Questions and Answers
What is the purpose of performing MSTT?
To determine the dysfunction that is present within the musculotendinous unit.
What two pieces of information do you need from this test?
- The subjective response - pain or no pain? 2. The ability to match/meet resistance - is it strong or weak?
What can we figure out from the subjective response and the ability to match/meet resistance?
The dysfunction that is present.
If resistance can hold and there is no pain, what is the tissue impairment?
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If resistance can hold and there is pain, what is the tissue impairment?
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What tests are needed to confirm a dysfunction of tendonitis/osis?
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If resistance cannot hold and there is pain, what is the tissue impairment?
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What tests are needed to confirm a dysfunction of a partial tear?
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If resistance cannot hold and there is no pain, what is the tissue impairment?
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What tests are needed to confirm the dysfunction of a complete tear?
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If there is pain with the MSTT, what is automatically deferred?
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Study Notes
Muscle Selective Tissue Tension Testing (MSTT)
- MSTT aims to identify dysfunction within the musculotendinous unit.
- Important to gather two key pieces of information:
- Subjective response: assess for pain presence.
- Ability to match resistance: determine if the response is strong or weak.
Interpretation of Test Results
- Subjective response along with resistance performance indicates the type of dysfunction present.
Normal Findings
- If resistance is maintained and there is no pain, the tissue is considered normal with no impairment.
Tendonitis/Ossification
- If resistance is maintained but pain is present, the tissue impairment suggests tendonitis or tendonosis.
- Confirmation tests for tendonitis/osis include:
- Palpation for tenderness.
- Muscle Length Testing (MLT) or Passive Range of Motion (PROM) classical evaluation.
- Palpation to assess condition (especially if inflammation is indicated).
Partial Tear Diagnosis
- If resistance cannot be maintained and pain is present, it suggests a partial tear.
- Tests to confirm a partial tear include:
- Palpation for tenderness.
- Palpation for condition.
Complete Tear Diagnosis
- If resistance cannot be maintained and there is no pain, a complete tear is indicated.
- Tests necessary for confirmation of a complete tear include:
- Manual Muscle Testing (MMT).
- Palpation for condition.
Pain Response
- Presence of pain during MSTT leads to automatic deferral of MMT.
- If submaximal contraction causes pain, maximal contraction is also likely to be painful.
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Description
Test your knowledge on Muscle Selective Tissue Tension Testing (MSTT) with these flashcards. Learn about its purpose, necessary information, and how to interpret results related to musculotendinous unit dysfunctions.
