MMT Flashcards
(213 cards)
1
Q
For MMT, before thinking of applying force what do you have to make sure to do?
A
Test AROM & PROM
2
Q
For MMT when you are going to apply force to the patient, force is always applied at (mid/end) range of available ROM
A
mid
3
Q
When performing MMT for elevation of the scapula what muscle(s) is being tested?
A
The upper trapezius and the levator scapulae
4
Q
What is the patient position when performing MMT for elevation of the scapula (upper trapezius)?
A
Seated
5
Q
Are you only testing 1 scapula at a time before comparing when doing MMT for elevation of the scapula?
A
Yes
6
Q
Where do you apply the force to the patient when MMT for elevation of the scapula?
A
The acromion
7
Q
What is the gravity minimized position for the MMT of elevation of the scapula?
A
Prone on the table
8
Q
When performing MMT for adduction of the scapula what muscle is being tested?
A
Middle trapezius
9
Q
What is the patient position when performing MMT for adduction of the scapula (middle trapezius)?
A
Prone
10
Q
What is the therapist position when performing MMT for adduction of the scapula (middle trapezius)?
A
Standing on the contralateral side of the scapula being tested
11
Q
What does the patient have to do during MMT of scapula adduction to prove they can get through full range of motion?
A
Lift their arm from an abducted shoulder that is flexed to 90 degrees in that sort of external rotation position and squeeze the scapulas together
12
Q
Where is the therapist stabilizing in MMT of adduction of the scapula?
A
The thorax on the side of the scapula that isn’t being tested
13
Q
In MMT of scapula adduction the therapist is applying resistance into abduction through the (medial/lateral) border of scapula.
A
medial
14
Q
What is the gravity minimized position for MMT of scapular adduction? Is there a towel involved? If so, where is it placed?
A
Seated on the end of the table as close to the table as possible facing perpendicularly with the towel placed over the entire arm to eliminate resistance
15
Q
Where is the therapist stabilizing in MMT of adduction of the scapula in a gravity minimized position?
A
Over the superior aspect of the opposite shoulder
16
Q
What does the patient have to do in the gravity minimized position for scapular adduction?
A
Slide the towel to adduct the scapula
17
Q
When performing MMT for adduction/downward rotation of the scapula what muscle is being tested?
A
The rhomboids
18
Q
What is the patient position when performing MMT for adduction/downward rotation (rhomboids) of the scapula
A
Prone
19
Q
What is the therapist position when performing MMT for adduction/downward rotation (rhomboids) of the scapula ?
A
Standing on the contralateral side of the scapula being tested
20
Q
Where is the therapist stabilizing in MMT of adduction/downward rotation (rhomboids) of the scapula?
A
The thorax on the side of the scapula that isn’t being tested
21
Q
What does the patient have to do during MMT of scapula adduction/downward rotation (rhomboids) to prove they can get through full range of motion?
A
Place their hand behind their back like they are being handcuffed and elevate their arm and shoulder
22
Q
In MMT of adduction/downward rotation (rhomboids) of the scapula, the therapist will apply resistance through the (lateral/medial) border of the scapula towards scapular abduction and upward rotation
A
medial
23
Q
What is the gravity minimized position for testing scapular adduction/downward rotation (rhomboids)?
A
Seated
24
Q
What does the patient have to do in the gravity minimized position for scapular adduction/downward rotation (rhomboids)?
A
Put their hand behind their back like they are being handcuffed and try to lift their hand away from their back
25
When performing MMT for scapular abduction/upward rotation of the scapula what muscle(s) is being tested?
The serratus anterior
26
What is the patient position when performing MMT for abduction/upward rotation of the scapula (serratus anterior)?
Seated
27
What is the therapist position when performing MMT for abduction/upward rotation of the scapula (serratus anterior)?
Standing to the side of the patient
28
What does the patient have to do to prove that they can get through full ROM when testing for scapular abduction/upward rotation (serratus anterior)?
Flex the shoulder about 130 degrees
29
The therapist stabilizes the superior aspect of the shoulder and palpates the axillary area between the midline of the thorax and the (medial/lateral) border of the scapula as the patient is going through their full ROM testing during scapular abduction/upward rotation (serratus anterior) MMT testing.
