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PT 413 Therapeutic Skills > Goniometry (Metacarpophalangeal) > Flashcards

Goniometry (Metacarpophalangeal) Flashcards

1
Q

Metacarpal Phalangeal Flexion Plane

A

Sagittal

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2
Q

Metacarpal Phalangeal Flexion Position

A

Sitting, forearm and hand resting on surface

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3
Q

Metacarpal Phalangeal Flexion limb position

A
  1. Forearm midway between pronation and supination,
  2. wrist in 0° of flexion/extension/radial +ulnar deviation,
  3. MCP joint in neutral position relative to abd/add
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4
Q

Metacarpal Phalangeal Flexion Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of MCP joint
  2. Proximal Arm: Dorsal midline of metacarpal
  3. Distal Arm: Dorsal midline of proximal phalanx
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5
Q

Where do you stabilize for Metacarpal Phalangeal Flexion

A

At metacarpal to prevent wrist motion, do not hold MCP of other fingers in extension

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6
Q

Metacarpal Phalangeal Flexion End Feel

A

Hard or firm

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7
Q

Metacarpal Phalangeal Flexion ROM

A

90-100º

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8
Q

Metacarpal Phalangeal Extension Plane

A

Sagittal

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9
Q

Metacarpal Phalangeal Extension Position

A

Sitting, forearm and hand resting on surface

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10
Q

Metacarpal Phalangeal Extension Limb Position

A
  1. Forearm midway between pronation and supination,
  2. wrist in 0º of flexion/extension/radial +ulnar deviation,
  3. MCP joint in neutral position relative to abd/add
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11
Q

Metacarpal Phalangeal Extension Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of MCP joint
  2. Proximal Arm: Dorsal midline of metacarpal
  3. Distal Arm: Dorsal midline of proximal phalanx
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12
Q

Metacarpal Phalangeal Extension Stabilization

A

At metacarpal to prevent wrist motion, do not hold MCP of other fingers in flexion

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13
Q

Metacarpal Phalangeal Extension End feel

A

Firm

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14
Q

Metacarpal Phalangeal Extension ROM

A

20-45º

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15
Q

Metacarpal Phalangeal Abduction Plane

A

Frontal

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16
Q

Metacarpal Phalangeal Abduction Position

A

Sitting, forearm and hand resting on surface

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17
Q

Metacarpal Phalangeal Abduction Limb Position

A
  1. Place the wrist in 0º of flexion, extension, and radial and ulnar deviation;
  2. The forearm in full pronation so that the palm of the hand faces the ground;
  3. The MCP joint in 0º of flexion and extension.
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18
Q

Metacarpal Phalangeal Abduction Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of MCP joint
  2. Proximal Arm: Dorsal midline of metacarpal
  3. Distal Arm: Dorsal midline of proximal phalanx
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19
Q

Metacarpal Phalangeal Abduction Stabilization

A

At metacarpal to prevent wrist motion

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20
Q

Metacarpal Phalangeal Abduction End Feel

A

Firm

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21
Q

Metacarpal Phalangeal Abduction ROM

A

No normal measure, but max is 25º

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22
Q

Metacarpal Phalangeal Adduction Plane

A

Frontal

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23
Q

Metacarpal Phalangeal Adduction Position

A

Sitting, forearm and hand resting on surface

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24
Q

Metacarpal Phalangeal Adduction Limb Position

A
  1. Place the wrist in 0 degrees of flexion, extension, and radial and ulnar deviation
  2. The forearm in full pronation so that the palm of the hand faces the ground
  3. The MCP joint in 0 degrees of flexion and extension.
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25
Q

Metacarpal Phalangeal Adduction Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of MCP joint
  2. Proximal Arm: Dorsal midline of metacarpal
  3. Distal Arm: Dorsal midline of proximal phalanx
26
Q

Metacarpal Phalangeal Adduction Stabilization

A

At metacarpal to prevent wrist motion

27
Q

Metacarpal Phalangeal Adduction End feel

28
Q

Metacarpal Phalangeal Adduction ROM

A

Not usually recorded separately from abduction, it is the return from full abduction to the starting 0º point

29
Q

Proximal Interphalangeal Flexion Plane

30
Q

Proximal Interphalangeal Flexion Position

A

Sitting, forearm and hand resting on surface

31
Q

Proximal Interphalangeal Flexion Limb Position

A
  1. Forearm in 0º of supination and pronation,
  2. wrist in 0ºof flexion/extension/radial + ulnar deviation,
  3. Mcp joint in 0º of flexion/extension/abd/add
32
Q

