
4: 10-24
3:1-9
2+: full range prone with resistance
2: partial range in standing and completes full range without resistance
2-: partial range prone

Stabilize: n/a

GR Position: Prone, feet off plinth

Question 2

Dorsiflexion and Inversion MMT

Answer 2

Muscle: Tibialis Anterior (L4-S1)

Position: Sitting

Palpate: Ant tib

Movement: Patient puts foot up and in, resist

Stabilize: Ankle

GR Position: Long sit

Question 3

Inversion MMT

Answer 3

Muscle: Tibialis Posterior (l5-s1)

Position: Sidelying on test side

Palpate: btwn medial mal and navicular

Movement: Hold foot inward, resist over medial side

Stabilize: Calf/ankle

GR Position: Longsit

Question 4

Eversion with Plantar Flexion MMT

Answer 4

Muscle: Fibularis Longus/Brevis (L4-SI)

Position: Sidelying on non testing side

Palpate: Lateral fibula

Movement: Move foot outward, resist laterally

Stabilize: ankle/calf

GR Position: Longsit

Question 5

Great Toe Abduction MMT

Answer 5

Muscle: Abductor Hallucis

Position: Long sit, feet off

Palpate: Medial big toe

Movement: Move toe outward, resist

Stabilize: Foot

GR Position: N/a

Question 6

2-4 and Hallux MTP Flexion MMT

Answer 6

Muscle: Lumbricals and Flexor hallucis Brevis (L5-S3)

Position: Long sitting, foot off table

Palpate: Lumbricals, proximal big toe plantar side

Movement: Flex toes, resist at proximal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: foot

GR Position: N/A

Question 7

2-4 and Hallux DIP and PIP Flexion MMT

Answer 7

Muscle: Flexor digitorum (both) and Flexor hallucis longus (L5-S2)

Position: Long sitting, foot off table

Palpate: FDL, posterior leg medial to achilles

Movement: Flex toes, resist at distal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: Metarsald or proximal phalanx

GR Position: N/A

Question 8

2-4 and Hallux MTP and IP Extension MMT

Answer 8

Muscle: Extensor digitorum (both) and Extensor hallucis Brevis (L4-S1)

Position: Long sitting, foot off table

Palpate: EDL: anterior, medial lower leg
EDB/EHB: lateral dorsum of foot

Movement: extend toes, resist at proximal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: metatarsals

GR Position: N/A

Question 9

Big Toe Extension MMT

Answer 9

Muscle: Extensor hallucis longus (L4-S1)

Position: Long sitting, foot off table

Palpate: EHL: dorsal proximal phalanx of toe

Movement: Flex toes, resist at distal phalanx (2-4 together, big toe alone)
-only 0-5

Stabilize: proximal phalanx

GR Position: N/A