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PTA 1st Yr Clinical Competency MMT

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Motion Tested
Patient Position
PTA Position
show 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  
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show 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  
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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)   show
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Shoulder internal/medial rotation   show Test: Stand to the side of patient & apply resistance w/hand near wrist & other hand provide counterforce @ the elbow/arm  
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show 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  
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Elbow extension   show Test: Stand behind the patient's outstretched arm, Apply resistance to wrist with other hand. Supporting arm just proximal to elbow.  
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show 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.  
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show 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.  
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Hip external/lateral rotation   Short sit on table; hands on table for support   show
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Hip internal/medial rotation   show 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  
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Knee extension   Short sitting (towel under thigh or tester hand) May grasp table edge for stability   show
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Knee flexion   Prone; toes over edge of table & test leg in 45 degrees of knee flexion   show
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Ankle dorsiflexion   Short sitting w/heel in PTA's lap and foot dorsiflexed (toes to ceiling)   show
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show 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.  
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Hip Flexion   Short sitting with thighs fully supported on table. Can use hands to grasp table edge for trunk stability.   show
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Created by: srussel
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