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PTA Competency MMT

PTA 1st Yr Clinical Competency MMT

Motion TestedPatient PositionPTA Position
Shoulder Flexion Short sitting end of table w/arm outstretched in front (90 degrees), elbow slightly flexed, & forearm pronated (palm facing down) Test: Stand behind & to the side of patient, apply resistance w/hand above elbow joint; other hand stabilize shoulder
Shoulder Abduction Chair sitting (patient too tall to get good leverage) with arm abducted to 90 degrees; elbow slightly flexed. Test: Stand behind patient. Apply resistance w/hand above elbow joint; other hand stabilize shoulder
Shoulder external/lateral rotation Prone; head turned toward test side. Towel under arm for 90 degree angle; hang arm off side of table. (raising back of hand up toward head) Test: Stand to the side of patient & apply resistance w/two fingers @ wrist; other hand supporting under the elbow/arm
Shoulder internal/medial rotation Prone; head turned toward test side. Towel under arm for 90 degree angle; hang arm off side of table. (raising palm up toward feet) Test: Stand to the side of patient & apply resistance w/hand near wrist & other hand provide counterforce @ the elbow/arm
Elbow flexion Short sitting end of table w/elbow fully flexed. Test: Stand in front of patient; apply resistance to patient's forearm & stabilize the shoulder w/the other hand
Elbow extension Prone; arm hanging off table @ shoulder Test: Stand behind the patient's outstretched arm, Apply resistance to wrist with other hand. Supporting arm just proximal to elbow.
Hip extension Prone w/knee flexed to 90 degrees Test: Stand on side testing by pelvis. Apply resistance posterior thigh above knee; Other hand stabilize the pelvis.
Hip Abduction Sidelying (testing upper leg) bottom leg is flexed Test: Stand behind patient. Apply resistance on the above the knee; Other hand on hip by greater trochanter.
Hip external/lateral rotation Short sit on table; hands on table for support Test: Sit on low stool or kneeling beside test leg. Apply resistance w/hand inside of ankle just above the malleolus (pull leg out); counterpressure with the other hand above the knee
Hip internal/medial rotation Short sit on table; hands across chest Test: Sit on low stool or kneeling. Apply resistance w/hand outside of ankle just above the malleolus (pull leg in); counterpressure with the other hand direct force above the knee
Knee extension Short sitting (towel under thigh or tester hand) May grasp table edge for stability Test: Stand @ the side of the limb to be tested; hand under thigh above knee; other hand apply resistance above the ankle.
Knee flexion Prone; toes over edge of table & test leg in 45 degrees of knee flexion Test: Stand on side testing leg. grasp leg above ankle and apply resistance (inside arm); stabilize with other hand (outside arm) on ischial tuberosity
Ankle dorsiflexion Short sitting w/heel in PTA's lap and foot dorsiflexed (toes to ceiling) Test: Sit on stool to the side w/patients heel resting on thigh. One hand behind ankle; apply resistance on top of foot w/palm of hand.
Shoulder Extension Prone; arms at sides, palm up & shoulder internally rotated Test: Stand to side of patient & apply resistance w/hand above the elbow joint. No stabilizing hand.
Hip Flexion Short sitting with thighs fully supported on table. Can use hands to grasp table edge for trunk stability. Test: Stand next to limb to be tested. Apply resistance (push down to floor) to the top of the thigh above the knee (no stabilizing hand)
Created by: srussel