Test Positioning


It is important to use bony landmarks and proper positioning for measuring ROM so that the measurements can be accurately taken. The landmarks and positioning make the measurements reliable and repeatable so that other therapists would be able to perform the same test and get the same results, increasing inter-rater reliability. Proper position is also important so that the client can access their full range of motion and not be hindered, but also help lessen the chance of them using compensatory movements.

The purpose of putting the client at midposition during MMT is because this is when the client is at an ideal position for muscle contraction because the most cross-bridge cycles are produced. The gravity eliminated position is important for clients who may not be able to perform the action due to the forces of gravity. This position places the client in such a way that their movement is parallel to the ground, rather than perpendicular, so that they can still do the action regardless of muscle strength or possible contraindications that could cause further injury or pain.

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