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MMT Flashcards

(65 cards)

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1
Q

Capital Extension

A 
Muscles: capital extensors
Pt prone with head off table
"Look at the wall"
Grade 2: pt supine w/ head supported 
"look back at me without lifting your head"
Partial ROM
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2
Q

Cervical Extension

A 
Muscles: Cervical extensors
Pt prone with head off table
"Push up on my hand but keep looking at the ground"
Grade 2: supine w/ head supported
"Push your head into my hands"
Partial ROM
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3
Q

Combined Neck Extension

A 
Muscles: capital and cervical extensors
Pt prone w/ head off the table
"Lift your head and look at the ceiling"
Grade 2: Pt prone with head supported
"try to raise your head and look at ceiling
Partial ROM
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4
Q

Capital Flexion

A

Muscles: Capital flexors
Pt supine with head on table
“Tuck your chin”
Grade 2: Partial ROM

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5
Q

Cervical Flexion

A 
Muscles: neck flexors and SCM
Pt supine w/ head supported on table
"Bring your head off the table keeping your eyes on the ceiling and your shoulders on the table"
Grade 2: roll head to left and right
Partial ROM
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6
Q

Combined Cervical Flexion

A 
Muscles: neck flexors and SCM
Pt supine w/ head supported on table
"Bring your head up until your chin is on your chest without raising your shoulders off the table"
Grade 2: roll head left and right
Partial ROM
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7
Q

Combined flexion to isolate a single SCM

A 
Muscle: SCM
Pt supine w/ head on table and turned
"lift your head up keeping it turned"
Grade 2: roll head left and right
Partial ROM
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8
Q

Lumbar Spine Extension

A 
Muscles: Lumbar Extensors
Pt prone w/ hands clasped behind head
"Raise your head, shoulders, and chest off the table"
Grade 2: arms by side
Partial ROM
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9
Q

Thoracic Spine Extension

A

Muscles: Thoracic Extensors
Pt prone w/ head and upper trunk off table (nipple line)
“Raise shoulders and chest to table level”
Grade 2: pt prone w/ arms at side
Partial ROM

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10
Q

Elevation of Pelvis

A

Muscle: QL (cannot palpate)
Pt supine
“Hike your pelvis to bring it up to your ribs”
Grade 2: partial ROM

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11
Q

Trunk Flexion

A

Muscles: Rectus Abdominals
Pt supine with arms by side (grade 3), arms across chest (grade 4), hands behind head (grade 5)
“Keep chin pointed at ceiling and lift your head, shoulders, and back off table”
Grade 2: Pt can lift head off table but cannot clear scaps. OR
Cannot lift head, but when cradled can contract or cough
Grade 1: no rib cage depression

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12
Q

Trunk Rotation

A

Muscle: Internal and External Obliques
Pt prone w/ arms by side (grade 3), arms across chest (grade 4), hands behind head (grade 5)
“Lift shoulder toward opposite knee”
Grade 2: unable to clear scapula

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13
Q

Diaphragm (quiet inspiration)

A 
Muscle: diaphragm
Pt supine 
"take a deep breath and hold it"
Grade 5: can resist 100 lbs of pressure
Grade 4: yields under max resistance
Grade 3: cannot tolerate resistance
Grade 2: partial rise
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14
Q

Scapular Abduction and Upward Rotation

A

Muscle: Serratus Anterior
“Bring your arm up and reach fro target on the wall”
Grade 2: scapula abducts and rotates smoothly with arm supported
Grade 2-: scapula abducts and rotates irregularly

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15
Q

Scapular elevation

A

Muscle: Upper Traps
Pt seated
“shrug your shoulders”
Grade 2: pt prone or supine and can complete full ROM w/o gravity

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16
Q

Scapular Adduction

A

Muscle: middle traps
Pt prone with arm abducted to 90 and elbow bent
“Lift your elbow toward the ceiling”
Grade 2: Completes full ROM w/ arm supported

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17
Q

Scapular Depression and Adduction

A

Muscles: Lower Traps
Pt prone with arm abducted to 145 and thumbs up
“Raise your arm from the table as high as possible”
Grade 2: Completes full ROM w/ arm supported

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18
Q

Scapular Adduction and Downward Rotation

A

Muscles: Rhomboids
Pt prone w/ hand behind back
“Lift your hand”
Grade 2: pt seated w/ arm supported behind back. Can complete full ROM

