manual mm testing
TRANSCRIPT
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7/25/2019 manual mm testing
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F: Functional; appears N or only slight impairment
WF: Weak Functional; moderate impairment that afects the degree o active motion
NF: Nonunctional; sever impairment
0: absent
MMT MS POSITION PROCEDURE INSTRUCTIO
N
F WF NF
EX!"#$%&"!
'%($&E(
!ectus
)(*'&+
#bli,ue )*(+E-E !"$.*N/ 1ead in
neutral
&ooking
straight
ahead
2on3t
move
head
'ove 4ngers in
cardinal
direction )567+
est each eye
est both
Follow my
fngers with
your eyes
only
*mmediate
tracking in a
smooth
motion over
ull range
$omplete
e8cursion
Not possible to distinguish
accurately
E-E #9EN*N/ &evator
palpebra
e
superioris
sitting est both eyes
humb is placed
over opened
eyelid
!: donard
"ddtnl caution
Open your
eyes wide.
Dont let
me close
them
$omplete N
range
"gains light
manual !
*ris ully visible
*ris6 partially
covered
akes no !
)
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Eye closing #rbicularis
oculi
sitting 5= ask p8 to open
and close eyes
4rst> ?#1 and
E"$1
@= ! r thumb and
inde8
A= attempt to open
Close your
eyes as
tightly as
you can
$loses eyes
tightly c !
*ris not visible
s !
incomplete
closure
small
amount
o scleraB
no iris
nBa
iris
iris 6 visible
Froning $orrugator
supercilii
"sk p8 to ron
humb )!+
!: moves
eyebros apart
Frown. Dont
let me
erase it
$ompletes N
range
c
(hallo
rinkles
s !
(light motion
!aising
eyebros
Frontal
belly ooccipitor
ontalis
humb ! above
eyebros!: donard
Raise your
eyebrowsas high as
you can
$ompletes mvt
1oriContalrinkles are
prominent
c !
(hallo
rinkless !
(light motion
Wrinkling the
bridge o
the nose
9rocerus ! on beside the
bridge o nose c
thumb
! is given laterally
Wrnkle your
nose
9rominent
creases
c !
(hallo
creases
s !
(light motion
&ip closing #rbicularis
oris
98 compress and
protrudes lips
!: tongue
depressor
placed
diagonally
across both lips
)inard+
urse your
lips
$omplete close
c !
$loses but
no !
(light movt
nBa to bring
lips
together
$heek
compressio
n
buccinator 98: compresses
cheek
!: 2 inside Dat
side lying
!uck in your
cheek.
Dont let
me push it
out
9erorm
correctly
c !
9erorms
but no !
(light mvt
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7/25/2019 manual mm testing
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agains cheek
)outard+a opening &ateral
pterygoid
(uprahyoid
ms
98 opens mouth c
!
!: cupped under
chin; upard
Open your
mouth as
wide as you
can
$omplete c !
A stacked
4ngers
@ stacked
4ngers
$an take
some !
'inimal
motion
No !
a closure 'asseteremporalis
'edial
pterygoid
!: chin is graspedbtn thumb and
inde8;
donard
Clench yourteeth
together as
tight as you
can
$loses mouthtightly
Not able to open
mouth
(trong mg
group
$loses a;but can
open
mouth
ith min
!
$loses but no!
&ateral a
dev
'ed )$B&+
G &at
)*B&+
pterygoid
2eviate to ! then
to &
!: against a
(tabiliCe: opposite
temple o the
head
"ssess by
incisor teeth
not lip
&aterally A
upper teeth)50cm+
'otion is
decreased
to lateral
movt
#ne uppertooth
'in !
'in dev
No !
a protrusion ?ilater c8n
o 'ed= G
&at=
9terygoid
9oerul movt
!: cups chin;
horiContally
(: over the head
ush "aw
#orward.
Dont let
me push t
back
$omplete
&oer teeth in
ront o upper
< space
(lightly
orard
6 space
'in !
(light movt
No !
ongueprotrusion 9ost= Fiberso
genioglos
sus
!: tip o tongue ctongue dep;
backard
!tick out yourtongue $ompletes !#'c !
e8tend beyond
lips
!eachesmargin o
lips
'in protrusionongue does
not clear
mouthongue dev /eniogloss
us