Trunk MMT

Question 1

Extension thoracic spine muscles

Answer 1

Erector spinae and multifidus

Question 2

Extension thoracic spine grade 3, 4, 5 postion

Answer 2

pt in prone with chest off the table. PT needs to stabilize at the feet or hips if pt has a weak glute.
5- clear to chest and stick the landing for a 5
4- clear to chest but not stick the landing
3- arms at side and able to extend up for a 3

Question 3

extension thoracic spine grade 2,1,0 position

Answer 3

prone; any clear visible movement is a 2
1: palpate along the back

Question 4

extension lumbar spine muscles

Answer 4

erector spinae, and multifidus

Question 5

extension lumbar spine grade 3,4,5 position

Answer 5

Prone with whole body on the table. PT needs to stabilize at the feet or hips if pt has a weak glute
5: need to clear the belly botton and stick landing for a 5
4: need to clear the belly button but not stick the landing for a 4.
3: arms at side and able to go through the whole range

Question 6

extension lumbar spine grade 2,1,0 position

Answer 6

2: prone with clear visible movement
1: palpate along the spine

Question 7

Sorrensons test

Answer 7

Isometirc endurance test of the back extensors
position of pt: prone with while truck off the table (between the belly button and the ASIS) patient has to lift up to the horizontal
age based norms

Question 8

Postural dysfunctions where you would want to focus on extension

Answer 8

increased thoracic kyphosis and women over the age of 50

Question 9

Trunk Flexion Muscles

Answer 9

Rectus Abdominus, Obliques externus, Obliques internus

Question 10

Trunk Flexion grade 3,4,5

Answer 10

pt: supine weak hip flexors stabilize at the hip
5- raise upper body until shoulder blades are cleared and arms behind the head
4- Raise upper body until the shoulder blades are cleared arms at chest
3- arms outstretched

Question 11

Trunk flexion grade 2 sequences

Answer 11

sequence 1: patient able to lift head and shoulders up
sequence 2: support the head and ask patient to lean forward. See if ribs depress
sequence 3: support the head and ask patient to cough

Question 12

Trunk Rotation Muscles

Answer 12

Obliques externis and internas

Question 13

Trunk rotation 3,4,5 postion

Answer 13

pt in supine
5- hands behind the head, lift and twist clearing both of the shoulders
4- hands crosses over the chest
3- hands at side
might try and substitute by activating the pec major shoulder will shrug as raise from the table

Question 14

Trunk rotation 0,1,2 Positon

Answer 14

2 - partial range
1- palpate the transverse abdominals