Manual Muscle Test Grading Gastrocnemius
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Ability to measure strength in a variety of situations as required by the patient; measurement of both concentric and eccentric contractions; and the ability to measure the stability of proximal joints. However, as with manual muscle testing, the lack of objectivity provided by such devices makes these tests difficult to use in a clinical setting. Hand-held dynamometers are inexpensive, easy to use, and can be used to measure shoulder and elbow strength for monitoring progress in a patient following a shoulder or elbow injury.
Electromyography can be used to monitor contractions and can be used for both isometricand dynamic testing. The purpose of the muscle examination is to detect whether there are any damage to the muscles by examining the electrical activity of the muscles. In order to determine the intensity of the contraction using EMG, the current must be applied, so the examiner must be careful not to apply too much current or the patient will feel the pain. The current is applied to the muscles using a needle, which is injected with very diluted saline solution, and is often covered with a bandage to hide the needle. This solution is less diluted than saline but is still pretty dilute, so when we inject it, it is going to cause some burning, which will be a fairly typical result of the patient feeling the current. The stronger the contraction, the more electricity is transmitted through the muscle. It is therefore important that the correct muscle is stimulated, and that the patient is relaxed during the test.
The purpose of this examination is to examine the muscles and determine whether they are working correctly in the patient and whether there is any damage to the muscles. The electrical activity of the muscles is measured by the examiner and is shown on a screen, which can then be recorded. At the same time, the patient is also asked to state how he or she feels and to report any pain that the patient experiences.
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