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Patient Management I > MMT Procedures > Flashcards

MMT Procedures Flashcards

1
Q

Anterior neck flexors

A

Patient position: Supine, shoulders in 90° of abduction. elbows in 90° of flexion with hands resting near the head, palms facing up

Local position: Patient’s chin tucked to the sternum. Flex the cervical spine by lifting the head off the table. Patient instructed to hold chin tuck.

Direction of Examiner pressure: Against the forehead towards the table

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1
Q

Anterolateral Neck flexors

A

Patient Position: Supine, shoulders in 90° of abduction. elbows in 90° of flexion with hands resting near the head, palms facing up

Local Position: Rotate patient’s head towards the opposite side and add flexion of the cervical spine

Direction of examiner pressure: Press against the temples and side of patients face towards the table

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2
Q

Posterolateral neck extensors

A

Patient Position: Prone, shoulders in 90° of abduction. elbows in 90° of flexion with hands resting near the head, palms facing up

Local position: Rotate patient’s head towards the same side, extend the cervical spine

Direction of examiner pressure: Against the posterior and lateral side of the head towards the table

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3
Q

Upper trapezius

A

Patient postion: Seated with their back towards the examiner

Local position: Rotate patient’s head towards the opposite side, lateral flex and extend the cervical spine. Patient instructed to lift shoulder up towards the head

Direction of examiner pressure: Place one hand on the patient shoulder and the other hand on the side of the head, apply pressure down on the shoulder and up towards the head (as if to separate the head and shoulders)

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4
Q

Middle Trapezius

A

Patient position: Prone, patient’s head rotated towards opposite side

Local position: Shoulder abducted 90˚ with external rotation, elbow is fully extended, scapula is retracted

Direction of examiner pressure: against distal forearm towards the ground

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5
Q

Rhomboids and Levator Scapulae

A

Patient position: Prone

Local position: Shoulder is in adduction and minimal extension and external rotation, complete elbow flexion, scapula is retracted and lifted towards the head

Direction of examiner pressure: Place one hand on the back of the patients elbow, apply pressure towards shoulder flexion and abduction

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6
Q

Lower Trapezius

A

Patient position: Prone, patients head rotated to the opposite side

Local position: Shoulder abduction to 135˚ with external rotation, elbow in full extension. Patient instructed to retract and depress scapula

Direction of examiner pressure: Against forearm towards the floor

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7
Q

Serratus Anterior

A

Patient position: seated

Local position: Shoulder flexion to 120° with elbow in full extension

Direction of examiner pressure: Against distal humerus towards shoulder extension

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8
Q

Anterior, Middle, and Posterior Deltoid

A

Patient position: Seated

Local Position:
Anterior - Shoulder abducted to 90 ° with minimal flexion, Elbow flexed to 90°
Middle - Shoulder is abducted 90°, elbow flexed to 90°
Posterior - Shoulder abducted to 90 ° with minimal xtension, Elbow flexed to 90°

Direction of examiner pressure:
Anterior - Against distal humerus in the direction of shoulder adduction and extension

Middle - Against distal humerus in the direction of shoulder adduction

Posterior - Against distal humerus in the direction of shoulder adduction and flexion

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9
Q

Shoulder internal rotators

A

Patient Position: Prone with the head rotated to the opposite side

Local Position: Shoulder abduction to 90°with humerus parallel to the table, elbow flexion to 90. Patient instructed to move into maximal internal rotation

Direction of examiner pressure: Pressure applied to the distal forearm on the anterior side towards external rotation

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10
Q

Subscapularis and Teres Major

A

Patient postion: Prone with the head rotated to the opposite side

Local position: Patient places the back of hand on low back

Direction of examiner pressure: Pressure applied to the distal humerus towards shoulder abduction and flexion

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11
Q

Shoulder External rotators

A

Patient position: Prone with the head rotated to the opposite side

Local position: Shoulder abduction to 90°with humerus parallel to the table, elbow flexion to 90°, patient instructed to move into maximum external rotation

Direction of examiner pressure: Against distal forearm in the direction of internal rotation

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12
Q

Pectoralis Major (clavicular portion)

A

Patient position: Supine

Local position: Shoulder flexion to 90° with minimal internal rotation and horizontal adduction (reaching towards the opposite shoulder), elbow in full extension

Direction of examiner pressure: Against the proximal forearm pulling the arm away from the opposite shoulder towards horizontal abduction

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13
Q

Pectoralis major (sternal portion)

A

Patient position: Supine

Local position: Shoulder flexion to 135° with minimal internal rotation, shoulder horizontal adduction towards the opposite hip, elbow in full extension

Direction of examiner pressure: Against the proximal forearm, pulling the arm away from the opposite hip towards shoulder flexion and horizontal abduction

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14
Q

Pectoralis Minor

A

Patient position: supine

Local position: Palms of hands rested on the stomach. Patient instructed to lift shoulder towards the ceiling

Direction of examiner pressure: Against the anterior side of the shoulder towards the table

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15
Q

Latissimus Dorsi

A

Patient Position: Prone, patient’s head rotated towards the opposite side

Local position: Shoulder extension, internally rotation, and adduction

Direction of examiner pressure: Against distal forearm in the direction of shoulder flexion

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16
Q

Coracobrachialis

A

Patient position: seated

local position: Shoulder with minimal flexion, elbow in full flexion with supination

Direction of examiner pressure: Against distal humerus in the direction of shoulder extension and abduction