Lateral
30
Where is the therapist applying pressure to the patient when they are in the 130 degree flexed position when performing MMT for abduction/upward rotation (serratus anterior) of the scapula?
The therapist is applying pressure above the elbow and is trying to downwardly rotate the scapula
31
What is the gravity minimized position for the patient when MMT the abduction/upward rotation (serratus anterior) of the scapula? Is there a towel involved?
Seated on the side of the table parallel to the table with the towel under the whole arm
32
What does the patient have to do to test their ROM in the gravity minimized position for the abduction/upward rotation (serratus anterior) of the scapula?
Slide their arm forward or "punch forward".
33
When performing MMT for adduction/depression of the scapula what muscle(s) is being tested?
Lower trapezius
34
What is the patient position when performing MMT for adduction/depression of the scapula (lower trapezius)?
Prone
35
What is the therapist position for MMT for adduction/depression of the scapula (lower trapezius)?
On the contralateral side of the scapula being tested
36
What does the patient have to do to test their ROM for MMT for adduction/depression of the scapula (lower trapezius)?
Put their arm in the super man position (shoulder abducted to 130 degrees)
37
Where is the therapist stabilizing during MMT for adduction/depression of the scapula (lower trapezius)?
The contralateral thorax
38
Where is the therapist applying force during MMT for adduction/depression of the scapula (lower trapezius)?
The medial border of the scapula towards the arm that is in the super man position
39
Is there a gravity minimized position for MMT for adduction/depression of the scapula (lower trapezius)?
No, just check for normal things you would check in this position when things are below a grade 3
40
When performing MMT for shoulder flexion what muscle(s) is being tested?
Anterior deltoid & coracobrachialis
41
What is the patient position for MMT of shoulder flexion (anterior deltoid & coracobrachialis)?
Seated
42
For the patient to prove they have full ROM against gravity in MMT of shoulder flexion what do they have to do?
Raise their arm all the way over their head
43
The therapist is stabilizing the (superior/inferior) aspect of the ipsilateral shoulder during MMT of shoulder flexion
superior
44
What is the therapist position for MMT of shoulder flexion?
Standing on the ipsilateral side
45
Where is the force applied during MMT of shoulder flexion?
Proximal to the elbow
46
What is the gravity minimized position for MMT of shoulder flexion?
Sidelying
47
When performing MMT for shoulder flexion in the gravity minimized position the therapist provides stabilization by holding the arm and allowing the patient to perform the activity. The therapist is just taking weight off of the arm.
Got it
48
When performing MMT for shoulder extension what muscle(s) is being tested?
latissimus dorsi, teres major, & posterior deltoid
49
What is the patient position for MMT of shoulder extension (latissimus dorsi, teres major, & posterior deltoid)?
Prone
50
For the patient to prove they have full ROM against gravity in MMT of shoulder extension what do they have to do?
Extend the arm off of the table
51
The therapist is stabilizing the (Ipsilateral/contralateral) border of the scapula staying off of the spinous processes during MMT of shoulder extension
ipsilateral
52
What is the therapist position for MMT of shoulder extension?
Standing on the ipsilateral side
53
Where is the force applied during MMT of shoulder extension?
Proximal to the elbow
54
What is the gravity minimized position for MMT of shoulder extension?
Sidelying
55
When performing MMT for shoulder extension in the gravity minimized position the therapist provides stabilization by holding the arm and allowing the patient to perform the activity. The therapist is just taking weight off of the arm.
Got it!
56
When performing MMT for shoulder abduction what muscle(s) is being tested?
Middle deltoid & supraspinatus
57
What is the patient position for MMT of shoulder abduction (middle deltoid & supraspinatus)?
Seated
58
For the patient to prove they have full ROM against gravity in MMT of shoulder abduction what do they have to do?
Abduct the shoulder to full ROM
59
The therapist is stabilizing the (ipsilateral/contralateral) superior aspect of shoulder, avoiding pressure on deltoid during MMT of shoulder abduction
ipsilateral
60
What is the therapist position for MMT of shoulder abduction?
Standing behind the patient
61
Where is the force applied during MMT of shoulder abduction?
The distal humerus
62
What is the gravity minimized position for MMT of shoulder abduction?
