Copyright Goodheart-Willcox Co., Inc. May not be reproduced or posted to a publicly accessible website. 90 Anatomy & Physiology Essentials Lab Manual 19. What muscles are being tested in this manual muscle test? _ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 20. Which are the antagonist muscles? _ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Ankle Plantar Flexion Test 21. Ask the patient to sit in a comfortable position on a chair or table, hips and knees flexed at 90 degrees, and feet not touching the floor. 22. Ask the patient to place the left foot at 90 degrees to the leg (ankle in neutral position). 23. Place your hand under the bottom (sole) of the patient’s left foot. Provide a verbal cue for the patient to move the foot into plantar flexion. Apply resistance to the movement of the patient’s foot into plantar flexion (Figure 6.3D). Recall that the goal is to produce an isometric contraction of the gastrocnemius and soleus complex (calcaneal tendon). Perform this test for no more than 5 seconds. HINT Using common language such as “push on my hand as though it were a gas pedal” can be understood by patients of all ages. 24. Repeat the procedure on the patient’s other foot. 25. Record your observations. _ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 26. What muscles are being tested in this manual muscle test? _ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 27. Which is the antagonist muscle? _ __________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Role Reversal 28. After completing all four manual muscle tests, switch roles so that the patient becomes the clinician and repeat steps 1–27. Figure 6.3D Saskia D. Richter, author