MMT-UE
Terms in this set (115)
Original
Capital Extension Patient position
Prone with head off the table
Capital Extension Test
Patient extends head by tilting chin upward no chin tuck head should move in an arc
Capital extension therapist position
Stand to the side with one hand under the chin and the other hand on the lower back of the head
closer to the neck push in an arc
Capital extension instruction to patients
Look up at the wall hold it don't let me push your head down
Capital Extension Alternate positions
Grade three still in prone lifts head against gravity grade two 1 and zero lay supine push their head
back into the table while therapist palpates neck
Cervical extension Patient position
Prone with head off the table arms outside
Cervical extension test
Patient extends neck without tilting chin this should be performed with a chin tuck
Cervical extension therapist position
Stand to the side one hand under the chin one hand directly on the back of the head push straight
down
Cervical extension instruction to patients
Push up on my hand but keep looking on at the floor hold it don't let me push you down
Cervical extension alternate positions and grades
Grade three patient is still in prone with head off table put your hand on their forehead and instruct
them to lift your forehead from my hand keep looking at the floor grade three patient can hold test
position without resistance Alternate position for grade 3 if trunk extensor weakness is suspected
brace patient on their upper back with head still hanging off the table cup your hand over their
shoulder grades two 1 and zero lace supine on the table palpate the back of their neck and struck
them try to push your head down into my hands
Capital flexion patient position
Supine with head on the table arms outside
capital flexion test
Patient tucks chin into neck without raising head from table no motion should occur at the cervical
spine this is the motion of nodding
Capital flexion therapist position
Stand at the head of the table facing the patient pt chin tucks place hands under the mandible to give
resistance against Chin tuck in an upward motion
, Capital flexion instructions to patient
Tuck your chin and keep your eyes straight ahead don't lift your head from the table hold it don't let
me lift up your chin
Capital flexion alternate positions and grades
Grade three patient can tuck chin without lifting head from table and completes available range of
motion without resistance grade 2 partial range of motion grade 1 palpate capital flexor muscles
grade zero no discernible contractile activity
Cervical flexion patient position
Supine with knees bent and feet flat on the table arms at the side
Cervical flexion test
Patient lifts head straight up from the table while tucking the chin
Cervical flexion therapist position
Stand to the side pl two fingers On the forehead and push down
Cervical flexion instruction to patient
lift your head from the table keep your chin tucked in while looking at the ceiling do not lift your
shoulders off the table it don't let me push your head down
Cervical flexion alternate position and grades
Grade 3 no resistance patient completes range of motion grades two one and zero patient rolls their
head from side to side while you palpate the SCM the right SCM produces the role to the left side and
vice versa
Scapular abduction and upward rotation patient position
Short sitting with armed flex to about 130 degrees and then protracted in that plane as far as it can
move
Scapular abduction and upward rotation test
Therapist resist protraction and elevation of the arm at about 130 degrees of flexion the patient holds
against maximum resistance
Scapular abduction in upward rotation therapist position
Stand up the test side of the patient the therapist should select a spot on the wall or selling that can
serve as a target for the patient to reach toward when the shoulder is at 130 degrees of elevation Go
one hand should be placed on the upper arm just above the elbow to give resistance in a backwards
direction the other hand stabilizes the trunk just below the scapula on the same side to prevent trunk
rotation
Scapular abduction and upward rotation instructions to patient
Hold your arm here don't let me move it
Scapular abduction and upward rotation alternate positions and grades
Grade three scapula moves through full range of motion without winging and without resistance other
than the weight of the arm grade two hold the arm above 90 degrees then instruct the patient to hold
your arm in this position and then let it relax while you palpate scapula at inferior angle if the scapula
abducts and rotate upward as the patient attempts to hold the arm in an elevated position the
weakness is in the glenohumeral muscles if the scapula does not smoothly abduct and upwardly
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