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FUNCTIONAL MUSCLE TESTING OF

INFANTS, TODDLERS, PRESCHOOL


CHILDREN AND
PEDIATRIC TESTS FOR HIP
PATHOLOGY
Presented by : Bolivar, De Villa, Salindato
Functional Muscle Testing of
Infants, Toddlers, Preschool
Children
POSITION :
PRONE
ACTIVITY: SWIMMING (19-32 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
PRONE
ACTIVITY: ROLLING PRONE TO SUPINE
WITH ROTATION (28-36 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
PRONE
ACTIVITY: RECIPROCAL CRAWLING
(30-37 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: MODIFIED FOUR-POINT SITTING
KNEELING (34-46 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
SITTING
ACTIVITY: RECIPROCAL CREEPING
(34-44 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
SUPINE
ACTIVITY: HANDS TO FEET
(18-24 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
SITTING
ACTIVITY: ROLLING SUPINE TO PRONE
WITH ROTATION (25-36 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
SITTING
ACTIVITY: PULL TO SIT (13-27 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
SITTING
ACTIVITY: SITTING WITH PROPPED ARMS
(10-25 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
SITTING
ACTIVITY: SITTING WITHOUT ARM
SUPPORT—UNSUSTAINED (21-27 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: DYNAMIC SITTING WITHOUT ARM SITTING
SUPPORT-SUSTAINED (25-32 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY: SUPPORTED STANDING
(18-30 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: PULLS TO STAND, STANDS WITH STANDING
SUPPORT (32-40 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: SIDE-STEP CRUISING STANDING
(36-56 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: CONTROLLED LOWERING WITH STANDING
SUPPORT (36-45 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: STANDS WITHOUT SUPPORT STANDING
(42-56 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: STANDS FROM MODIFIED SQUAT STANDING
(46-60 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: WALKS ALONE STANDING
(46-57 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: SQUATTING STANDING
(52-59 WEEKS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY: LOW KNEEL TO HIGH KNEEL STANDING
(15 MONTHS - 2 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY:HIGH KNEEL TO HALF-
KNEEL (18-27 MONTHS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY:SIDE STEP (18-30
MONTHS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY: STANDING ON ONE
FOOT (2 1/2 - 3 1/2 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY: JUMPING FROM TWO
FEET (3-4 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY: JUMPING OFF A STEP
(3-4 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
STANDING
ACTIVITY:TOE-WALKING (3-4 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:HEEL-WALKING STANDING
(4-5 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:HEEL-WALKING STANDING
(4-5 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:TANDEM- STANDING
WALKING (5+ YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:STAIR-WALKING— STANDING
UPSTAIRS (24-29 MONTHS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:STAIR-WALKING— STANDING
DOWNSTAIRS (36-41 MONTHS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:BALL THROWING— STANDING
OVERHEAD (2-4 YEARS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:BALL THROWING— STANDING
ONE-HANDED (43-53 MONTHS)

Base of Support
Muscle Activity Pattern
Functional Activity
Spectrum of Muscle Activity
POSITION :
ACTIVITY:PREHENSION—PALMAR SITTING
SUPINATE (12-18 MONTHS)

Hand Position
Muscle Activity Pattern
POSITION :
ACTIVITY:PREHENSION—DIGITAL SITTING
PRONATE (2-3 YEARS)

Hand Positions
Muscle Activity Pattern
POSITION :
ACTIVITY:STATIC TRIPOD (3 1/2-4 SITTING
YEARS)

Hand Position
Muscle Activity Pattern
POSITION :
ACTIVITY:DYNAMIC TRIPOD (4 1/2- SITTING
6 YEARS

Hand Position
Muscle Activity
PEDIATRIC TEST FOR HIP
PATHOLOGY
PEDIATRIC TEST
PEDIATRIC TEST
POSITION :
SUPINE
BARLOW’S TEST

(+) SIGN FEELS CLUNK,CLINK OR JERK


SIGNIFICANCE : CONGENITAL HIP DISLOCATION
POSITION :
SUPINE
ORTOLANI’S SIGN

(+) SIGN FEELS CLUNK,CLINK OR JERK


SIGNIFICANCE : CONGENITAL HIP DISLOCATION
POSITION :
BARLOW’S TEST/ORTOLANI’S SIGN SUPINE
POSITION :
ABDUCTION TEST SUPINE
(HART’S SIGN)

(+) SIGN ASYMMETRY OR LIMITATION OF


MOVEMENT
SIGNIFICANCE : CONGENITAL HIP DISLOCATION
POSITION :
SUPINE
GALEAZZI SIGN

(+) SIGN ONE KNEE IS HIGHER


SIGNIFICANCE : UNILATERAL CONGENITAL HIP
DISLOCATION
POSITION :
SUPINE
TELESCOPING SIGN

(+) SIGN EXCESSIVE MOVEMENT UPON LIFTING UP


SIGNIFICANCE : UNILATERAL CONGENITAL HIP
DISLOCATION
REFERENCE :
Physical Rehabilitation 4th edition

ORTHOPEDIC PHYSICAL REHABILITATION


Thank You

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