Test positioning
Bony landmarks are an important part in ROM testing because it tells you where to place the goniometer in order to accurately test the range of motion for that area. By palpating for the bony landmarks and placing the goniometer in the correct position, the therapist is getting an accurate score therefore improving interrater and intrarater reliability. It is important to get this part right because if not the data becomes skewed and as a therapist you are unable to effectively work with the client.
The purpose of "test position" in manual muscle testing is to appropriately and accurately test the muscles and determine how to move forward in the therapy treatment plan. It's important for the muscles to be placed in their "optimal muscle contraction" which is mid position because it will give you the most accurate score. Also, it's important for the therapist to be mindful of where they are applying the resistance to accurately test it. You don't want to cross two joints because that will skew the data and you aren't testing what you say you are. For example, if you are testing knee flexion strength then you want to apply resistance on the calf not the foot.
The purpose of the gravity eliminated position is to give the client a score although they may be too weak for MMT is the against gravity position. This is important because you want to see what all the client can do in order to give them the best therapy treatment. When you first begin the manual muscle testing and notice that the strength of the client is less than a 3/5 then you move to the gravity eliminated position, which involves no resistance and the client's desired movement being parallel to the ground. By doing this, you are still able to give the client a score and are able to continue working with the client towards their goals.
The purpose of "test position" in manual muscle testing is to appropriately and accurately test the muscles and determine how to move forward in the therapy treatment plan. It's important for the muscles to be placed in their "optimal muscle contraction" which is mid position because it will give you the most accurate score. Also, it's important for the therapist to be mindful of where they are applying the resistance to accurately test it. You don't want to cross two joints because that will skew the data and you aren't testing what you say you are. For example, if you are testing knee flexion strength then you want to apply resistance on the calf not the foot.
The purpose of the gravity eliminated position is to give the client a score although they may be too weak for MMT is the against gravity position. This is important because you want to see what all the client can do in order to give them the best therapy treatment. When you first begin the manual muscle testing and notice that the strength of the client is less than a 3/5 then you move to the gravity eliminated position, which involves no resistance and the client's desired movement being parallel to the ground. By doing this, you are still able to give the client a score and are able to continue working with the client towards their goals.
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