Test Positioning: ROM and MMT

It's important to use bony landmarks as reference points in order to orient yourself on the body when measuring. Palpating bony landmarks is also important for correct goniometer placement. If you don't position the patient correctly, the ROM measurement will be unreliable. The purpose of the "test position" for MMT is to ensure that the muscle is placed in a position for optimal muscle contraction. The gravity eliminated position is for those who do not have full ROM or are too weak. This position is always parallel to the ground. When using the gravity eliminated position, it is important to make sure the limb being tested is still positioned in a way that enables the most optimal contraction.