KINESIOLOGY-I
Introduction to
manual muscle
testing
Introduction to manual
muscle testing
Manual muscle testing is a procedure for the
evaluation of the function and strength of
individual muscles and muscle groups based on
the effective performance of a movement in
relation to the forces of gravity and manual
resistance.
Introduction to manual muscle testing
Knowledge of joint motion
Origin and insertion of muscles
Function of muscles and substitution patterns
Ability to palpate the muscle or its tendon
To distinguish between normal and atrophied
contour
Grading parameters
Functional Classification of Muscle
Prime Mover or Agonist
Antagonist
Synergist
Neutralizing or Counteracting Synergists
Stabilizing or Fixating Synergists
Muscles
3 Types: Skeletal, Smooth, Cardiac
Skeletal around 40% of muscle composition
Generally voluntarily controlled
Composed of fibers
Work in groups
How Do Muscles Cause Movement
Origin- where the muscle is attached to the
bone; this bone will move very little
Insertion- muscle attachment to bone with
most motion
Belly of muscle- part of muscle that enlarges
on contraction
TYPES OF MANUAL MUSCLE TEST
Group muscle test
Individual muscle test
Functional muscle test
FACTORS AFFECTING MUSCLE STRENGTH
Age
Gender
Type of Muscle Contraction.
Muscle Size.
Speed of Muscle Contraction.
Previous Training Effect
CONTRAINDICATIONS
Inflammation
Pain
Joint instability
Increased tone-unreliable
Grading of Manual Muscle Testing
Numeric Descriptive Grade Description
Grade
5 Normal Complete range of motion against
gravity with full or normal
resistance
4 Good Complete range of motion against
gravity with some resistance
3 Fair Complete range of motion against
gravity
2 Poor Complete range of motion against
gravity
1 Trace Muscle contraction, but no or very
limited joint motion
0 Zero No evidence of muscle function
Outer range
A position where the muscle is on full stretch to a
position halfway through the full range.
Inner range
A position halfway through the full range to a
position where the muscle is fully shortened.
Middle range
The portion of full range between the midpoint of the
outer range and the mid point of the inner range.