17
Q

Biceps brachii

A

Patient position: seated

Local position: Elbow flexion to 70-90° with forearm supination

Direction of examiner pressure: Against distal forearm towards elbow extension

18
Q

Brachialis

A

Patient Position: Supine or seated

Local position: Elbow flexion to 70-90°, pronation of forearm

Direction of pressure: Against distal forearm into elbow extension

19
Q

Brachioradialis

A

Patient Position: supine or seated

Local Position: Elbow flexion to 70-90°, forearm is halfway between pronation and supination (dorsal side facing away from patient)

Direction of pressure: Against distal forearm into elbow extension

20
Q

Triceps brachii and Anconeus

A

Patient Position: Supine

Local position: Shoulder flexion to 90°, minimal elbow flexion

Direction of pressure: Against distal forearm into elbow flexion

21
Q

Supinator and biceps brachii

A

Patient position: supine

Local position: Elbow flexion to 90° with forearm supination

Direction of pressure: Examiner hand around the wrist, turning the forearm into pronation.

22
Q

Pronator teres and pronator quadratus

A

patient position: Supine

Local position: Elbow flexion to 45°, forearm pronation

Direction of pressure: Examiner hand around the wrist, turning the forearm into supination.

23
Q

Quadriceps

A

Patient position: Seated

Local position: knee almost in full extension

Direction of examiner pressure: Against anterior ankle into knee flexion

24
Q

Hamstrings

A

Patient Position: Prone

Local position: Knee flexion to 50-70°, hip rotation is neutral

Direction of examiner pressure: Against distal lower leg into knee extension

25
Q

Popliteus

A

Patient position: Seated off edge of table (knee in 90° flexion)

Local position: Patient instructed to move lower leg in and out of full external and internal rotation.

Direction of examiner pressure: no pressure applied

26
Q

Gastrocnemius

A

Patient position: Standing with full knee extension

Local position: Patient instructed to go from foot flat position to max plantar flexion as many times as possible.

Direction of examiner pressure: No pressure applied.

5/5 = 20 full-range repetitions
4/5 = 10-19 full range repetitions
3/5 = 1-9 full range repetitions

27
Q

Soleus

A

Patient position: Standing with minimal knee flexion

Local position: Patient instructed to go from foot flat position to max plantar flexion as many times as possible.

Direction of examiner pressure: No pressure applied.

5/5 = 20 full-range repetitions
4/5 = 10-19 full range repetitions
3/5 = 1-9 full range repetitions

28
Q

Fibularis Longus and Brevis

A

Patient position: Supine with minimal internal rotation of the leg

Local position: Ankle plantar flexion and eversion. Heel supported off table by examiner.

Direction of examiner pressure: Against lateral aspect of foot in the direction of dorsiflexion and eversion

29
Q

Tibialis Anterior

A

Patient position: Seated or supine

Local position: ankle dorsiflexion and inversion

Direction of examiner pressure: Against medial border of foot in the direction of plantar flexion and eversion

30
Q

Tibialis Posterior

A

Patient position: Seated with minimal external rotation of the leg

Local position: Ankle plantar flexion and inversion

Direction of examiner pressure: Against medial side of foot in the direction of dorsiflexion and eversion

31
Q

Gluteus Maximus

A

Patient position: Prone

Local position: Extension of hip

Direction of examiner pressure: Against distal-posterior femur in the direction of hip flexion

32
Q

Gluteus Medius

A

Patient position: Side lying, with testing leg on top

Local position: Abduction of hip with minimal externalrotation and minimal extension, full knee extension

Direction of examiner pressure: Against distal-lateral lower leg in the direction of adduction and flexion

32
Q

Gluteus Minimus

A

Patient position: Side lying, with testing leg on top

Local position: Abduction of hip with neutral rotation, full knee extension

Direction of examiner pressure: Against distal-lateral lower leg in the direction of adduction

33
Q

Tensor Fascia Latae

A

Patient position: Supine

Local position: Hip in flexion with abduction and internal rotation, knee in full extension

Direction of examiner pressure: Against distal lower leg in the direction of hip extension and adduction

34
Q

Hip Flexors

A

Patient position: Seated

Local position: Knee flexion to 90°, hip flexion to midpoint between neutral and full flexion

Direction of examiner pressure: Against anterior-distal thigh into hip extension

35
Q

Psoas Major

A

Patient position: Supine

Local position: Knee in full extension, Hip in flexion and abduction with external rotation

Direction of examiner pressure: Against distal leg in the direction of hip extension and minimal abduction

36
Q

Sartorius

A

Patient position: Supine

Local position: Hip flexion to 90° with external rotation and abduction, knee in flexion

Direction of examiner pressure: Examiner pushes on knee into hip extension and adduction. Examiner also pulls medial-distal lower leg in the directions of internal rotation and knee extension

37
Q

Hip Adductors

A

Patient position: side lying

Local position: Examiner lifts and supports top leg in abduction. Patient instructed to adduct bottom leg off the table.

Direction of examiner pressure: Against distal-medial thigh of bottom leg in the direction of abduction.

38
Q

Hip external rotators

A

Patient position: Seated (hip and knee flexion to 90°)

Local position: Hip in external rotation

Direction of examiner pressure: Against distal-medial lower leg in the direction of internal rotation

39
Q

Hip internal rotators

A

Patient position: Seated (hip and knee flexion to 90°)

Local position: hip in internal rotation

Direction of examiner pressure: Against distal-lateral lower leg in the direction of external rotation

Patient Management I (8 decks)

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