Supine
63
When performing MMT of shoulder abduction in the gravity minimized position, the therapist is stabilizing the (superior/inferior) aspect of the ipsilateral shoulder to avoid shoulder elevation during testing.
Superior
64
What is the patient position for MMT of shoulder internal rotation (subscapularis)? Is there a towel involved?
Prone with shoulder abducted to 90 degrees and humerus supported with a towel
65
For the patient to prove they have full ROM against gravity in MMT of shoulder internal rotation what do they have to do?
Internally rotate (move their palm towards the ceiling)
66
The therapist is stabilizing the (ipsilateral/contralateral) scapula, avoiding pressure on tested muscles during MMT of shoulder internal rotation
ipsilateral
67
What is the therapist position for MMT of shoulder internal rotation?
Standing on the ipsilateral side
68
Where is the force applied during MMT of shoulder internal rotation?
At the wrist
69
What is the gravity minimized position for MMT of shoulder internal rotation? Is the shoulder hanging off of the edge of the table? Is there a towel involved?
Prone with the shoulder hanging off of the edge of the table with the towel over the armpit region
70
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder internal rotation what do they have to do?
Internally rotate their shoulder (move their thumb in towards the table and back towards me)
71
What is the patient position for MMT of shoulder external rotation (infraspinatus & teres minor)? Is there a towel involved?
Prone with shoulder abducted to 90 degrees and humerus supported with a towel
72
For the patient to prove they have full ROM against gravity in MMT of shoulder external rotation what do they have to do?
Externally rotate (rotate their thumb into the air while maintaining their arm on the table)
73
What is the therapist position for MMT of shoulder external rotation?
Standing on the ipsilateral side
74
The therapist is stabilizing the (ipsilateral/contralateral) scapula, avoiding pressure on tested muscles during MMT of shoulder external rotation
ipsilateral
75
Where is the force applied during MMT of shoulder external rotation?
At the wrist
76
What is the gravity minimized position for MMT of shoulder external rotation? Is the shoulder hanging off of the edge of the table? Is there a towel involved?
Prone with the shoulder hanging off of the edge of the table with the towel over the armpit region
77
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder external rotation what do they have to do?
Externally rotate the shoulder (move the thumb out)
78
What is the patient position for MMT of shoulder horizontal abduction (posterior deltoid)? Where is the head turned?
Prone and the head is turned away from the shoulder that is being tested
79
For the patient to prove they have full ROM against gravity in MMT of shoulder horizontal abduction what do they have to do?
Lift their elbow off of the table
80
What is the therapist position for MMT of shoulder horizontal abduction?
Standing on the ipsilateral side
81
The therapist is stabilizing the (ipsilateral/contralateral) scapula, during MMT of shoulder horizontal abduction
ipsilateral
82
Where is the force applied during MMT of shoulder horizontal abduction?
The distal humerus near the elbow
83
What is the gravity minimized position for MMT of shoulder horizontal abduction? Is there a towel involved for sliding?
Seated on the side of the table parallel to the table with a towel over their whole arm for sliding
84
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder horizontal abduction what do they have to do?
Slide their elbow backwards
85
What is the patient position for MMT of shoulder horizontal adduction (pectoralis major)? Is there a towel involved?
Supine with a towel under their arm / armpit area
86
For the patient to prove they have full ROM against gravity in MMT of shoulder horizontal adduction what do they have to do?
Flex the elbow to 90 degrees and bring her elbow over her chin
87
What is the therapist position for MMT of shoulder horizontal adduction?
Standing on the ipsilateral side
88
The therapist is stabilizing the (ipsilateral/contralateral) shoulder on the distal 1/3 of the clavicle, during MMT of shoulder horizontal adduction
ipsilateral
89
Where is the force applied during MMT of shoulder horizontal adduction?
The anterior surface of the distal humerus
90
What is the gravity minimized position for MMT of shoulder horizontal adduction? Is there a towel involved for sliding?
Seated on the side of the table parallel to the table with a towel over their whole arm for sliding
91
For the patient to prove they have full ROM in a gravity minimized position for MMT of shoulder horizontal adduction what do they have to do?
Slide their elbow forward
92
What is the patient position for MMT of elbow flexion (biceps brachii, brachialis, & brachioradialis)?
