Manual Muscle Testing (MMT) For The Upper Extremity

[@TheUpperHand]

If you enjoyed this video, check out our entire playlists on goniometry and assessments! kzbin.info/aero/PLyGuXSE5yw1J2Qjn5MezMSvrOxjugbl2P kzbin.info/aero/PLyGuXSE5yw1LbUWUvxscGuBTsUniXCRgP

[@diannefreeman5559]

Keep it up guys. You are doing a good job promoting excellence in O.T..

[@melanieb6651]

You guys are awesome!!! This video gave me all the needed refreshers to be prepared for my first independent evaluation as a level 2 student in adult rehab. #OT!

[@TheUpperHand]

Thank you! This is exactly why we do it!

[@yusraafzaal3962]

Guys please do one for entire lower extremity as well. This was so helpful for revision.

[@melissasergent7881]

This is a SUPER helpful refresher for me as I prepare for fieldwork! Thank you!

[@TheUpperHand]

Thank you!!

[@a.m.6844]

This video is awesome. I have a quiz tomorrow and it is incredibly helpful! Thank you

[@goharfirozgary8638]

This was a great video! Thanks for being so thorough. I’m a new NP in sports med and it really broke down the importance of each ROM. Thanks 😊

[@TheUpperHand]

Awesome! Thanks for the kind words. We are happy it was helpful to you!

[@rozi2089]

Appreciate your videos! Second time I've used your videos during my rotation.

[@TheUpperHand]

That is awesome to hear! Thank you!

[@ikemmaryrose3286]

Thank you

[@nicolebowers9009]

Thank you for creating this video, you broke it now to where I was able to understand. It was straight to the point and I enjoyed watching it! New subscriber here.

[@TheUpperHand]

Thank You!!!

[@SarDollar]

Why did you test the shoulder rotation from sitting position? Isn’t gravity eliminated in this case? 7:02

[@curlsot1639]

This was sooo helpful!! Thank you!!

[@HanCShop]

Thank you so much for helping!!

[@vivi41584]

Great video. So easy to remember.

[@deepawadhvany9078]

Amazing video thank you so much for posting this 😊

[@shrama03]

Awesome video!!!

[@bealwayshappy8561]

Thank you for uploading this video it was really helpful in understanding MMT 👍🏼😀

[@TheUpperHand]

You're welcome!!

[@freakyworld5906]

Tnqu so much uploading this video very helpful 😍💗

[@hoorfatima8052]

Plz make a video for MMT of lower extremity too As you made for upper limb

[@ssdr8355]

Nice explanation

[@TheUpperHand]

Thank you!

[@eryiairving852]

This video is awesome! Thank you so much. This is helping me prepare for my fieldwork. :)

[@TheUpperHand]

Awesome! Thank you!

[@tionagreen9316]

This helped me soo much I have a test out on this. So I have a question let's say they can go full range. You do a passive range and then move them into gravity elimanted postion if theyre able to go full range passively?

[@dipro84]

You both are doing good... keep going :)

[@saramiller1947]

Thanks for the video, it was really helpful!! Any tips on remembering the nerve innervations for the hand and wrist??

[@TheUpperHand]

Unfortunately I can’t think of anything. Sorry! Besides going over it 1 million times!

[@deniseanzaldi5316]

We were taught international rotation has to be test in probe for against gravity The way you demonstrate is gravity eliminated

[@minzamubashir]

Very helpful 👍👏

[@TheUpperHand]

Awesome! Thanks!

[@marcsantos1368]

verygood

[@carmentrefon3484]

DO YOU GUYS HAVE A VIDEO FOR MMT OF THE LOWER extremity? THANKS!

[@TheUpperHand]

We don't currently but we can work on that!

[@cecigalvis2108]

Hi guys. Great video!!!. It helped me a lot. I have a question: what about the muscles that do not cross 2 joints (for example the brachialis), shouldn't they be tested at end-range?. At least that is what the literature suggest. What do you think? Thanks.

