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MMT blues
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MMT blues - November 21, 2001 5:23:00 AM
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mcap
Posts: 652
Joined: February 8, 2000
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Group:
MMT was always thought to have intra but not interrator reliability. I work with a fairly young, althletic population. Over the last few years, I have become increasingly convinced that a manual muscle test in someone who is strong, is fairly useless. If someone is a 4 or better it is really difficult to guage strength accurately. And....if they can't be broken....we all know it's a problem. It still has uses in diagnosing contractile lesions but just for guaging strength in the healthy population.......must be a better way. I know that Kendall or Sahrman are getting ready to hunt me down but here is my idea....
For a while I have been using the weight machines to judge a patients strength. I see how much weight they can do 1 or 10 reps with while using excellent form and without pain (for the Leg Ext and Leg Curl). I find it to be much more useful than the ye old back breaking finger busting MMT. However, it isn't very systematic. There should be some kind of formula based on body weight as to how much a person should roughly be able to lift. I compare to the uninvolved side.
I guess what I am saying is perhaps we could develop a system where you look at what the patient is lifting and doing and have some systematic way of evaluating strength. Most people do this informally anyway......
Yet another routing practice to be questioned.......happy thanksgiving..... mcap
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Re: MMT blues - November 21, 2001 2:58:00 PM
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jma
Posts: 2405
Joined: August 24, 2000
From: NY
Status: offline
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Hello, I have heard of small palm sized machine called the MicroFET. "Microfit load cell technology with microprocessor precision and ergonomic design is the standard in bringing accurate, objective and reliable results to manual muscle testing. MicroFET helps: -screen incoming patients -moniotr and document patient profess -substantiate diagnosis and treatment -motivate patient compliance -validate continued treatment -satisfy insurance carrier MicroFET features high and low threshold settings to accommodate large muscles and digits, and measure trace changes. Three interchangable padded attachments accommodate large muscle surfaces, and digits. Duration display aids in consistency in hold or fartigue tests. MicroFET cab be calibrated in pounds or Newtons. Cost $895.00. Source: [URL=http://www.promedproducts.com]www.promedproducts.com[/URL] Sounds convincing but how many would you have in your department. Do you think this is practical? Technology is improving though.
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Re: MMT blues - November 27, 2001 1:07:00 PM
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mcap
Posts: 652
Joined: February 8, 2000
Status: offline
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JMA:
Thanks for the link.....I had a quick look. To me it seems like a hand-held dynomometer. Those offer more accurate information, but are again, dependent on how strong the therapist is. If you can't break the patient, then your reading would only be as high as your own level of force.
mcap
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