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Muscle Performance (MMT


Anterior Neck Flexors:
o Patient supine/ if abdominals weak → stabilize the thorax
o Pt. flex chin to chest→ PT force against forehead (posterior and


Deep neck flexors
o Pt. tuck chin to chest/ raise head off table
o PT counts amount of time the pt. can hold (30-40 sec. ideal)
o Look for chin coming up ---- test of endurance
Anterolateral neck flexors (SCM and scalenes)
o Pt. supine with elbows bend and hands beside head
 Face turned away from side being tested
o PT force against temporal region of head in oblique ad posterior



Posterolateral neck flexors (semispinalis capitis and cervicis/ splenius capitis
and cervicis)
o Pt.: prone with elbows bend and hands overhead resting on table
 Face turned toward side being tested
o PT: force against posterolateral aspect of head in an anterolateral
 If can’t put hands above head→ put on stomach

has demonstrated ability to curl up) Lower Abs: o Pt. and ABD o PT asks pt. to extend against gravity o If there appear to be weakness hip flexors/extensors need to also be assessed Quadratus Lumborum o Pt. in raising legs (cue to flatten back on table) o Patient lowers legs to the table while PT looks for lordosis/ extension Back extensors (Erector Spinae) o Patient prone/ hands clasped behind butt or head o PT stabilizes legs and instructs pt. to hike hip and provides traction force to LE opposite to line of pull of the QL . Phase: o Resistance against gravity o PT doesn’t hold feet until hip flexion phase (after pt. Trunk Curl Phase: 2. supine with arms crossed over chest o PT assist pt. supine with legs extended and back flat o Test: 1. prone with legs in slight Ext. Hip flex.- - - - - Upper Trap o Pt: sitting/ shoulder slightly elevated/ head side bent to side being tested o PT provides force with one hand inferior on shoulder and medially against side of head Upper Abdominals o Pt.

in the position of trunk flexion and rotation o Gravity provides resistance while pt. to raise trunk directly up (no rot) against gravity o - Clinical Test: Side plank at least 30 seconds Oblique Trunk Flexors o Patient is supine. can hold test position with arms folded across chest 3+) Fair: pt. PT puts pt. can hold test position with hands behind head 4) Good: pt. can hold trunk in enough flexion and rotation to raise both scaps from table .- Lateral Trunk Flexors o Pt: Side lying with head/ upper trunk/ pelvis in a straight line  Top arm extended and underarm across chest o PT stabilizes patients legs and ask pt. holds position o Grading the position: 5) Normal: pt. can hold test position with arms extended 3) pt.

supine and see if they can rotate up toward hands (twist sit up) .o Clinical Test: have pt.