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19
Q

Scapular Flexion

A

Muscles: anterior deltoid
Pt seated
“raise your arm forward to shoulder height”
Grade 2: completes partial ROM

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20
Q

Shoulder Extension

A

Muscle: Posterior Deltoid
Pt Prone with arm by side
“Lift your arm as high as you can”
Grade 2: completes partial ROM

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21
Q

Shoulder Abduction

A

Muscle: Middle deltoid and supraspinatus
Pt seated
“Lift your arm to the side”
Grade 2: completes partial ROM

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22
Q

Shoulder Horizontal Abduction

A

Muscle: Posterior deltoid
Pt prone, arm abducted to 90, elbow straight
“Lift elbow toward ceiling”
Grade 2: seated with arm supported at 90 abduction. Completes ROM w/o gravity

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23
Q

Shoulder horizontal adduction

A

Muscle: Pectoralis Major (whole, sternal, and clavicular)
Pt supine. Shoulder abducted to 90, elbow flexed
“Move your arm across your chest”
Grade 2: completes ROM w/ arm supported

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24
Q

Shoulder External Rotation

A

Muscles: infraspinatus and teres major
Pt sitting with elbow bent at 90
“Push your forearm away from your stomach”
Grade 2: Completes ROM w/ arm supported

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25
Shoulder Internal Rotation
Muscles: subscapularis Pt sitting with elbow bent at 90 "Move your forearm toward your stomach" Grade 2: Completes ROM w/ arm supported
26
Elbow Flexion
Muscles: biceps, brachioradialis, brachialis Pt seated "bend your elbow" Grade 2: completes ROM w/ arm supported and abducted to 90
27
Elbow Extension
Muscle: Triceps Pt prone, 90 abduction, elbow flexed "Straighten your elbow" Grade 2: pt seated, arm supported at 90 abduction. Pt completes available ROM
28
Forearm Supination
Muscles: Supinator, biceps Pt sitting with forearm pronated "Turn your arm up" Grade 2: Beyonce
29
Forearm Pronation
Muscles: pronator teres, pronator quadratus Pt seated with forearm supinated "Turn your palm down" Grade 2: Beyonce
30
Wrist Flexion
Muscles: Flexor carpi radialis, flexor carpi ulnaris Pt seated, forearm supinated and supported on the table "bend your wrist" Grade 2: forearm midway between supination and pronation. Completes available ROM
31
Wrist Extension
Muscles: Extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris Pt seated, forearm pronated and supported on the table "Bring your wrist up" Grade 2: forearm midway between pronation and supination. Completes available ROM
32
Finger MP Flexion
Muscles: Lumbricals and interossei Pt seated w/ forearm supinated "Uncurl your fingers while flexing your knuckles" Grade 2: hand in midposition moves through complete ROM
33
PIP flexion (fingers)
Muscles: flexor digitorum superficialis Pt seated with forearm supine "Bend your finger" Grade 2: forearm in midposition completes ROM
34
MP Finger extension
Muscles: Extensor digitorum (all MP joints); Extensor indicis (MP of index); Extensor digitorum minimi (MP of 5th) Pt sitting with hand prone "Bend your knuckles back Grade 2: forearm in midposition completes ROM
35
DIP Flexion (fingers)
Muscle: flexor digitorum profundus Pt seated, forearm supinated "Bend finger tip" Grade 2: forearm midposition completes available ROM
36
Finger Abduction
Muscle: dorsal interossei Pt seated w/ forearm prone "Spread your fingers" Grade 2: partial ROM
37
Finger Adduction
Muscle: palmar interossei Pt seated w/ forearm prone "Hold your fingers together" Grade 2: partial ROM (cannot palpate)
38
Thumb MP extension
Muscle: Extensor pollicis brevis Forearm in midposition "Bring your thumb toward the ceiling" Grade 2: Partial ROM
39
Thumb IP extension
Muscle: Extensor Pollicis Longus Forearm in midposition "Straighten the end of your thumb" Grade 2: forearm pronated completes ROM
40
Abductor Pollicis Longus Test
