MMT Lower Limb Flashcards
Hip extension
Position: prone
Instruction: lift your leg off the table as high as you can without bending your knee
GM: sidelying
Trace/0: prone
Instruction: squeeze your buttocks together
Resistance: can be given on distal tibia or distal femur
Stabilization: pelvis
Hip adduction
Position: sidelying. Top limb supported by therapist.
Instruction: lift your bottom leg up to your top one. Hold it. Don’t let me push it down.
Gravity minimized: supine
Trace/0: supine
Instruction: try to bring your leg in
Resistance: distal femur, medial aspect
Stabilization: Pelvis
Hip extension with knee flexion gluteus maximus biased
Position: prone. Knee flexed to 90°
Instruction: lift your leg keeping your knee bent
Gravity minimized: side lying
Trace/0: prone
Instruction squeeze your butt together
Resistance; distal femur
Stabilization: pelvis
Hip external rotation
Position: sitting
Instruction don’t let me turn your leg out
Gravity minimized: supine. Limb straight
Instruction: roll your leg out.
Trace/0: supine
Resistance: medial distal tibia
Stabilization: lateral distal femur
Hip internal rotation
Position: sitting
Instruction: don’t let me turn your leg in
Gravity minimized: supine. Knee straight
Instruction: “Roll your leg in toward the other one
Trace/0: supine
Instruction: try to roll your leg in
Resistance: lateral distal tibia
Stabilization: medial distal femur
Hip abduction
Position: side-lying. Slight hip extension and pelvis rotated forward
Instruction: lift your leg up in the air. Hold it. Don’t let me push it down.
Gravity minimized: supine
Trace/0: supine
Resistance: distal tibia, lateral aspect. Or distal femur lateral aspect
Stabilization: pelvis
Hip flexion
Position: sitting
Instruction: lift your leg off the table and don’t let me push it down
GM: sideline
Trace/0: supine
Resistance; distal femur
Stabilization; posterior trunk
Hip extension supine
Position: supine with heels off table
Instruction: don’t let me lift your leg from the table. Keep your hip locked tight and your whole body rigid as a board
Gravity minimized: NA; grade 2 is supine. There is no grade 1 or zero with a supine test.
Resistance: therapist hands cupped under heel
Stabilization: bodyweight
Grading system for a hip extension supine
5/5: pelvis & back elevated as one unit as heel lifted approximately 24 inches off table
4/5: hip flexes less than or equal to 30° before hip and back elevate
3/5: strong resistance to elevation of limb to 24 inches off table without elevation of pelvis
2/5: minimal resistance (more than weight of limb) to 24 inches off table
No grade 1 or zero
Knee extension
Position: sitting
Instruction: straighten your knee. Hold it. Don’t let me bend it.
Gravity minimized: sidelying; hip neutral, knee 90° flexion
Trace/0: supine
Instruction: push the back of your knee into table
Resistance: distal anterior tibia
Stabilization: distal femur
Knee flexion
Position: prone with knee flexed to 90°
Instruction: bend your knee. Hold it. Don’t let me straighten it.
Gravity minimize: sidelining
Trace/0: prone
Resistance: distal posterior tibia
Stabilization: distal femur
Ankle dorsiflexion with inversion
Position: sitting
Instruction: bring your foot up and in. Hold it. Don’t let me push it down.
Gravity minimized: same position and instruction, partial range of motion for grade 2 (poor)
Trace/0: same position and instruction
Resistance: dorsal medial foot
Stabilization: proximal to ankle
Subtalar inversion
Position: sitting ankle in-slight Plantarflexion
Instruction: turn your foot down and in. Hold it.
Gravity minimized: same position and instruction, partial ROM for grade 2 (poor)
Trace/0: same position and instruction
Resistance: medial/dorsum foot at metatarsals heads level
Stabilization: proximal to ankle, lateral aspect
Ankle plantar flexion grading
5/5: standing 25 reps
4/5: standing 10 to 24 reps
3/5: standing 1 to 9 reps
2+/5: standing clears heel only
2+/5: prone max resistance
2/5: prone no resistance
2-/5: prone partial range
1/5: contraction palpated
0/5: no contraction palpated
Ankle plantar flexion
Position: stand
Instruction: stand on your right leg. Go up on your tiptoes. Now down. Repeat 25 times all the way up and all the way down without stopping.
Nonweightbearing: prone
Traits/0: prone
Instruction: point your toes down like a toe or ballet dancer