Manual Muscle Testing: Ankle Inversion: Difference between revisions

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'''Original Editor '''- Claire Knott


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp; 
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== Muscles Involved: ==
== Muscles Involved: ==
''Tibialis Posterior''
* [[Tibialis Posterior]]


== Patient Positioning ==
== Patient Positioning ==
Side lying with test-side ankle off the edge of the plinth  
* Side lying with test-side ankle off the edge of the plinth  
 
* For grades 0 to 2 patient can be supine or short sitting ('gravity minimal' position)
For grades 0 to 2 patient can be supine or short sitting (gravity eliminated position)
 
== Joint start Position ==
Slight ankle plantar flexion


== Therapist Position ==
== Therapist Position ==
Sit on stool/chair in front of patient
* Sit on stool/chair in front of patient
* Palpation over tibialis posterior  
* Palpation over tibialis posterior
* Other hand resistance over dorsum & medial foot
* Other hand resistance over dorsum & medial foot


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* Patient actively inverts
* Patient actively inverts
* Grades 4 and 5: Therapist provides resistance towards eversion + slight dorsiflexion<ref>Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.</ref>
* Grades 4 and 5: Therapist provides resistance towards eversion + slight dorsiflexion<ref>Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.</ref>
 
* To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) '''OR''' maintain an end point range (break testing) against maximum resistance.
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Latest revision as of 12:15, 19 December 2019

Original Editor - Claire Knott

Top Contributors - Claire Knott and Wanda van Niekerk  

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Side lying with test-side ankle off the edge of the plinth
  • For grades 0 to 2 patient can be supine or short sitting ('gravity minimal' position)

Therapist Position[edit | edit source]

  • Sit on stool/chair in front of patient
  • Palpation over tibialis posterior
  • Other hand resistance over dorsum & medial foot

To Test[edit | edit source]

  • Patient actively inverts
  • Grades 4 and 5: Therapist provides resistance towards eversion + slight dorsiflexion[1]
  • To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) OR maintain an end point range (break testing) against maximum resistance.

References[edit | edit source]

  1. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.