OP

Question 0

MMT: Deltoids

Answer 0

Sitting.

Arm abducted to 90°, flexed at elbow (lat raise position).

For middle fibres push straight down.

Anterior fibres: position arm forward and slightly external rotated. Force applied against anteromedial surface, to adduction and slight extension

Posterior fibres: position arm in slight extension, and medial rotation. Force applied against posteriolateral arm; to adduction and slight flexion.

Question 1

Deltoid

Answer 1

Anterior fibres originate at clavicle
Middle fibres originate at acromion process
Posterior fibres originate at spine of scapula.

All insert at deltoid tuberosity.

Actions: all abduct
Anterior fibres: flex, IR (when supine)
Posterior fibres: extend, ER (when prone)

Nerve: axillary
Artery:

Question 2

Supraspinatus

Answer 2

Origin: supraspinous fossa of Scap
Insertion: greater tubercle.

Action: abduction and lateral rotation

Nerve: suprascapular

Question 3

MMT: supraspinatus

Answer 3

Arm abducted to 90°, elbow flexed (lag raise position). Neck extended and laterally flexed, face turned to opposite side. Arm a little forward with slight ER.

Push down.

Question 4

Biceps brachii

Answer 4

Origin of short head: coracoid process
Origin of long head: supraglenoid tubercle
Insertion: radial tuberosity and lacertus fibrosis

Action: elbow flexion, shoulder flexion

Nerve: musculocutaneous.

Question 5

MMT: biceps brachii

Answer 5

Cushion elbow.

Place elbow in flexion, slightly less than right angle. Resist extension.

Question 6

Triceps brachii

Answer 6

Origin of long head: infraglenoid tubercle
Origin of lateral head: lateral and posterior surface of prox humerus.
Origin of medial head: distal 2/3 of humerus.
Insertion: Olecranon process

Action: elbow extension

Nerve: radial

Question 7

MMT: triceps

Answer 7

Supine

Arm flexed right above shoulder.
Resist flexion.

Question 8

Brachioradialis

Answer 8

Origin: lateral supracondylar ridge
Insertion: lateral side of styloid process of radius

Action: elbow flexion when arm in neutral pronation.

Nerve: radial

Question 9

MMT: brachioradialis

Answer 9

Supine or seated

Semi-supinated, elbow flexed, elbow cushioned.

Resist extension.

Question 10

Flexor carpi ulnaris

Answer 10

Origin of humeral head: CFT from medial epicondyle
Origin of ulnar head: medial Olecranon
Insertion: pisiform, hamate and MC5

Actions: flexion and ulnar deviation of wrist

Nerve: ulnar

Question 11

MMT: FCU

Answer 11

Sitting or supine.

Forearm supinated, supported. Wrist flexed toward ulnar side. Resist extension and radial devation.

Question 12

Abductor Pollicis Longus

Answer 12

Origin: posterior ulna distal to supinator; interosseous membrane; posterior middle 1/3 radius.
Insertion: base of MC1, radial side.

Action: abducts and extends CMC of thumb

Question 13

MMT: APL

Answer 13

Sitting or supine

Wrist stabilized. Semi-supinated. Thumb abducted and extended.

Resist addiction and flexion against MC1 and wrist.

Question 14

Pectoral Major

Answer 14

Origin (upper fibres): clavicle
Origin (lower fibres): sternum
Insertion: Greater tubercle

Action: adduction, IR, flexion

Nerve: medial and lateral pectoral

Question 15

MMT: Pec Major

Answer 15

Supine.

Upper fibres: arm up, resist horizontal abduction

Lower fibres: arm diagonal toward opposite hip. Hold opposite hip down. Resist pull.

Question 16

Quadratus Lumborum

Answer 16

Origin: iliac crest, Iliolumbar ligament
Insertion: inferior border of last run and TVP of L1-4.

Action: extension, hip hike/lateral flexion, depressing R12.

