isometric muscle tests Flashcards

(37 cards)

1
Q

what do strength tests allow you to assess?

A
  • functional capabilities of a muscle
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2
Q

what do muscle strength tests help identify? why is this beneficial?

A
  • helps identify muscle imbalances
  • which can be the cause of injury
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3
Q

what does it also help to evaluate?

A
  • post surgery
  • recovery
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4
Q

what are the two isometric tests of the talocrural joint?

A
  • Plantarflexion
  • dorsiflexion
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5
Q

how do you isometrically test plantarflexion?

A
  • in supine, pt brought into 90 degrees of flexion
  • fixate above the ankle
  • apply resistance at the sole of the foot and ask pt to resist
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6
Q

how do you isometrically test dorsiflexion?

A
  • pt in supine with leg in 90 degrees of flexion
  • fixate above the ankle
  • apply downward force pressure on the dorsum of the foot
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7
Q

what are the two isometric tests you can perform at the subtalar joint?

A
  • inversion
  • eversion
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8
Q

how do you isometrically test inversion?

A
  • pt in supine with leg extended
  • fixate the humerus and grab onto sole of foot on medial side
  • pt moves sole inwards against resistance
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9
Q

how do you isometrically measure eversion?

A
  • pt in supine with leg extended
  • fixate the tibia on the dorsal side
  • other hand on the lateral side of the foot with fingers on the sole
  • ask pt to bring the sole outward against inwards resistance
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10
Q

what are the two isometric muscle tests that can be performed at the knee?

A
  • extension
  • flexion
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11
Q

how can you isometrically test extension of the knee?

A
  • pt in supine
  • put arm under closest leg and through to other leg where it rests on patella
  • use other hand wrapped around ankle to resist extension by trying to flex the leg
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12
Q

how do you isometrically test knee flexion?

A
  • pt in supine
  • flex the knee to 30 degrees
  • stabilise underneath of femur
  • using the other hand wrapped around the ankle joint with the fingers underneath apply resistance pushing the leg into extension
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13
Q

what are the 6 isometric muscle tests for the hip?

A
  • flexion
  • extension
  • abduction
  • adduction
  • external rotation
  • internal rotation
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14
Q
A
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15
Q

how do you isometrically test hip flexion?

A
  • pt in supine with legs extended and hip in 60 degrees of flexion
  • hold onto anterior femur above knee and just above the ankle joint
  • ask pt to try to flex the hip while you resist into extension
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16
Q

how do you isometrically test hip extension?

A
  • pt in supine with legs extended
  • bring the leg into 30 degrees of flexion
  • one hand wrapped around medial aspect of thigh and other around lateral ankle
  • apply flexion resistance
17
Q

how do you isometrically test hip adduction?

A
  • pt in supine with legs extended
  • place one hand on inner thigh and inner lower leg (above ankle)
  • ask pt to try push towards over leg against resistance
18
Q

how do you isometrically test hip abduction?

A
  • pt in supine with legs extended
  • place one hand on outer thigh and one hand on outer lower leg
  • ask pt to push leg outwards towards you
19
Q

how do you isometrically test hip internal rotation?

A
  • pt in supine
  • flex hip to 90 degrees with one hand above the knee and the other wrapped around the ankle
  • ask pt to move the ankle outwards while you resist
20
Q

how do you isometrically test hip external rotation?

A
  • pt in supine
  • flex hip to 90 degrees with one hand on medial thigh and the other wrapped over the top of the ankle with the fingers positioned medially
  • ask pt to move the ankle inwards while you resist
21
Q

what are the 6 isometric tests of the shoulder joint?

A
  • flexion
  • extension
  • abduction
  • adduction
  • external rotation
  • internal rotation
22
Q

how do you isometrically test shoulder flexion?

A
  • pt in sitting with arm in scapular plane
  • fixate above the elbow at the back
  • push down on the elbow at the front with the other hand
23
Q

how do you isometrically test shoulder extension?

A
  • pt in sitting with arm in scapular plane
  • fixate above the elbow
  • apply resistance on the lateral side of the lower arm just above the wrist joint
  • push forwards
24
Q

how do you isometrically test shoulder abduction?

A
  • pt in sitting with arm in scapular plane
  • one hand underneath the elbow
  • other hand on top of the elbow
  • resistance in adduction direction
25
how do you isometrically test shoulder adduction?
- pt in sitting with arm in scapular plane - one hand underneath the elbow - other hand on top of the elbow - using the bottom hand, resist in abduction direction
26
how do you isometrically test shoulder external rotation?
- pt in sitting position with elbow flexed to 90 degrees and close to the body - ask pt to push their forearm out - with one hand stabilise the elbow while the other resist ER at the wrist on the lateral side
27
how do you isometrically test shoulder internal rotation?
- pt in sitting with elbow flexed to 90 degrees and wrist in neutral - one hand stabilises elbow - other hand placed on medial arm - resistance applied upwards
28
what are the four isometric tests of the elbow?
- flexion - extension - supination - pronation
29
how do you isometrically test elbow flexion?
- pt in sitting with elbow flexed to 90 degrees - one hand stabilises the elbow - other hand over the top of the lower arm just above the wrist - instruct pt to bring arm towards chest and apply downwards resistance
30
how do you isometrically test elbow extension?
-Pt in sitting with elbow flexed to 90 degrees -One hand stabilises the elbow -Other hand on the underneath of the lower arm (below wrist) -Ask pt to try move arm down against upwards resistance
31
how do you isometrically test elbow supination?
-Pt in sitting with elbow flexed to 90 degrees -Start with wrist in neutral position (mid pronation/ supination) -One arm stabilises the arm on the underneath side below elbow -Other arm above wrist joint
32
how do you isometrically test elbow pronation?
-Pt in sitting with elbow flexed to 90 degrees -Start with wrist in neutral position (mid pronation/ supination) -One arm underneath the lower arm below the elbow -Other arm above the wrist joint
33
what are the 4 isometric tests of the wrist?
- flexion - extension - radial deviation - ulnar deviation
34
how do you isometrically test wrist flexion?
-Pt in sitting with forearm resting on the plinth with elbow flexed -Fixate distal forearm - Apply upwards resistance on their palm
35
how do you isometrically test wrist extension?
-Pt in sitting with forearm resting on the plinth with elbow flexed - Fixate distal forearm - Apply downwards resistance on the dorsum of the hand
36
how do you isometrically test radial deviation?
- Pt in sitting with forearm resting on the plinth with elbow flexed - Pt asked to make a fist - Fixate distal forearm - Apply resistance over the dorsum of their hand towards thumb
37
how do you isometrically test ulnar deviation?
- Pt in sitting with forearm resting on the plinth with elbow flexed - Pt asked to make a fist - Fixate distal forearm - Apply resistance over the dorsum of their hand