Seated on the edge of the table
93
What is the therapist position for MMT of elbow flexion (biceps brachii, brachialis, & brachioradialis)?
Standing on the ipsilateral side
94
For the patient to prove they have full ROM against gravity in MMT of elbow flexion what do they have to do?
Flex the elbow through its' full ROM
95
The therapist is stabilizing the (anterior/posterior) portion of the shoulder during MMT of elbow flexion
anterior
96
Where is the force applied during MMT of elbow flexion?
At the wrist
97
What is the gravity minimized position for MMT of elbow flexion? Is a towel involved to remove friction during the movement?
Seated on the side of the table perpendicular to the table as close to the table as possible with their arm fully outstretched on the table; Yes
98
What is the patient position for MMT of elbow extension (triceps brachii)?
Supine
99
What is the therapist position for MMT of elbow extension (triceps brachii)?
Standing on the ipsilateral side
100
For the patient to prove they have full ROM against gravity in MMT of elbow extension what do they have to do?
In the position of a tricep extension, have the patient fully extend their elbow
101
The therapist is stabilizing the (anterior/posterior) portion of the humerus, proximal to the elbow during MMT of elbow extension
anterior
102
Where is the force applied during MMT of elbow extension?
The ulna (around the wrist)
103
What is the gravity minimized position for MMT of elbow extension? Is a towel involved to remove friction during the movement?
Seated on the side of the table parallel to the table with the arm abducted to 90 degrees and a towel over the proximal half of the forearm.
104
What is the patient position for MMT of forearm pronation (pronator teres & pronator quadratus)?
Seated with their elbow flexed to 90 degrees
105
What is the therapist position for MMT of forearm pronation (pronator teres & pronator quadratus)?
Standing on the ipsilateral side
106
The therapist is stabilizing over the olecranon process and (medial/lateral) elbow joint of the testing limb during MMT of forearm pronation. You are basically holding/supporting their elbow.
lateral
107
For the patient to prove they have full ROM against gravity in MMT of forearm pronation what do they have to do?
Pronate the forearm
108
To apply force during MMT of forearm pronation is the patient already going to be pronated ?
Yes
109
To apply force during MMT of forearm pronation slide your hand under the patients forearm and try to rotate the patient out of pronation from the (radial/ulnar) side
radial
110
What is the gravity minimized position for MMT of forearm pronation? Is there a towel involved?
Seated on the side of the table parallel to the table, shoulder abducted, and elbow flexed to 90 degrees with the towel under the elbow
111
What is the patient position for MMT of forearm supination (biceps brachii & supinator)?
Seated on the edge of the table with elbow flexed to 90 degrees
112
What is the therapist position for MMT of forearm supination (biceps brachii & supinator)?
Standing on the ipsilateral side
113
The therapist is stabilizing over the olecranon process and (medial/lateral) elbow joint of the testing limb during MMT of forearm supination. You are basically holding/supporting their elbow.
medial
114
For the patient to prove they have full ROM against gravity in MMT of forearm supination what do they have to do?
Supinate the forearm
115
To apply force during MMT of forearm supination is the patient already going to be supinated?
Yes
116
To apply force during MMT of forearm supination slide your hand under the patients forearm and try to rotate the patient out of supination from the (radial/ulnar) side
radial
117
What is the gravity minimized position for MMT of forearm supination? Is there a towel involved?
Seated on the side of the table parallel to the table, shoulder abducted, and elbow flexed to 90 degrees with the towel under the elbow
118
What is the patient position for MMT of wrist flexion (flexor carpi radialis & flexor carpi ulnaris)?
Seated with forearm supinated and resting on the table
119
What is the therapist position for MMT of wrist flexion (flexor carpi radialis & flexor carpi ulnaris)?
Facing the patient
120
The therapist is stabilizing the (anterior/posterior) aspect of the distal forearm for MMT of wrist flexion. Essentially supporting their wrist.
posterior
121
For the patient to prove they have full ROM against gravity in MMT of wrist flexion what do they have to do?