Muscle: Abductor pollicis longus Forearm supinated, wrist in neutral "Lift thumb straight up" Grade 2: partial ROM
41
Abductor pollicis brevis
Muscle: abductor pollicis brevis Forearm supinated Grade 2: forearm in midposition partial ROM
42
Thumb adduction
Muscle: Adductor pollicis Forearm pronated with thumb abducted "Bring your thumb up to your index finger" Grade 2: forearm in midposition completes full ROM
43
Hip Flexion
Muscle: Iliopsoas Pt short sitting "Lift your leg off the table" Grade 2: sidelying completes ROM
44
Flexion, abduction, and external rotation with knee flexion
Muscle: Sartorius Pt short sitting "slide your heel up your shin" Grade 2: supine completes ROM
45
Hip Extension
Glute max and hamstrings Pt prone with leg straight "Lift your leg off table without bending your knee" Grade 2: sidelying completes ROM
46
Hip Abduction
Muscle: Glute med and min Pt side lying "lift your leg up in the air" Grade 2: supine completes ROM
47
Hip abduction from flexed position
Muscle: TFL Pt side lying with hip flexed to 45 "Lift your leg" Grade 2: long sitting abducts to 30
48
Hip External Rotation
Muscle: deep rotators Pt short sitting "don't let me turn your leg out" Grade 2: supine, rolls leg out
49
Hip internal rotation
Muscles:Glute min, med, and TFL Pt short sitting move ankle laterally Grade 2: supine, rolls leg in
50
Knee Flexion
Muscles: hamstrings Pt prone "Bend your knee" Grade 2: sidelying completes ROM
51
Knee Extension
Muscles: quads Pt short sitting "straighten your knee" Grade 2: sidelying completes ROM
52
Ankle Plantarflexion
``` Muscles: gastroc, soleus Pt completes heel raises Grade 5= 25+ Grade 4= 2-24 Grade 3= 1 Grade 2: pt prone and can complete ROM w/ resistance Grade 2-: partial ROM ```
53
Dorsiflexion and Inversion
Muscle: tibialis anterior Pt short sitting "Bring your foot up and in" Grade 2: partial ROM
54
Foot inversion
Muscle: Tibialis posterior Pt short sitting "Bring your foot down and in" Grade 2: partial ROM
55
Foot eversion with plantarflexion
Muscles: fibularis longus and brevis Pt short sitting "turn your foot down and out" Grade 2: partial ROM
56
Toe MP flexion
muscle: lumbricals Pt sitting w/ foot in PT lap "bend your toes over my finger" Grade 2: Partial ROM
57
Toe DIP flexion
Msucle: flexor digitorum longus Pt sitting w/ foot in PT lap "bend your toes over my finger" Grade 2: partial ROM
58
Toe PIP flexion
Muscle: Flexor digitorum brevis Pt sitting w/ foot in PT lap "bend your toes over my finger" Grade 2: partial ROM
59
Hallux MP flexion
Muscle: Flexor hallucis brevis Pt long sitting with feet off table "Bend your big toe over my finger" Grade 2: partial ROM
60
Hallux IP flexion
Muscle: flexor hallucis longus Pt long sitting with feet off table "Bend your big toe over my finger" Grade 2: partial ROM
61
Hallux and Toe MP and IP extension
Muscles: Extensor digitorum longus, brevis, extensor hallucis longus Pt sitting with foot in PT lap "Straighten your toes" Grade 2: partial ROM
62
Jaw opening (mandibular depression)
``` Muscles: Lateral pterygoid "Open your mouth as wide as you can" Functional: 3+ fingers Weak functional: 2 fingers Non functional: minimial motion 0: no voluntary depression ```
63
Jaw closing (mandibular elevation)
Muscles: Masseter, temporalis, medial pterygoid "Clench your teeth as tight as you ca" Functional: PT cannot open jaw Weak Functional: Jaw opens under pressure No Function: Jaw opens w/ little resistance 0: cannot functionally close mouth
64
Lateral Jaw deviation
Muscles: lateral and medial pterygoid Pt deviates jaw to side Functional: center point moves over 3 teeth Weak functional: motion over 1 tooth No function: minimal deviation, no resistance 0: no motion
65
Jaw protrusion
Muscles: Medial and lateral pterygoids Functional: lower teeth protrudes over upper teeth and holds strong resistance Weak function: no gap, slight resistance No function: minimal motion, no resistance 0: no movement

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