Manual Muscle Testing: Ankle Inversion: Difference between revisions

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== Patient Positioning ==
== Patient Positioning ==
Short sitting
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 eliminated position)


== Joint start Position ==
== Joint start Position ==
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== Therapist Position ==
== Therapist Position ==
Sit on stool/chair in front of patient
Sit on stool/chair in front of patient
* One hand stabilise lower leg/ankle
* Palpation over tibialis posterior
* Other hand resistance over dorsum & medial foot
* Other hand resistance over dorsum & medial foot


== To Test ==
== To Test ==
* Patient actively inverts
* Patient actively inverts
* Therapist provides resistance towards eversion + slight dorsiflexion
* 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>


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Revision as of 12:42, 13 November 2018

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Muscles Involved:[edit | edit source]

Tibialis Posterior

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 eliminated position)

Joint start Position[edit | edit source]

Slight ankle plantar flexion

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]

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.