ROM and MMT Upper Limb (Quiz 2)

Question 1

What is the importance of Motion and Strength Assessment?

Answer 1

treatments at their core function by manipulating body mechanics to achieve a desired outcome

gain accurate data on available motion and strength to be able to develop and implement plan of care

Question 2

How is MMT measured

Answer 2

utilizing observation with both gravity and manual resistance

Question 3

Active Range of Motion

Answer 3

amount of motion attained by a subject during unassisted voluntary joint motion

provides information on willingness to move, coordination, and general muscle strength

Question 4

Passive Range of Motion

Answer 4

amount of motion attained by the examiner wihtout assistance from the patient

provides information about the surfaces and surrounding soft tissues

Question 5

Normal ROM

Answer 5

range of “normal” osteokinematic measures seen across the general population

Question 6

Functional ROM

Answer 6

range of motion required to perform a specific task

Question 7

TRUE OR FALSE

MMT is a test of strength

Answer 7

FALSE

it is a measurement of weakness

Question 8

Manual Muscle Testing

Answer 8

the observation and application of resistance to determine the magnitude of force that can be generated across a joint

Question 9

What is the MMT grading scale

Answer 9

0 (Zero) - no contraction
1 (Trace) - contraction observed, no segmental movement
2 (Poor) - Partial arc with gravity OR full arc no gravity
3 (Fair) - move body part into test position
4 (Good) - Hold in test position against gravity moderate pressure
5 (Normal) - hold in test position against gravity max pressure

Question 10

Wrist Flexion ROM

Answer 10

• Passive ROM: Firm
• Active ROM: seated w/palmar forearm on table
• Fulcrum: Ulnar Aspect of wrist (triquetrum)

0-80 deg

Question 11

Wrist Flexion MMT

Answer 11

Seated with dorsal forearm on table

Question 12

Wrist Extension ROM

Answer 12

• Passive ROM: Firm
• Active ROM: seated w/ palmar forearm on table
• Fulcrum: ulnar aspect of wrist (triquetrium)

0-70 deg

Question 13

Wrist Extension MMT

Answer 13

seated with palmar forearm on table

Question 14

Radial Deviation ROM

Answer 14

• Passive ROM: hard (radial styloid & scaphoid)
• Active ROM: seated with palmar forearm on table
• fulcrum: midline of wrist (capitate)

0-20 deg

Question 15

Radial Deviation MMT

Answer 15

seated with medial forearm on table

Question 16

Ulnar Deviation ROM

Answer 16

• Passive ROM: firm
• Active ROM: seated with palmar forearm on table
• Fulcrum: mdiline aspect of wrist (capitate)

0-30 deg

Question 17

Ulnar Deviation MMT

Answer 17

supine with radial forearm on table

Question 18

Supination ROM

Answer 18

• Passive ROM: firm
• Active ROM: seated; elbow @ 90 w forearm on flat surface
• Fulcrum: dorsal aspect of 4th/5th MCP joint

0-80 deg

Question 18

Supination ROM

Answer 18

• Passive ROM: firm
• Active ROM: seated; elbow @ 90 w forearm on flat surface
• Fulcrum: dorsal aspect of 4th/5th MCP joint

0-80 deg

Question 19

Supination MMT

Answer 19

seated with elbow at 90; handshake grip in supination

try to bring them back to neutral

Question 20

Pronation ROM

Answer 20

• Passive ROM: firm
• Active ROM: seated; elbow at 90 w/ forearm on flat surface
• Fulcrum: dorsal aspect of 4th/5th MCP joint

0-80 deg

Question 21

Pronation MMT

Answer 21

seated with elbow at 90; handshake grip in pronation

try to bring back to neutral

Question 22

Elbow Flexion ROM

Answer 22

• Passive ROM: soft
• Active ROM: supine (pad under elbow)
• Fulcrum: lateral epicondyle

0-140/150 deg

Question 23

Elbow Flexion MMT

Answer 23

seated shoulder supported

Question 24

Elbow Extension ROM

Answer 24

* **Passive ROM**: hard (olecranon and olecranon fossa) * **Active ROM**:supine (pad under elbow) * **Fulcrum**: lateral epicondyle | 140/150-0

Question 25

Elbow Extension MMT

Answer 25

prone with shoulder abducted 90 deg

Question 26

Shoulder Flexion ROM

Answer 26

* **Passive ROM**: firm * **Active ROM**: supine * **Fulcrum**: acromial process | 0-180

Question 27

Shoulder Flexion MMT

Answer 27

seated w/ arm over head; scap stabilized

Question 28

Shoulder Extension ROM

Answer 28

* **Passive**: firm * **Active**: prone * **Fulcrum**: acromial process | 0-50/60

Question 29

Shoulder Extension MMT

Answer 29

prone; no forearm supination or pronation

Question 30

Shoulder ABduction ROM

Answer 30

* **Passive**: firm * **Active**: prone, seated, or supine * **Fulcrum**: acromial process (anterior side) | 0-180

Question 31

Shoulder ABduction MMT

Answer 31

seated; scapular stabilization hand raised like asking a question

Question 32

Shoulder ADduction ROM

Answer 32

* **Passive**: soft * **Active**: standing, seating, supine * **Fulcrum**: N/A use orthotic eye

Question 33

Shoulder ADduction MMT

Answer 33

supine; shoulder abducted to 90 deg

Question 34

Shoulder Internal Rotation ROM

Answer 34

* **Passive**: firm * **Active**: supine with shoulder abducted to 90 * **Fulcrum**: oclecranon process | 0-80 deg

Question 35

Shoulder Internal Rotation MMT

Answer 35

prone with shoulder abducted to 90 deg

Question 36

Shoudler External Rotation ROM

Answer 36

* **Passive**: Firm * **Active**: supine with shoulder abducted to 90 deg * **Fulcrum**: olecranon process | 0-90 deg