Ankle & Foot MMT
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Plantarflexion (note knee position difference for gastroc vs soleus focus)
M: Gastrocnemius, Soleus G: - Standing on single leg with knee (slightly flexed to 20 degrees - soleus) or (in extension - gastrocnemius) - Only one hand on wall/supporting surface or assistance from therapist for balance only GE: Prone S: Hip hiking
Plantarflexion MMT Grades
Grade: 5: 25 heel raises with full ROM, proper alignment, and balance, maintaining knee (slightly flexed to 20 degrees - soleus) or (in extension - gastrocnemius) 4: 2 - 24 heel raises with full ROM, proper alignment, and balance, maintaining knee (slightly flexed to 20 degrees - soleus) or (in extension - gastrocnemius) 3: Able to hold body weight once in a heel up position but unable to raise body weight from a neutral position more than ONE time 2: Holds test position agains maximal resistance 1: Able to move through partial ROM 0: No discernable palpable contraction
Dorsiflexion
M: Tibalis Anterior G: Sitting GE: Supine S: Hip rotation, hip flexion
Subtalar Inversion
M: Tibalis Posterior G: Supine, test foot is over the edge of table GE: Sidelying, test foot is over the edge of table S: Hip rotation
Subtalar Eversion
M: Peroneus Longus, Brevis G: Supine GE: Sidelying S: Hip rotation
MTP Flexion
M: Lumbricals, FHB G: Supine
MTP - IP Extension
M: EDL, EDB G: Supine