13 MMT Upper Leg - Dr. Eric Brooks PDF

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Dr. Eric Brooks...

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MMT For Upper Leg • KNH 287 • Eval I MMTs for • Quadriceps • Iliopsoas • Adductors • Hamstrings • Glutes • Sartorius • Tensor fascia latae (TFL) Quadriceps (general) • Seated Knee EXT • Stabilize above patella • Do multiple reps Rectus Femoris (general) • Resisted SLR • Uses hip flexors Rectus Femoris (more specific) • SL with knee EXT • Already in hip flexion, so the rectus is not called on for the hip flexion • It is more isolated Iliopsoas (hip flexor) General • Supine Hip FL (knee to chest) • Seated Hip FL (pressure on just superior to patella, bring knee to sky) • Is mainly hip flexor and not the rectus because it is bending the knee Iliopsoas (hip flexor) More specific to psoas major • Quadriceps, Sartorius, and Adductor muscles all assist in holding the Hip in a flexion position. • However, the line of pull of the muscle and the direction of the examiner's pressure place emphasis on the action of the right Psoas major, making identification of inhibition in this specific muscle possible. Adductors • Side lying ADD (against gravity) • Testing leg is on the bottom Hamstrings (general) • Resisted SL hip EXT Hamstrings (for bicep femoris) • Resisted knee FL (tibial ER) • Foot points out Hamstrings (for semis) • Resisted knee FL (tibial IR) • Foot points in Glutes (general)

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• Resisted hip EXT (knee FL) Glute medius • Side lying hip ABD • Hip EXT and leg ER Glute minimus • Side lying with Hip ABD (neutral) Sartorius • Resisted hip ER TFL • Supine hip ABD (slight hip FL) MMT For Grading • 5 (100%) Normal • Complete ROM against gravity and full resistance • 4 (75%) Good • Complete ROM against gravity and some resistance • 3 (50%) Fair • Complete ROM against gravity and no resistance • 2 (25%) Poor • Complete ROM with no gravity • 1 (10%) Trace • Evidence of slight contractility with no joint motion • 0 (0%) Zero • No evidence of contractility...