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Jump to Appendix: Equation for knee extensor torque during knee Manual Muscle Testing of the Knee The therapist stands next to the test leg. Knee Extension, The patient is short sitting, place a wedge or pad under the Jun 18, 2007 - Knee Extension MMT (Rectus Femoris, Vastus Intermedius, Vastus Lateralis, Vastus Medialis). Movement or Technique. Against Gravity:. To Test. Patient actively extends the knee; For grades 4 to 5 apply resistance through the distal tibia and fibula in a direction opposite to extension. Aug 28, 2015 - Apr 28, 2018 -