COMPS MMT Flashcards
Cervical spine flexion
Passively assess cervical spine flexion range of motion
Encourage patient to flex cervical spine to end of range of motion
Palpate cervical flexors
Apply resistance through the forehead
Rectus capitis anterior/lateralis, Longus capitis, Sternocleidomastoid, Longus colli, Scalenus anterior
cervical spine extension
- pt prone
Passively assess cervical spine extension range of motion
Encourage patient to extend cervical spine
Palpate cervical extensors
Apply resistance through the base of cranium
SCM
-pt supine
Passively assess cervical spine lateral flexion from a contralaterally rotated position
Encourage patient to laterally flex from the contralaterally rotated position
Palpate Sternocleidomastoid
Apply resistance through the forehead
trunk flexion- rectus abdominis
Passively assess full trunk flexion range of motion until bilateral inferior angles clear table
Encourage patient to flex trunk until bilateral inferior angles clear table
Palpate trunk flexors
Repeat with various arm positions if patient is unable to perform motion from original starting position
-PT should Maintaining lower extremity and pelvic stability
- look for patient clearing inferior angle of scap
5- hands behind head
4- arms crossed on chest
3- arms at side slide them down
2- arms at side partially come up can clear scap
1- arms at side patient cant lift shoulder w/ activity
0- no motion
trunk extension- erector spinae
stabilze The posterior, mid-thighs
Cues
Passively assess full trunk extension range of motion until sternum clears the table
Encourage patient to extend trunk until sternum clears the table
Palpate trunk extensors
Repeat with various arm positions if patient is unable to perform motion from original starting position
5- arms behind head- clear xiphoid 4- arms behind on lowr back 3- arms at side clear xyphoid 2- arm at side partially come up 1- little movement yes palpation 0- no motion
Pelvic elevation
- supine
Passively assess pelivc elevation range of motion
Encourage patient to elevate pelvis to end of range of motion
Palpate quadratus lumborum
Apply resistance by pulling on the ipsilateral leg proximal to the malleoli in an inferior direction
5- no breaking
4- slight breaking but patient can still maintain resistance
3 -breaks quite easily
2- pt cannot elevate the pelvis fully
1- palpate contraction but no movement
0- no contrcation
Hip flexion with gravity
-pt seated
- Stabilization
Ipsilateral iliac crest
Cues
Passively assess full hip flexion range of motion
Encourage patient to flex hip through the full range of motion
Palpate iliacus and psoas muscles
Apply resistance at anterior distal femur into hip extension
hip flexion GE
-sidelying with test limb on bottom
- facing away from you
- Stabilization
Support upper non-test limb, holding underneath the knee and lower leg
Cues
Passively assess hip flexion range of motion
Encourage patient to flex hip through the full range of motion
Palpation is difficult due to muscle location depth
hip extension against gravity
- prone
- Stabilization
Ipsilateral posterior iliac crest of the pelvis
Cues
Passively assess full hip extension range of motion, keeping knee extended
Encourage patient to extend hip through the full range of motion, keeping knee extended
Palpate gluteus maximus and hamstrings
Apply resistance at posterior distal femur into hip flexion, keeping knee extended
hip extension GE
- side lying, facing therapist
- Stabilization
Support upper non-test limb, holding underneath the inner thigh, knee and lower leg
Cues
Passively assess hip extension range of motion
Encourage patient to extend hip through the full range of motion
Palpate gluteus maximus and hamstrings
hip abduction against gravity
-Stabilization
Non testing limb is flexed at the hip and knee to provide stability
Tester stabilizes at the ipsilateral iliac crest of the limb being tested
Cues
Passively assess hip abduction range of motion
Encourage patient to abduct hip through the full range of motion
Palpate gluteus medius, just superior to greater trochanter
Apply resistance at lateral distal femur into hip adduction
hip abduction GE
- pt supine
Stabilization
Ipsilateral lateral pelvis
Cues
Passively assess hip abduction range of motion
Encourage patient to abduct hip through the full range of motion
Palpate gluteus medius, just superior to greater trochanter
hip adduction against gravity
- side lying test limb on bottom
- tabilization
Support non-test limb on top underneath the inner thigh, medial knee and lower leg
Non tested knee in 60-90 degrees of flexion
Non tested hip maintained in 25-30 degrees of abduction
Cues
Passively assess hip adduction range of motion
Encourage patient to adduct hip through the full range of motion
Palpate adductor muscle group
Apply resistance at medial distal femur into hip abduction
hip adduction GE
- Supine
- Stabilization
Ipsilateral lateral pelvis
Cues
Passively assess hip adduction range of motion
Encourage patient to adduct hip through the full range of motion
Palpate adductor muscle group
hip IR against gravity
- Tensor fascia lata, Gluteus minimus/medius
-seated - Stabilization
Ipsilateral iliac crest
In a seated position, patient’s body weight stabilizes the pelvis
Cues
Passively assess full hip internal range of motion
Encourage patient to internally rotate hip through the full range of motion
Palpate the tensor fasciae latae and gluteus medium muscles
Apply resistance on the lateral surface of the tibia proximal to the ankle into hip external rotation