Reflection 2 - ROM and MMT

It is important to use bony landmarks for positioning and measuring ROM because if there are different therapist measuring the same client, if they both use the same bony landmarks, it increases the likelyhood of the measurements to be the same. When there is more than one therapist, it is called interrater reliability. Intrarater reliability is more reliable than interrater reliability. When the therapist is measuring ROM, it is okay to measure through gravity because they are just measuring how much movement there is at a certain joint. There are different test positions that can be used when testing MMT. There is with gravity and gravity eliminated. Gravity is a resistance which makes MMT harder. The gravity eliminated position is used for clients who are too weak to move through gravity. Without this position, the clients would not be able to be assigned a MMT score. Within the gravity eliminated test, the client will not be able to score higher than a 2 on the Break Test. Test against gravity first, and then work your way down to gravity eliminated if the client cannot perform the movements.