Manual Muscle Testing: Plantarflexion

Movement + Muscles Patient Position Therapist Position What to do Grades
Plantarflexion (standing)
  • Gastrocnemius
  • Soleus
-Grades 3-5 standing on test leg, knee extended, fingers on table for balance

-Grades 0-2 prone

Grades 3-5: To have lateral view of movement

Grades 0-2: at feet

- Patient performs heel raises without rest through FROM.  If can’t complete move to prone position. 5 [25*] (normal)

4 [10-24*] (good)

3 [1-9*] (fair)

2 prone - movement through range

1 Trace

0 No contractile activity

*- repetitions

Plantarflexion – Soleus only -Grades 3-5 standing on test leg, knee slightly FLEXED

1-2 fingers on table for balance

-Grades 0-2 prone + knee bent 90*

Grades 3-5: To have lateral view of movement

Grades 0-2: at feet

- Patient performs heel raises without rest through FROM