Proximal Interphalangeal Flexion Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of PIP joint
  2. Proximal Arm: Dorsal midline of proximal phalanx
  3. Distal Arm: Dorsal midline of middle phalanx
33
Q

Proximal Interphalangeal Flexion Stabilization

A

Proximal phalanx to prevent motion of the MCP joint

34
Q

Proximal Interphalangeal Flexion End Feel

A

Usually hard, soft, or firm in others

35
Q

Proximal Interphalangeal Flexion ROM

A

100-110 º

36
Q

Proximal Interphalangeal Extension Plane

37
Q

Proximal Interphalangeal Extension Position

A

Sitting, forearm and hand resting on surface

38
Q

Proximal Interphalangeal Extension Limb Position

A
  1. Forearm in 0º of supination and pronation,
  2. Wrist in 0º of flexion/extension/radial + ulnar deviation,
  3. Mcp joint in 0º of flexion/extension/abd/add
39
Q

Proximal Interphalangeal Extension Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of PIP joint
  2. Proximal Arm: Dorsal midline of proximal phalanx
  3. Distal Arm: Dorsal midline of middle phalanx
40
Q

Proximal Interphalangeal Extension Stabilization

A

Proximal phalanx to prevent motion of MCP joint

41
Q

Proximal Interphalangeal Extension End Feel

42
Q

Proximal Interphalangeal Extension ROM

A

Normal is 0º, up to 7º for active and 16º for passive

43
Q

Distal Interphalangeal Flexion Plane

44
Q

Distal Interphalangeal Flexion position

A

Sitting, forearm and hand resting on surface

45
Q

Distal Interphalangeal Flexion Limb Position

A
  1. Forearm in 0º of supination and pronation, wrist in 0º of flexion/extension/radial + ulnar deviation
  2. Mcp joint in 0º of flexion/extension/abd/add.
  3. Place PIP joint in approximately 70-90º of flexion
46
Q

Distal Interphalangeal Flexion Goniometer positioning

A
  1. Fulcrum: Dorsal aspect of DIP joint
  2. Proximal Arm: Dorsal midline of the middle phalanx
  3. Distal Arm: Dorsal midline of the distal phalanx
47
Q

Distal Interphalangeal Flexion Stabilization

A

Middle and proximal phalanx to prevent further flexion of PIP

48
Q

Distal Interphalangeal Flexion End Feel

49
Q

Distal Interphalangeal Flexion ROM

50
Q

Distal Interphalangeal Extension Plane

51
Q

Distal Interphalangeal Extension Position

A

Sitting, forearm and hand resting on surface

52
Q

Distal Interphalangeal Extension Limb Position

A
  1. Forearm in 0º of supination and pronation,
  2. wrist in 0º of flexion/extension/radial + ulnar deviation, mcp joint in 0º of flexion/extension/abd/add.
  3. Place PIP joint in approximately 70-90º of flexion
53
Q

Distal Interphalangeal Extension Goniometer Positioning

A
  1. Fulcrum: Dorsal aspect of DIP joint
  2. Proximal Arm: Dorsal midline of the middle phalanx
  3. Distal Arm: Dorsal midline of the distal phalanx
54
Q

Distal Interphalangeal Extension Stabilization

A

Middle and proximal phalanx to prevent extension of PIP

55
Q

Distal Interphalangeal Extension End Feel

56
Q

Distal Interphalangeal Extension ROM

A

Normal is 0º, up to 8º for active and 20º for passive

57
Q

Composite Flexion of the MCP, PIP, and DIP joints Plane

58
Q

Composite Flexion of the MCP, PIP, and DIP Joints Position

A

Sitting, forearm and hand resting on surface

59
Q

Composite Flexion of the MCP, PIP, and DIP Joints Limb Position

A
  1. Forearm in neutral supination and pronation and the wrist in 0º of flexion/extension/ and radial + ulnar deviation
60
Q

Composite Flexion of the MCP, PIP, and DIP Joints Stabilization

A

Metacarpals to prevent motion of the wrist

61
Q

Composite Flexion of the MCP, PIP, and DIP Joints End Feel

A

Usually soft, may be firm

62
Q

Composite Flexion of the MCP, PIP, and DIP Joints ROM

A

When MCP, PIP, and Dip are max flexed, the distance between fingertip and distal palmar crease of hand is zero, within 5 to 6 mm from the same tester and 7 to 9 mm from different testers

PT 413 Therapeutic Skills (9 decks)

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