Flex the wrist
122
To test the flexor carpi radialis for MMT of wrist flexion the force is applied into extension and towards the ulnar side. So I will apply this force on the patients' (thumb/pinky) side.
thumb
123
To test the flexor carpi ulnaris for MMT of wrist flexion the force is applied into extension and towards the radial side. So I will apply this force on the patients' (thumb/pinky) side.
pinky
124
What is the gravity minimized position for MMT of wrist flexion? Is there a towel involved?
Seated with the forearm in a mid pronated position with the towel under the ulna.
125
What is the patient position for MMT of wrist extension (extensor carpi radialis longus/brevis and extensor carpi ulnaris)?
Seated with forearm pronated and resting on the table
126
What is the therapist position for MMT of wrist extension (extensor carpi radialis longus/brevis and extensor carpi ulnaris)?
Facing the patient
127
The therapist is stabilizing the (anterior/posterior) aspect of the distal forearm for MMT of wrist extension. Essentially holding their wrist.
anterior
128
For the patient to prove they have full ROM against gravity in MMT of wrist extension what do they have to do?
Extend their wrist
129
To test the extensor carpi radialis longus and brevis for MMT of wrist extension the force is applied to the base of the 2nd metacarpal pulling into a flexion and ulnar direction. So I will apply this force on the patients' (thumb/pinky) side.
thumb
130
To test the extensor carpi ulnaris for MMT of wrist extension the force is applied to the base of the 5th metacarpal pulling into a flexion and radial direction. So I will apply this force on the patients' (thumb/pinky) side.
pinky
131
What is the gravity minimized position for MMT of wrist extension? Is there a towel involved?
Seated with the forearm in a mid pronated position and resting on the table. No towel is involved.
132
Do you use gravity minimized positions for the hand (fingers and thumb) when performing MMT?
No
133
What is the adjusted scale for 5s, 4s, 3s, 2s, 1s, & 0s for MMT of the hand (fingers & thumb)?
```
5s = maximum resistance
4s = moderate resistance
3s = full ROM
2s = partial ROM
1s = trace
0s = no contraction
```
134
What is the patient position for MMT of MCP flexion (lumbricals)?
Seated with forearm supinated and resting on the table and wrist is in neutral.
135
What is the therapist position for MMT of MCP flexion (lumbricals)?
Facing the patient
136
The therapist stabilizes the patient by holding their hand with their fingers in the first web space when performing MMT of MCP flexion
Got it
137
For the patient to prove they have full ROM against gravity in MMT of MCP flexion what do they have to do?
Flex all of their MCPS without flexing their PIP or DIP
138
Where is the force applied during MMT of MCP flexion? How many fingers do you use?
To the base of the palmar MCP joint using only one finger
139
What is the patient position for MMT of MCP extension (extensor digitorum, extensor digiti minimi, & extensor indicis)?
Seated with the forearm pronated and resting on table with wrist in neutral
140
What is the therapist position for MMT of MCP extension (extensor digitorum, extensor digiti minimi, & extensor indicis)?
Facing the patient
141
The therapist stabilizes the (palmar/dorsal) aspect of second through fifth metacarpals for MMT of MCP extension. Essentially like a handshake position.
palmar
142
For the patient to prove they have full ROM against gravity in MMT of MCP extension what do they have to do?
Pull their fingers back into extension by raising the knuckles towards the ceiling
143
Where is the force applied during MMT of MCP extension? How many fingers do you use?
The dorsal aspect of the MCP using 1 finger
144
What is the patient position for MMT of PIP flexion (flexor digitorum superficialis)?
Seated with forearm supinated and wrist in neutral
145
What is the therapist position for MMT of PIP flexion?
Facing the patient
146
The therapist stabilizes over the (palmar/dorsal) aspect of the MCP joints using the ___ finger when doing MMT of PIP flexion
palmar; index
147
For the patient to prove they have full ROM against gravity in MMT of PIP flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex the finger; yes
148
Where is the force applied during MMT of PIP flexion? How many fingers do you use?
The palmar surface in-between the PIP and DIP using 1 finger
149
What is the patient position for MMT of DIP flexion (flexor digitorum profundus)?
Seated with the forearm supinated and the wrist in neutral
150
What is the therapist position for MMT of DIP flexion (flexor digitorum profundus)?
