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Manual Muscle Testing
Manual Muscle Testing
Manual Muscle Testing
Testing
An evaluation system for
diagnosis of disease or
dysfunction of the musculo-
skeletal and nervous systems
Purpose
Measures the capability of muscles or
groups to provide support and movement
Diagnostic tool
Postural balance
Gait impairment
Range of motion
http://en.wikibooks.org/wiki/Anatomy_and_Physiology_of_Animals/Muscles
How Do Muscles Cause
Movement
Origin- where the muscle is attached
to the bone; this bone will move very
little
Insertion- muscle attachment to
bone with most motion
Belly of muscle- part of muscle that
enlarges on contraction
Muscle Groups
Quadriceps Trapezius
Hamstrings Latisimus dorsi
Calf Deltoids
Low back Biceps
Abdominals Triceps
Pectoralis major
Rhomboids
Conduct Strength
Testing
Correct positioning is essential (Start
in extended anatomical position)
Place muscle to be tested in a
supported position directly opposed to
gravity
Exert uniform force directly on the
line opposing movement
Testing of Bicep & Tricep
Support humerus where gravity is
against the bicep and tricep, client in
anatomical position
Move elbow through full ROM
(Passive ROM)
Flexion
Extension
Internal rotation
External rotation
Maneuver to Assess
Muscle Strength
With arm in full extension, pull
downward on forearm while client
attempts to flex.
With arm flexed, apply pressure against
forearm, ask client to straighten arm.
When performing muscle tests, be sure
to evaluate for asymmetry of the muscle
groups (i.e. atrophy on one side and not
the other) and landmarks prior to testing.
Use the following scale
to rate strength:
0-No movement, no contraction of the muscle
1- Trace, evidence of muscle contraction but no
joint movement
2- Poor, complete range of motion with gravity
eliminated
3-Fair, complete range of motion against
gravity
4- Good, complete range of motion against
gravity with moderate resistance
5-Normal, complete range of motion against
gravity with maximal resistance without
evidence of fatigue
Other Test Results
Weakness defined as a strength
below fair in non weight bearing
muscles; below fair + in weight
bearing muscles
Contracture degree of shortness in
muscle, so it cannot move through
ROM
Substitution weak muscles are
supported by other muscles to move
Active ROM
Instruct client to move the elbow through ROM
Flexion
Extension
Internal rotation
External rotation
Questions?
Conditions
A list of conditions treatable with
Applied Kinesiology
All about muscles
http://www.emporia.edu/ksn/v42n1-
january1996/shape.htm
This power point is based on
information found on the Illinois
Institute of Technology web site where
students developed resources to be
used in education in Latin America. I
modified the original power point to
be used by high school students in the
Healthcare Science classroom.
Pat Rape
http://www.lhup.edu/yingram/jennife
r/webpage/homepage2.htm
http://www.iit.edu/~ipro309s08/links
.html
http://www.bulowbiotech.com/introm
ov.html
Careers
http://francistuttle.com/classes/ctp/details.aspx?
PRGID=13
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