603 MMT Guidelines for conducting MMTs

Guidelines for conducting MMTs

  • Start on the unaffected side
  • Do movements which are likely to elicit pain last to prevent the client from tensing up or hesitating
  • Tap the client on the area you want them to resist against, indicating the direction of movement
  • Apply resistance for a minimum of 10 seconds
  • Ensure the client does not do any sudden movements
  • When encountering pain, take note of when and where it arose and get the client to describe severity and quality
  • Weakness often shows as inability to provide resistance or as shaking

Before Resisted Tests

Instruct the client

  • how to position the body part to be assessed
  • to match the resistance slowly and smoothly
  • to stop resisting at the first sign of pain
  • to stop resisting at the completion of test

During Resisted Tests

  • instruct the client on how to perform the test
  • ensure resistance is applied distally to the joint being assessed (preferably without crossing the next joint where possible)
  • increase resistance slowly and smoothly
  • do not allow concentric contraction
  • stop the test at the first sign of pain
  • hold for minimum of 10 seconds
  • direct the client to stop resisting at the completion of test

After Resisted Test

  • communicate your findings from (BL) resistance tests
  • record ALL information, include comments on strength difference, pain and quality of resistance


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