Facing the patient
151
The therapist stabilizes over the (palmar/dorsal) aspect between the PIP & DIP joints using the ___ finger when doing MMT of DIP flexion
palmar; index
152
For the patient to prove they have full ROM against gravity in MMT of DIP flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex their finger; Yes
153
Where is the force applied during MMT of DIP flexion? How many fingers do you use?
The space distal to the DIP using 1 finger
154
What is the patient position for MMT of MCP abduction (dorsal interossei & abductor digiti minimi)?
Seated with forearm pronated and resting on a table
155
What is the therapist position for MMT of finger abduction (dorsal interossei & abductor digiti minimi)?
Facing the patient
156
The therapist stabilizes the ____ with the index and the middle finger when performing MMT of MCP abduction.
wrist
157
For the patient to prove they have full ROM against gravity in MMT of MCP abduction what do they have to do? Is the patient being stabilized while their ROM is being tested?
Abduct their fingers; yes
158
Where is the force applied during MMT of MCP abduction ? How many fingers do you use?
The lateral side of the MCP that you are testing using 1 finger
159
Where is the force applied during MMT of MCP abduction when testing the middle finger? How many fingers do you use?
The lateral and medial side of the MCP using 1 finger
160
What is the patient position for MMT of finger adduction (palmar interossei)?
Seated with forearm pronated and resting on table with the fingers spread out
161
What is the therapist position for MMT of MCP adduction?
Facing the patient
162
For stabilization of MCP adduction, for the finger you are testing you have to stabilize the finger before it using the index, middle, and ring finger over it. So if i am testing the pinky I would stabilize the __ finger
ring
163
For the patient to prove they have full ROM against gravity in MMT of MCP adduction what do they have to do? Is the patient being stabilized while their ROM is being tested?
Adduct their fingers; Yes
164
Where is the force applied during MMT of MCP adduction? How many fingers do you use?
Between the PIP & DIP joint using the thumb and index finger
165
What is the patient position for MMT of thumb CMC flexion (flexor pollicis brevis)?
Seated with forearm supinated and resting on the table
166
What is the therapist position for MMT of thumb CMC flexion (flexor pollicis brevis)?
Facing the patient
167
The therapist stabilizes the side of the (1st/2nd) metacarpal during MMT of thumb CMC flexion
1st
168
For the patient to prove they have full ROM against gravity in MMT of thumb CMC flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex the thumb without flexing the IP joint. Yes.
169
Where is the force applied during MMT of thumb CMC flexion? How many fingers do you use?
Proximal to the IP joint of the thumb using one finger
170
What is the patient position for MMT of thumb IP flexion (flexor pollicis longus)?
Seated with forearm supinated and resting on the table
171
What is the therapist position for MMT of thumb IP flexion (flexor pollicis longus)?
Facing the patient
172
The therapist stabilizes the side of the 1st (carpal/metacarpal) up to the IP joint when doing MMT of thumb IP flexion
metacarpal
173
For the patient to prove they have full ROM against gravity in MMT of thumb IP flexion what do they have to do? Is the patient being stabilized while their ROM is being tested?
Flex the IP joint. Yes.
174
Where is the force applied during MMT of thumb IP flexion? How many fingers do you use?
Distal to the IP joint using 1 finger
175
What is the patient position for MMT of thumb IP extension (extensor pollicis longus)?
Seated with forearm supinated and wrist neutral
176
What is the therapist position for MMT of thumb IP extension?
Facing the patient
177
The therapist stabilizes the anterior and posterior surface (proximal/distal) to the thumb IP joint when doing MMT of thumb IP extension using the thumb and index finger
proximal
178
For the patient to prove they have full ROM against gravity in MMT of thumb IP extension what do they have to do? Is the patient being stabilized while their ROM is being tested?
Extend their thumb. Yes.
179
Where is the force applied during MMT of thumb IP extension? How many fingers do you use?
The finger nail using 1 finger
180
What is the patient position for MMT of thumb CMC abduction (abductor pollicis longus & abductor pollicis brevis)?
Seated with forearm supinated and resting on the table with wrist in neutral
181
What is the therapist position for MMT of thumb CMC abduction ?
Facing the patient
182
The therapist stabilizes at the wrist using the three fingers that are available and the palmar surface of the MCPS using what finger when doing MMT of thumb abduction?
