I was taught we should not really use the Oxford Grade 0 - 5 muscle testing method with uppeer motor
neurones, but agree we do not have an acceptable universal system as yet. I tend to document in terms of
tone as it relates to functional activity, as that is what insurance companies are tending towards requiring.
Gait training with a mirror, or maybe a sound feedback system in the shoe, thar beeps with weight bearing.
Maybe also check trunk stability with ball exercises, spinal stability 'dead bug' exercises, or NDT. Is he using
his upper trunk to fix, as he has a lack of control there? Let us know what works!
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>From: [log in to unmask]
>To: [log in to unmask]
>Subject: RE: Manual muscle testing
>Date: January 21, 1999
>
>Hi All,
>
>I want to know ageneral opinion about doing manual muscle testing in
>cases of upper motor neurone lesions and post head injury ataxia.
>
>
>I have one patient who had accident in 1995 .Was admitted to ICU and was
>discharged after 2monthsin aperfectly functional condition and a
>surgeon himself is having a characteristic gait problem. He leans toright
>side , foot slaps on the ground, and has right shoulder drooping.His all
>muscles grade 4 or 5.
>I am giving him gait training while in front of a mirror.what else method
>can I employ to improve upon him?
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