ROM & MMT

Why is it important to use bony landmarks and proper positioning for measuring ROM? What is the purpose of the "test position" for MMT? What is the relevance of the gravity eliminated position? Please give at least 5 reasons in your response.



      When measuring a client's ROM, it is important to have them in the proper position for that specific movement. Being in the proper position will insure that you are able to find the correct bony landmarks. We use bony landmarks as a guide in placing the goniometer in the appropriate location. The axis, stationary arm, and movable arm of the goniometer are all placed on locations that are described by bony landmarks of the body. The results will not be accurate if the goniometer is not placed on the correct landmarks. Bony landmarks are always going to be there, so even if measurements are taken by multiple therapists, the results are likely to be reliable.

      When performing a manual muscle test, we must place clients in a specific test position. This position is set in place to make sure that the client is performing the movement against gravity. At first, it it necessary for a client to be tested in a position that is against gravity. If a client is weak and has a score below 3 on the MMT, then they must be tested in a  position where gravity is eliminated. This is relevant because a client that has low muscle strength is not strong enough to give significant results in a position that is against gravity. As the client gets strong and is able to fully resist at a gravity eliminated position, they can progress to a position that is against gravity. It is also important for the OT to position the client into a position that will allow for the most success for each particular MMT.

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