Manual muscle testing.1.SHARMIN SUSIWALAMANUAL MUSCLE TESTINGDefinitionMuscle testing is the evaluation of contractile units, including muscles and tendons, and their ability togenerate forces.PurposeMuscle testing is indicated in any individual with suspected or actual impaired muscle performance,including strength, power, or endurance. Impairments in muscle function may result from cardiovascular,pulmonary, musculoskeletal or neuromuscular disease or disorders.
Identification of specific muscles ormuscle groups with impaired function provides information for appropriate intervention, which mayinclude strengthening exercises, functional drills, bracing, or compensatory muscle use.PrecautionsIt is important to determine the patient's ability to withstand the force to be applied. The patient shouldhave good cardiovascular function, be instructed against using the Valsalva maneuver, and be positionedappropriately. Care should be taken with any body part that is under movement restriction due to fracture,post-surgical, or other tissue healing.Forms of muscle testing include manual strength testing, functional tests, anddynamometry.Manual muscle testingManual muscle strength testing is a widely used form of muscle testing in the clinic. In this form of testing, theindividual is asked to hold a limb or other body part at the end of its available range or at another point in its rangeof motion while the clinician provides manual resistance. General procedures include the following:The patient should be placed in a position that provides overall support to the body so that he or she can concentratehis or her effort on the part being tested.The part to be tested initially is placed in an antigravity position.
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