Manual Muscle Testing: Dorsiflexion: 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 Anterior''
* [[Tibialis Anterior]]
 
* [[Extensor Digitorum Longus|Extensor Digitorum Longus]]
''Extensor Digitorum Longus''
* Peroneus Tertius
 
* [[Extensor Hallucis Longus]]
''Peroneus Tertius''
 
''Extensor Hallicus Longus''


== Patient Positioning ==
== Patient Positioning ==
Short sitting
* Short sitting, ankle hanging off the plinth
 
* For grades 0-2 patient is in side lying, the 'gravity minimal' position
== Joint start Position ==
Ankle plantar flexion


== 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
* Palpate the tibialis anterior
* Other hand resistance over dorsal foot
* Other hand resistance over dorsal foot


== To Test ==
== To Test ==
* Patient to actively dorsiflex  
* Patient to actively dorsiflex  
* Therapist give resistance to dorsiflexion movement
* Grades 4 and 5: therapist to give resistance to dorsiflexion and slight inversion movement (this is the action of the main dorsiflexor tibialis anterior) <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.
 
{{#ev:youtube|v=XMWJT9hR6qo}}


== References ==
== References ==
<references />
[[Category:Manual Muscle Testing]]
[[Category:Manual Muscle Testing]]
[[Category:Rehabilitation Foundations]]
[[Category:Rehabilitation Foundations]]

Latest revision as of 09:55, 28 March 2022

Original Editor - Claire Knott

Top Contributors - Claire Knott, Wanda van Niekerk and Kim Jackson  

Muscles Involved:[edit | edit source]

Patient Positioning[edit | edit source]

  • Short sitting, ankle hanging off the plinth
  • For grades 0-2 patient is in side lying, the 'gravity minimal' position

Therapist Position[edit | edit source]

  • Sit on stool/chair in front of patient
  • Palpate the tibialis anterior
  • Other hand resistance over dorsal foot

To Test[edit | edit source]

  • Patient to actively dorsiflex
  • Grades 4 and 5: therapist to give resistance to dorsiflexion and slight inversion movement (this is the action of the main dorsiflexor tibialis anterior) [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.