ROM-MMT Handout PDF

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Summary

ROM/MMT info...

Description

MOCT505 Goniometer/MMT Lab

GONIOMETER Review goniometer placement for the following joint motions. ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀

Shoulder flexion Shoulder extension Shoulder abduction Shoulder horizontal abduction Shoulder horizontal adduction Shoulder internal rotation (with shoulder abducted to 90) Shoulder internal rotation (with shoulder adducted) Shoulder external rotation (with shoulder abducted to 90) Shoulder external rotation (with shoulder adducted) Elbow extension –flexion (flexion – extension in book) Forearm supination Forearm pronation Wrist flexion Finger abduction – digits #2, #4, & #5

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Wrist extension Wrist ulnar deviation Wrist radial deviation Thumb CMC flexion (recommend not using finger gonio) (p. 168-169) Thumb CMC extension (“thumbs up”) Thumb MCP extension-flexion Thumb IP extension-flexion Thumb palmar abduction (abduction) “Duck” p. 172 Thumb radial abduction “Loser sign” p. 173 Opposition Finger MCP extension-flexion Finger PIP extension-flexion Finger DIP extension-flexion Composite flexion

MOCT505 Goniometer/MMT Lab

Manual Muscle Testing Grade

5 4 43+ 3 32+ 2 21 0

Descriptor

Full AROM in against gravity, takes maximal resistance Full AROM in against gravity, takes moderate resistance Full AROM in against gravity, takes minimal resistance Full AROM in again gravity, takes minimal resistance then breaks Full AROM in against gravity position, takes no resistance AROM less than full AROM (approx. 50%) in against gravity position Full AROM (with supported as needed) in gravity eliminated position and takes slight resistance Full AROM (with support as needed) in gravity eliminated position Less than full AROM (with support as needed) in gravity eliminated position No movement in gravity eliminated position but muscle contraction felt (palpated) No movement in gravity eliminated position and no muscle contraction felt (palpated)

MOCT505 Goniometer/MMT Lab

Practice testing the strength of the following motions in “against gravity” and “gravity eliminated” positions. Against gravity –movement moves away from the floor towards the ceiling Gravity eliminated –movement moves horizontal to the floor Motion

Gravity Eliminated Position

Shoulder flexion

Against Gravity Position Sitting or standing

Shoulder extension

Sitting, standing, or prone

Sidelying

Sidelying

MOCT505 Goniometer/MMT Lab

Shoulder abduction

Sitting or standing

Prone or supine

Shoulder adduction

*N/A would have to be stand on head to be in against gravity position

Prone or supine

Shoulder horizontal abduction

Prone

Sitting or Standing

MOCT505 Goniometer/MMT Lab

Shoulder horizontal adduction

Supine

Sitting or standing

Shoulder internal rotation

Prone with upper arm supported on mat

Sitting with shoulder supported in adduction and elbow bent to 90

MOCT505 Goniometer/MMT Lab

Shoulder external rotation

Supine with upper arm supported on mat

Sitting with shoulder supported in adduction and elbow bent to 90

Elbow flexion

Sitting or standing

Sitting with elbow support so shoulder is abducted to 90

Elbow extension

Shoulder fully flexed OR prone

Sitting with elbow support so shoulder is abducted to 90

MOCT505 Goniometer/MMT Lab

Forearm supination

Sitting with shoulder adducted and elbow flexed to 90 degrees starting with pronation

Sitting or standing with shoulder flexed to 90 and elbow flexed to 90

Forearm pronation

Sitting with shoulder adducted and elbow flexed to 90 degrees starting with supination

Sitting or standing with shoulder flexed to 90 and elbow flexed to 90

Wrist flexion

Supinated

Forearm in neutral

MOCT505 Goniometer/MMT Lab

Wrist extension

Pronated

Forearm in neutral

Finger adduction

N/A

pronated

Finger abduction

N/A

pronated

MOCT505 Goniometer/MMT Lab

Thumb MCP extension

Forearm in neutral

supinated

Thumb MCP flexion

Supinated so palmar surface of thumb faces ceiling

~45 degrees supinated

Thumb IP extension

Forearm in neutral

supinated

MOCT505 Goniometer/MMT Lab

Thumb IP flexion

Supinated so palmar surface of thumb faces ceiling

~45 degrees supinated

Thumb abduction

Supinated

Forearm in neutral

Thumb adduction

N/A

Forearm in neutral

MOCT505 Goniometer/MMT Lab

Thumb Radial Abduction

Forearm in neutral

Finger MCP extension

Pronated

Forearm in neutral

Finger IP extension

Pronated

Forearm in neutral

MOCT505 Goniometer/MMT Lab

Finger MCP flexion

Supinated

Forearm in neutral

Finger DIP flexion

Supinated

Forearm in neutral

Finger PIP flexion

Supinated

Forearm in neutral

MOCT505 Goniometer/MMT Lab

Note differences among the following: CMC flexion/extension moves across the palm

Thumb CMC flexion

Thumb CMC extension

MOCT505 Goniometer/MMT Lab

Radial abduction/adduction moves away and towards the lateral side of the 2nd metacarpal

Thumb CMC Radial Abduction

Thumb CMC Radial Adduction...