Question 17

MMT: QL

Answer 17

Prone.

Leg slightly adducted. Pull against QL line of pull. Resist

• no numerical score *.

Question 18

Rectus femoris

Answer 18

Origin: AIIS, superior to brim of acetabulum.
Insertion: tibial tuberosity

Action: knee extension, hip flexion.

Nerve: femoral

Question 19

MMT: Quads

Answer 19

Seated. Resisted knee flexion.

Question 20

Vastus lateralis

Answer 20

Origin: Linea aspera
Insertion: tibial tuberosity

Action: knee extension

Nerve: femoral

Question 21

Biceps femoris

Answer 21

Origin of long head: Ischial tuberosity
Origin of short head: Linea aspera
Insertion: head of fibula, lateral tibial condyle

Action: knee flexion

Nerve: sciatic

Question 22

MMT: biceps femoris

Answer 22

Prone. Knee flexed, leg in slight ER (foot in). Resist extension.

Question 23

Gastrocnemeus

Answer 23

Origin: medial and lateral femoral condyles
Insertion: Achilles’ tendon

Action: plantar flexion, some knee flexion

Nerve: tibial

Question 24

MMT: gastrocnemius

Answer 24

Single leg triple extension. Push down on shoulder.

Question 25

Soleus

Answer 25

Origin: soleal line of the tibia and head and proximal third of fibula. Insertion: Achilles' tendon. Action: plantarflexion Nerve: tibial

Question 26

MMT: soleus

Answer 26

Prone | Knee flexed, foot flexed. Resist plantarflexion.

Question 27

Tibialis anterior

Answer 27

Origin: lateral tibial condyle, prox 2/3 anterior tibia, prox 2/3 interosseus membrane. Insertion: First cuneiform and first Metatarsal Action: dorsiflexion, inversion Nerve: deep fibular

Question 28

MMT: Tibialis anterior

Answer 28

Dorsiflex and invert, without extending big toe. Resist plantarflexion and eversion.

Question 29

Fibularis Tertius

Answer 29

Origin: distal 1/3 ant fibula and interosseus membrane Insertion: fifth metatarsal Action: dorsiflexion, eversion Nerve: deep Fibular

Question 30

MMT: Fibularis Tertius

Answer 30

Seated. Support ankle. Dorsiflex and evert. Resist plantarflexion and inversion.

Question 31

Extensor hallucis longus

Answer 31

Origin: middle anterior fibula Insertion: dorsal surface of big toe (distal phalanx) Action: extend big toe at MTP and PIP; dorsiflexion. Nerve: deep fibular.

Question 32

MMT: EHL

Answer 32

Stabilize foot in slight plantar flexion. Extend big toe. Resist flexion at distal and proximal phalanges.

Question 33

Rectus abdominus

Answer 33

Origin: crest and symphysis of pubis Insertion: xiphoid process and cartilage of r5-7 Action: trunk flexion, lateral flexion Nerve: intercostal

Question 34

MMT: Rectus abdominus

Answer 34

Upper: sit up. May stabilize legs. Normal: hands behind head. Good: arms crossed. Fair: zombie arms. Lower: supine double leg drop. Fair 60-90°. Good 60-30°. Normal: 30-0°

Question 35

Infraspinatus

Answer 35

Origin: infraspinous fossa Insertion: greater tubercle (middle facet) Action: lateral rotation Nerve: suprascapular

Question 36

MMT: infrascapular

Answer 36

Prone. Stick 'em up cactus arm. Place hand between humerus and table. Resist medial rotation.

Question 37

Psoas

Answer 37

Origin: anterolateral surface of (and IVDs between) T12-L5. TVPs of L1-5. Insertion: lesser trochanter. Action: hip flexion; PPT; lateral rotation of thing Nerve: lumbar plexus

Question 38

MMT: Psoas

Answer 38

Supine Leg lifted, slight abduction and ER. Opposite iliac crest stabilized. Resist extension and slight abduction.