Muscle Strength Testing. University of the Philippines Manila COLLEGE OF ALLIED MEDICAL PROFESSIONS PT 142 Assessment in Physical Therapy Mitch B. Encabo , MPA, PTRP Edited for instruction by: Aila Nica J. Bandong , PTRP. LEARNING OBJECTIVES .
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University of the Philippines Manila
COLLEGE OF ALLIED MEDICAL PROFESSIONS
PT 142 Assessment in Physical Therapy
Mitch B. Encabo, MPA, PTRP
Edited for instruction by:
AilaNica J. Bandong, PTRP
At the end of the session the students should be able to:
What is being tested?
Type of Contraction
Method of Grading
All muscles of the trunk and extremities are grossly graded 5/5 EXCEPT:
® Shoulder abductors – 3/5
® Knee flexors – 3/5
Significance: Muscle weakness 2 to deconditioning
All the muscles of the wrist and hand are grossly
graded 5/5 EXCEPT:
® wrist flexors – 4/5
® radial deviators – 4/5 ( 10 deg )
Significance: Muscle weakness 2 to pain brought about by reflex inhibition
All of the muscles of the lower limb are grossly graded as 5/5 EXCEPT for
® hip extensors = 4/5 (0-90 degrees)
® hip adductors = 4/5 (0-20 degrees)
Significance: Muscle weakness due to prolonged immobilization, range test was used 2 to contractures of the hip flexors and adductors
Completes test movement with ease and control
Performs test with difficulty
Minimal muscle contraction
Weight Bearing Muscles
Instrumented Muscle Testing: CONSIDERATIONS
Clarkson & Gilewich(1989), Musculoskeletal Assessment. Joint Range of Motion and Manual Muscle Strength: Williams & Wilkins.
Erickson and McPhee(1993) Clinical Evaluation. In Delisa: Rehabilitation Principles and Practice (2nd ed). Philadelphia: JB Lippincott Company.
Harms - Ringdahl(1993)International Perspectives in Physical Therapy.Muscle Strength. New York: Churchill Livingstone.
Hislop and Montgomery(2002): Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination(7th ed) Philadelphia:WB Saunders Company.
Kendall,McCreary, Provance: Muscle Testing and Function (4th ed)Baltimore: Williams and Wilkins, 1993.
Magee(1997) Orthopedic Physical Assessment(3rd ed) Philadelphia: WB Saunders Company.
Tobis and Hong (1990) Muscle Testing in Kottke and Lehmann: Krusen’s Handbook of Physical Medicine and Rehabilitation (4th Ed) Philadelphia:WB Saunders Company