PTEVAL MMT(manual mm.

TESTING ) MOTION PALPABLE MUSCLE CONTRACTION NO

RESISTANCE

MANUAL MM TEST
Scapular Abduction and Upward Rotation
means testing and grading muscles strength (serratus anterior)
based on gravity and manually applied Scapular Elevation (upper trap.)
resistance → generally the pt Scapular Adduction (Middle trap.)
position so that the muscle or muscle group
being tested has to move or hold against
Scapular Depression and Adduction (lower
resistance on gravity →if trap)
this well tolerated the PTs applied manual Scapular Adduction and Downward
resistance gradually to the distal end of the
Rotation (Rhomboid Major Rhomboid Minor )
body part in which the muscle inserts and
in a direction opposite the torque produced Scapular Depression (Latissimus
by the muscle being tested. dorsi) Shoulder Extension
METHODS (Posterior Deltoid, Latissimus Dorsi , Teres
BREAK TEST- Patient holds a joint position
until the PTs gradually overpower the px and
Major ) Shoulder Flexion (Anterior
an eccentric contraction begin to occur Deltoid, Coracobrachialis )
ACTIVE RESISTANCE TEST- the PTs apply Shoulder Abduction (Supraspinatus deltoid
resistance while the patient’s move’s serratus anterior )
through the ROM -ability to contract
concentrically against maximal resistance Shoulder Horizontal Abduction (middle
can also be determined LIMITATION lower trapezius rhomboid minor rhomboid
major )
→MMT has been shows to be less
sensitive in detecting strength deficits in Shoulder Horizontal Adduction (Pectoralis
stronger muscles than in weaker muscles Major)
Shoulder External Rotation (Infraspinatus
and Teres Minor)
Shoulder Internal Rotation (Subscapularis,
MMT GRADING
Teres major)
5 NORMAL FULL AVAIL ROM, AGAINST GRAVITY
STRONG MANUAL RESISTANCE
4+ GOOD PLUSFULL AVAIL ROM AGAINST ElbowFlexion(biceps,brachialis ,brachioradialis )
GRAVITY NEARLY STRONG MANUAL STRONG Elbow Extension
MANUAL RESISTANCE (triceps) Forearm Supination
4 GOOD FULL AVAIL ROM AGAINST (supinator) Capital Extension
GRAVITY MODERATE MANUAL RESISTANCE (Spinalis capitis) Cervical Extension
4-GOOD MINUS FULL AVAIL ROM NEARLY (longissimus cervicis, semispinalis cervicis,
MODERATE NEARLY MODERATE MANUAL
RESISTANCE iliocostalis cervicis) Capital Flexion
3+FAIR PLUS FULL AVAIL ROM AGAINST (rectus capitus anterior, longus capitis,
GRAVITY SLIGHT MANUAL RESISTANCE suprahyoid) Cervical Flexion
3 FAIR FULL AVAIL ROM AGAINST (SCM, longus colli, ant. scalene)
GRAVITY NO RESISTANCE Cervical Rotation
3- FAIR MINUS ATLEAST 50% BUT (suboccipitalis, SCM, multifidi, rotators)
NOT FULL ROM AGAINST GRAVITY NO RESIST
Trunk Extension (lumbar
2+ POOR PLUS FULL AVAIL ROM and thoracic) (Erector spinae and multifidi)
GRAVITY MINIMIZED SLIGHT MANUAL
Trunk Flexion (Rectus Abdominis ,
RESISTANCE 2 POOR FULL AVAIL ROM
GRAVITY MINIMIZED NO RESIST External oblique Internal oblique Psoas major)
2- POOR MINUS ATLEAST Trunk Rotation ( Rectus abdominis,
50% BUT NOT FULL ROM GRAVITY MINIMIZED NO Lumbar multifidus)
RESISTANCE 1+ TRACE PLUS MINIMAL
OBSERVABLE MOTION LESS THAN 50% GRAVITY
MINIMIZED NO RESISTANCE

1 TRACE NO OBSERVABLE