The thumb
183
For the patient to prove they have full ROM against gravity in MMT of thumb abduction what do they have to do? Is the patient being stabilized while their ROM is being tested?
Abduct the thumb (holding a large cup); Yes
184
Where is the force applied during MMT of thumb abduction? How many fingers do you use?
Lateral to the MCP joint of the thumb using 1 finger
185
What is the patient position for MMT of thumb CMC adduction (adductor pollicis)? Is the patient's hand/wrist being supported by the therapist? Is the thumb already going to be in abduction?
Seated with forearm pronated; Yes; Yes
186
What is the therapist position for MMT of thumb CMC adduction?
Facing the patient
187
The therapist is going to support the wrist of the patient by holding it with the therapist's thumb on the patients' ___ when doing MMT of thumb adduction
palm
188
Is there any stabilization when doing MMT of thumb adduction apart from holding the patients wrist ?
No
189
For the patient to prove they have full ROM against gravity in MMT of thumb adduction what do they have to do?
Adduct the thumb (bring the thumb to meet the second finger)
190
What do you do to apply force during MMT of thumb adduction? How many fingers do you use? What direction is the therapist going to pull to test the patients' strength?
You slide one finger between the thumb and index finger at the level of the thumb IP joint and ask the patient to squeeze my finger while I pull down
191
What is the patient position for MMT of thumb CMC opposition (opponens pollicis & opponens digiti minimi)?
Seated with the forearm supinated and resting on the table with the wrist in neutral
192
What is the therapist position for MMT of thumb CMC opposition (opponens pollicis & opponens digiti minimi)?
Facing the patient
193
Is there any stabilization when doing MMT of thumb opposition ?
No
194
How does the therapist physically support the patient when doing MMT of thumb opposition?
By putting your hand under their wrist
195
For the patient to prove they have full ROM against gravity in MMT of thumb opposition what do they have to do?
Oppose the thumb (bring the tip of the and the tip of the 5th finger together as tight as possible)
196
Where is the force applied during MMT of thumb opposition? Do you use both hands? What finger from both hands do you use?
The force is applied to the thenar and hypothenar eminence trying to separate the thumb and pinky using the thumb of both hands
197
What is the adjusted scale for 5s, 4s, 3s, 2s, 1s, & 0s for MMT in the cervical region (fingers & thumb)?
```
5s = maximum resistance
4s = moderate resistance
3s = full ROM
2s = partial ROM
1s = trace
0s = no contraction
```
198
What is the patient position for MMT of cervical spine flexion?
Supine with elbow and shoulders abducted to 90 (hands up don't shoot position)
199
What is the therapist position for MMT of cervical spine flexion?
Standing beside the patient
200
For the patient to prove they have full ROM against gravity in MMT of cervical spine flexion what do they have to do?
Flex the neck (bring their chin to their chest).
201
What is an indicator that a patient is at the end of normal ROM for cervical flexion?
The back clears the table when flexing
202
The therapist stabilizes over the (anterior/posterior) aspect of the shoulder when performing MMT of cervical spine flexion
anterior
203
Where is the force applied during MMT of cervical spine flexion?
Directly on the forehead pushing down
204
What is the patient position for MMT of cervical spine extension?
Prone
205
What is the therapist position for MMT of cervical spine extension?
Standing beside the patient
206
For the patient to prove they have full ROM against gravity in MMT of cervical spine extension what do they have to do?
Lift their head up off of the table
207
The therapist stabilizes over the upper thoracic spine right below C_ when performing MMT of cervical spine extension
C7
208
Where is the force applied during MMT of cervical spine extension?
The base of the head
209
What is the patient position for MMT of the SCM?
Supine
210
What is the therapist position for MMT of the SCM?
Standing beside the patient
211
If you are testing the right SCM, what do you tell the patient to do to get in position for MMT? This is also how to check if the patient has full ROM for the the SCM.
Turn their head to the left and lift their ear towards the ceiling
212
If you are testing the left SCM, what do you tell the patient to do to get in position for MMT? This is also how to check if the patient has full ROM for the the SCM.
Turn their head to the right and lift their ear towards the ceiling
213
Where is the force applied during MMT of the SCM?
To the side of the patient's forehead