[@TheUpperHand]

I won't argue with literature but most doctors and therapists that I have worked with have always tested brachialis with the elbow flexed at ~90 and the forearm pronated. That technique will certainly suffice!

[@mjclaudianava5397]

Hey, got a question. How do we decide the appropriate testing joint range ?

[@TheUpperHand]

Typically, if the patient has normal motion I will test shoulder flexion at 90 degrees of flexion and abduction at 90 degrees of abduction. For elbow flexion/extension I will test with the elbow bent at 90 degrees also. For the forearm and wrist, I will test from a neutral position.

[@aurelijacerniausk]

Hello:) if the patient can't do movement in Full ROM, how then testing changes?

[@TheUpperHand]

That’s a good question and there is some discrepancy. I typically think about “available range of motion.” For instance if some can only demonstrate 150 degrees of shoulder flexion due to a prior injury but can certainly have full strength and test at a 5/5. This is my opinion.

[@nikkisendner814]

Hi! Thank you for sharing this helpful video! I notice that shoulder ER/IR was graded as a 5, but I thought this was tested in a gravity eliminated position and would therefore be graded as a 2?

[@TheUpperHand]

You are correct! Technically, shoulder ER/IR is tested in a side-lying position, which is more of a true "gravity-resisted" position. For this video, we decided to present a sort of MMT crash course on how to test muscle groups quickly in a fast-paced therapy setting. If you work in a setting where time and patient ability allow for you to test in side-lying, then this is perhaps the best option. With that being said, it would be important to consider a patient's diagnosis, suspected deficits, etc.. when testing. For example, if you are doing an informal re-evaluation of a patient and you expect their ER/IR to be 5/5 based on other assessments/previous assessments, then testing in sitting would be appropriate (you'd expect them to test full-strength). In contrast, if you suspected shoulder weakness in the first place, then you may test ER/IR in side-lying and then move to sitting/gravity-eliminated position if necessary in order to paint a more comprehensive picture of their shoulder strength. Hope that makes sense!

[@nikkisendner814]

@@TheUpperHand thank you! so you could document their ER/IR as a 5 in a sitting position based on your own clinical judgement?

[@TheUpperHand]

@@nikkisendner814 yes I think this would be appropriate-especially if you document their testing position!

[@haticeaydn1810]

If the patient has an injury of C5 level, how can we test the patient's biceps muscle length?

[@TheUpperHand]

Did you mean length or strength? If you meant strength: So we know that the biceps is innervated at the C5 level. Knowing this, you could test biceps essentially the same way that we present it in this video. However, considering the nature of spinal cord injury recovery, even if biceps is innervated, you would expect it to likely be weak due to spinal shock phase, some atrophy from temporary disuse, etc.. So I would most likely start out testing biceps in gravity-minimized plane (supine) because they will likely score in a weaker range. But if they perform well in gravity-minimized plane, then you could move to testing in sitting to see if they could score a 3 or higher. Hope this helps!

[@haticeaydn1810]

@@TheUpperHand thank you so much that was confusing for me 'cause I' m taking neurologic rehabilitation lesson this year and it's really hard for me. And if you know any good channel could you recommend it?

[@nehag2861]

Hii Could you please upload a video on HIP Abduction and their respective grades 5, 4, 3, 2, 1 and 0 ..... Please 😃 I really beg u please 😔😢

[@TheUpperHand]

Check this one out by BodyTalk! kzbin.info/www/bejne/jX-YaH6dabV-m7M

[@nehag2861]

@@TheUpperHand Awwwwwwww Thank You soooooooooooooo much !

[@preciousezekiel-oni2120]

💯

[@lyndawilliams4570]

Wait you guys are Southern? I thought you were English lol

[@TheUpperHand]

Haha! We are as southern as it gets!

[@LifeWithBimbo]

This video is awesome 👏 ❤

[@TheUpperHand]

Thank you so much!