KEMENTERIAN KESEHATAN RI

POLITEKNIK KESEHATAN SURAKARTA

JURUSAN OKUPASI TERAPI
PEMERIKSAAN KEKUATAN OTOT

Nama pasien : Nama terapis :

Umur :
Diagnosis Medis :

Kiri Kanan
Tgl Tgl GERAK OTOT Tgl Tgl
Eyelid elevation Levator palpebrae superior
Eyelid closure Obicularis oculi
Eyeball elevation Rectus superior
Obliqus inferior
Eyeball depression Rectus inferior
Obliqus superior
Eyeball abduction Rectus lateralis
Eyeball adduction Rectus medialis
EYEBROWS
Elevation Epicranius
Adduction Corugator supercilli
Depression Procerus
MANDIBLE
Elevation Temporalis/masseter/Medical pterygoid
Depression Lateral pterygoid/Suprahyoid
NASAL APERTURE
Dilation Nasalis/depressor Septi
Constriction Nasalis
LIPS/MOUTH
Lip closure Obicularis oris
Cheek compression Buccinator
Elevation of angle Levator anguli oris
Retraction of angle Zygomaticus major/risorius
Depression of angle Platysma/depressor
Anguli oris/depressor
Labii inferioris
Upper lip elevation Levator labii superior/zygomaticus
minor
Lower lip elevation Mentalis
TONGUE
Protrusion Genioglosus
NECK
Hyoid bone Infrahyoid group
depression
Flexion Sternocleidomastoideus
Extention Extensor group
TRUNK
Fleksi Trunk Rectus Abdominis
Rotasi Trunk External Abdominal Oblique, Internal
Abdominal Oblique
Ekstensi Trunk Iliocostalis, Thoracis & Lumborun,
Longisimus Thoracis, Spinalis Thoracis,
Semispinal Thoracis, Multifidus
Elevasi Pelvis Quadratus Lumborum
SCAPULA
Abduction Serratus anterior
Lateral rotation
Elevation Upper trapezius
Levator scapulae
Adduction Middle trapezius
Adduction Rhomboids
Medial rotation
Depression Lower trapezius
SHOULDER
Flexion Anterior deltoid
Flexion-adduction Coracobrachialis
Extention Latissimus dorsi
Teres Major
Abduction Middle deltoid
Supraspinatus
Adduction Pectoralis major
Terres major
Latissimus dorsi
Horizontal Pectoralis major
adduction
Horizontal Posterior deltoid
abduction
Internal rotation Subscapularis
External rotation Infraspinatus
Teres minor
ELBOW/FOREARM
Flexion Biceps
Brachialis
Brachioradialis
Extension Triceps
Supination Supinator
Pronation Pronator teres
Pronator quadratus
WRIST
Flexion Flexor carpi radialis
Flexor carpi ulnaris
Extension Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris
FINGERS
MCP extension Axtensor digitorum
Ext. indicis proprius
Ext. digiti minimi
MCP abduction Dorsal interossei
Abductor digiti minimi
MCP adduction Palmar interossei
MCP flexion-IP ext. Lumbricales 1 & 2
Lumbricales 3 & d
5-MCP flexion Flexor digiti minimi
PIP flexion digit 2 Flexor digitorum superficialis
Digit 3
Digit 4
DIP flexion digit 2 Flexor digitorum profundus
Digit 3
Digit 4
Digit 5
THUMB
IP Flexion Flexor pollicis longus
MCP flexion Flexor pollicis brevis
IP extension Extensor pollicis longus
MCP extension Extensor pollicis brevis
Radial abduction Abductor pollicis longus
Palmar abduction Abductor pollicis brevis
Adduction Adductor pollicis longus
Opposition Opponens pollicis
Opponens digiti minimi
TRUNK
Flexion Rectus abdominis
Extension Extensor group
Rotation External oblique
Internal oblique
Pelvis elevation Quadratus lumborum
HIP
Flexion Psoas major
Iliacus
Extension Gluteus maximus
Biceps femoris
Semitendinosus
Semi membranosus
Abduction Gluteus medius
Gluteus medius
Tensor fascia latae
Adduction Adductor group
Internal rotation Gluteus medius
Gluteus minimus
Tensor fascia latae
 External rotator group
KNEE
Flexion Biceps femoris
Semitendinosus
Semimembranosus
Extension Quadriceps
ANKLE
Dorsiflexion Tibialis anterior
Plantarflexion Gastroenemius
Soleus
Inversion Tibialis posterior
Eversion Peroneus longus
Peroneus brevis
TOES
MTP flexion Flexor hallucis brevis
Lumbricalis
IP flexion Flexor hallucis longus
Flexor digitorum longus
Flexor digitorum brevis
MTP abduction Abductor hallucis
Abductor digiti minimi
Dorsal interossei
Extension Extensor hallucis longus
Extensor digitorum brevis
Extensor digitorum longus

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