assessment 2 Flashcards
(18 cards)
what is muscle strength
the ability to produce tension for maintaining postural control and for moving body parts. Eg postural control
demonstrates a degree of power of a muscle when movement is resisted as with objects or gravity
procedure
- do introducing setps
- osition the client so that direction of movement will be again gravity. (gravity is coming down) - Stabilise proximal to the joint that will move, Prevent other substitution movements e.g. shoulder hitching or lower back extension
- Apply resistance
- Apply resistance to distal end of the segment into which the muscle inserts, start with light resistance, increasing to moderate and lastly maximum resistance over 2-3 seconds. Resistance applied in mid-range of the joint motion. *say out loud light, moderate, maximum
Record muscle grade
- ifhe client cannot move through the range against gravity then move the client into the “gravity eliminated” position. Gravity eliminated position – moving horizontal to the floor and NO RESISTANCE will be applied. *gravity is a type of resistance, fairly weak with good muscoskeletal health but difficult for people with poor musculoskeletal health. If they cant move against gravity no resistance will be applied
Palpate muscle belly / tendon to determine that the muscle is contracting
Record muscle grade
whats a 5mean
= normal
• Body part being tested moves through full range of motion
• Against gravity
Able to withstand maximal resistance (doesnt break)
whats a 4 mean
= good
• Body part being tested moves through full range of motion
• Against gravity
Able to withstand moderate resistance (if it breaks at maximum)
whats a 3 mean
= fair
• Body part being tested moves through full range of motion
• Against gravity
• Unable to withstand any resistance (light or moderate)
whats a 2 mean
= poor
- Body part being tested moves through full range of motion in a Gravity eliminated plane
Unable to withstand any resistance
whats a 1 mean
= trace
• Gravity eliminated plane
• No motion at joint
Tension is felt when muscle / tendon is palpated
whats a 0 mean
= zero
• No motion at joint
No tension is felt
elbow flexion prime movers
- brachialis
- biceps brachii
- brachioradialis
knee extension prime movers
quadriceps:
rectus femoris, vastus lateralis, vastus medialis and vastus intermedius
PIP finger flexion prime movers
flexor digitorum superficialis
flexor digitorum profundus
hip extensions prime movers
gluteus maximus, biceps femoris
knee flexion prime movers
hamstrings: semimembraneous, semitendinous, biceps femoris
ankle dorsiflexion prime movers
tibialis anterior, extensor helices longus, extensor digitorum longus
shoulder adbuction prime movers
supraspinatus
middle deltoid
thumb abduction prime movers
abductor pollicis longus
abductor pollicis brevis
wrist flexion prime movers
flexor carpi radialis
flexor carpi ulnaris
palmaris longus
what do you say as you push down
light
moderate
maximum