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DynaMo Lite Test: Knee Strength Protocol

Liesl Thrum
  • Updated

Knee Flexion

Knee Extension

Knee Flexion
Seated Compression

Patient position Seated at the edge of the bed, arms crossed and their hands on opposite shoulders, with hips and knees both at 90 degrees flexion.
Contact point Calcaneus.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Kneeling in front of the patient, supporting the DynaMo Lite with both hands, behind the patient's shin, resisting posterior force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Knee Flexion
Seated 30 Degree Knee Flexion Compression

Patient position Seated on the edge of the table, with feet not in contact with the ground and knee at 30 degrees of flexion.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Flexion
Seated 45 Degree Knee Flexion Compression

Patient position Seated on the edge of the table, with feet not in contact with the ground and knee at 45 degrees of flexion.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Flexion
Seated 60 Degree Knee Flexion Compression

Patient position Seated on the edge of the table, with feet not in contact with the ground and knee at 60 degrees of knee flexion.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Flexion
Supine Compression

Patient position Supine, with the leg being assessed bent to 90 degrees hip and knee flexion and the opposite leg in full extension.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing at the side of the bed, with two hands applying pressure to the flat surface.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Knee Flexion
Supine 30 Degree Knee Flexion Compression

Patient position Supine with the knee at 30 degrees of flexion.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Flexion
Supine 45 Degree Knee Flexion Compression

Patient position Supine with the knee at 45 degrees of flexion.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo, instruct and demonstrate the movement.
Instruction Push against the DynaMo as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Flexion
Supine 60 Degree Knee Flexion Compression

Patient position Supine with the knee at 60 degrees of flexion.
Contact point Calcaneus.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Flexion
Prone Compression

Patient position Prone on the bed with leg being tested in 90 degrees of knee flexion.
Contact point Distal achilles tendon, posterior to the malleoli.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing adjacent to the bed on the side of the tested leg, with one hand supporting the DynaMo Lite, the other hand supporting the patient's upper leg, just proximal to the knee to ensure minimal movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Knee Extension
Seated (Variant 1) Compression

Patient position Seated at the edge of the seat, with both arms relaxed on their legs or crossed.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Kneeling between the patient and a wall or fixed surface, holding the DynaMo Lite with both hands and using the elbow of their outside arm to block using the fixed surface.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Knee Extension
Seated (Variant 2) Compression

Patient position Seated at the edge of the bed, ensure feet are not in contact with the ground.
Contact point Anterior lower leg, just proximal to the ankle with strength strap attached to the front surface of the DynaMo Lite.
Device orientation Vertical, with strength strap attached to a fixed point posterior to the patient's leg being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Knee Extension
Seated 30 Degree Knee Flexion Compression

Patient position Seated on the edge of the table with feet not in contact with the ground and knee at 30 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the DynaMo as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Extension
Seated 45 Degree Knee Flexion

Patient position Seated on the edge of the table, with feet not in contact with the ground and knee at 45 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Extension
Seated 60 Degree Knee Flexion Compression

Patient position Seated on the edge of the table, with feet not in contact with the ground and knee at 60 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Extension
Supine Compression

Patient position Supine with knees bent to 90 degrees and lower legs handing just off the edge of the bed, with both arms crossed.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Kneeling between the patient and a wall or fixed surface, holding the DynaMo Lite with both hands and using the elbow of their outside arm to block using the fixed surface.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Knee Extension
Prone Compression

Patient position Prone with the knee at 90 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Extension
Prone 30 Degree Knee Flexion Compression

Patient position Prone with the knee at 30 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Extension
Prone 45 Degree Knee Flexion Compression

Patient position Prone with the knee at 45 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Knee Extension
Prone 60 Degree Knee Flexion Compression

Patient position Prone with the knee at 60 degrees of flexion.
Contact point Anterior lower leg, just proximal to the ankle.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

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