Manual Muscle Testing: Dorsiflexion
Original Editor - Claire Knott
Top Contributors - Claire Knott, Wanda van Niekerk and Kim Jackson
Muscles Involved:
- Tibialis Anterior
- Extensor Digitorum Longus
- Peroneus Tertius
- Extensor Hallucis Longus
Patient Positioning
- Short sitting, ankle hanging off the plinth
- For grades 0-2 patient is in side lying, the 'gravity minimal' position
Therapist Position
- Sit on stool/chair in front of patient
- Palpate the tibialis anterior
- Other hand resistance over dorsal foot
To Test
- Patient to actively dorsiflex
- Grades 4 and 5: therapist to give resistance to dorsiflexion and slight inversion movement (this is the action of the main dorsiflexor tibialis anterior) [1]
- To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) OR maintain an end point range (break testing) against maximum resistance.
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References
- ↑ Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.