Manual Muscle Testing: Plantarflexion: Difference between revisions
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For testing gastrocnemius and soleus together: | For testing gastrocnemius and soleus together: | ||
* Grades 3-5 - Test in standing on test leg, knee extended, patient can hold stable object such as a table or bench for balance | * Grades 3-5 - Test in standing on test leg, knee extended, patient can hold stable object such as a table or bench for balance | ||
* Grades 0-2 - Test in side-lying position, knee extended and ankle off plinth. | * Grades 0-2 - Test in side-lying position, knee extended and ankle off plinth. ('gravity minimal' position) | ||
For testing soleus only: | For testing soleus only: | ||
* Grades 3-5 - Test in standing on test leg, knee slightly FLEXED, patient can hold stable object such as a table or bench for balance | * Grades 3-5 - Test in standing on test leg, knee slightly FLEXED, patient can hold stable object such as a table or bench for balance | ||
* Grades 0-2 - Test in side-lying with testing side knee bent to 90 degrees. | * Grades 0-2 - Test in side-lying with testing side knee bent to 90 degrees. | ||
== Therapist Position == | == Therapist Position == |
Revision as of 12:15, 21 November 2018
Muscles Involved:[edit | edit source]
OR
- Soleus only
Patient Positioning[edit | edit source]
For testing gastrocnemius and soleus together:
- Grades 3-5 - Test in standing on test leg, knee extended, patient can hold stable object such as a table or bench for balance
- Grades 0-2 - Test in side-lying position, knee extended and ankle off plinth. ('gravity minimal' position)
For testing soleus only:
- Grades 3-5 - Test in standing on test leg, knee slightly FLEXED, patient can hold stable object such as a table or bench for balance
- Grades 0-2 - Test in side-lying with testing side knee bent to 90 degrees.
Therapist Position[edit | edit source]
Both gastrocnemius and soleus together and soleus only:
- Grades 3-5 - Therapist to position comfortably with a lateral view of the movement being performed
- Grades 0-2 - Therapist to position at the feet
To Test[edit | edit source]
- Patient to perform plantar flexion in the form of single-limb heel raise
Grading[edit | edit source]
Grading for plantar flexion differs from the standard 0-5 grades. The system for grading the strength of standing plantar flexion relies on the range of motion and the number of quality repetitions that the patient is able to complete during testing.
Grade 5 - Full ROM, 4-5 quality repetitions in standing test position
Grade 4 - Full ROM, 2-3 quality repetitions in standing test position
Grade 3 - Full ROM, 1 quality repetition in standing test position
Grade 2 - movement through range, resistance eliminated (prone test position)
Grace 1 - potentially movement through some amount of range however minimal, flicker of muscle contractile activity palpated by therapist
Grade 0 - No movement & no contractile activity palpated[1]
References[edit | edit source]
- ↑ 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.