Testing of Movement
Objectives:
To familiarize students with the different types of movements
To teach students how to assess range of motion (ROM)
To identify common movement abnormalities and their clinical significance
Materials:
Goniometer
Tape measure
Pen and paper
Procedure:
1. Review the anatomy and physiology of movement:
Discuss the different types of movements, including flexion, extension, abduction, adduction,
internal rotation, and external rotation.
Explain the role of muscles, bones, and joints in movement.
2. Assessment of range of motion (ROM):
Demonstrate the technique for measuring ROM using a goniometer.
Emphasize the importance of proper positioning and alignment.
Measure the ROM for various joints, including the shoulder, elbow, wrist, hip, knee, and ankle.
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Goniometer for measuring ROM
3. Interpretation of ROM:
Discuss the normal ROM for different joints and ages.
Identify common ROM abnormalities, such as restricted ROM, increased ROM, and painful ROM.
Correlate ROM abnormalities with musculoskeletal conditions.
4. Assessment of strength:
Demonstrate the technique for assessing muscle strength using manual muscle testing (MMT).
Emphasize the importance of grading muscle strength using a standardized scale, such as the
Medical Research Council (MRC) scale.
Assess the strength of major muscle groups, including the upper and lower extremities.
5. Interpretation of muscle strength:
Discuss the normal muscle strength for different muscle groups and ages.
Identify common muscle weakness abnormalities.
Correlate muscle weakness abnormalities with musculoskeletal conditions.
6. Assessment of gait:
Observe the patient's gait as they walk.
Assess the patient's gait pattern, including stance phase, swing phase, and overall coordination.
Identify common gait abnormalities, such as antalgic gait, spastic gait, and ataxic gait.
7. Interpretation of gait abnormalities:
Correlate gait abnormalities with neurological or musculoskeletal conditions.
Discussion:
Emphasize the importance of movement assessment in evaluating musculoskeletal and
neurological function.
Discuss the clinical significance of movement abnormalities.
Encourage students to practice assessing ROM, strength, and gait.
Additional Considerations:
Consider the patient's age, developmental stage, and any underlying medical conditions when
interpreting movement abnormalities.
Document movement abnormalities clearly in the patient's chart.
Encourage patients to participate in regular physical activity to maintain normal ROM, strength,
and gait.