Goniometry (Metacarpophalangeal) Flashcards
Metacarpal Phalangeal Flexion Plane
Sagittal
Metacarpal Phalangeal Flexion Position
Sitting, forearm and hand resting on surface
Metacarpal Phalangeal Flexion limb position
- Forearm midway between pronation and supination,
- wrist in 0° of flexion/extension/radial +ulnar deviation,
- MCP joint in neutral position relative to abd/add
Metacarpal Phalangeal Flexion Goniometer positioning
- Fulcrum: Dorsal aspect of MCP joint
- Proximal Arm: Dorsal midline of metacarpal
- Distal Arm: Dorsal midline of proximal phalanx
Where do you stabilize for Metacarpal Phalangeal Flexion
At metacarpal to prevent wrist motion, do not hold MCP of other fingers in extension
Metacarpal Phalangeal Flexion End Feel
Hard or firm
Metacarpal Phalangeal Flexion ROM
90-100º
Metacarpal Phalangeal Extension Plane
Sagittal
Metacarpal Phalangeal Extension Position
Sitting, forearm and hand resting on surface
Metacarpal Phalangeal Extension Limb Position
- Forearm midway between pronation and supination,
- wrist in 0º of flexion/extension/radial +ulnar deviation,
- MCP joint in neutral position relative to abd/add
Metacarpal Phalangeal Extension Goniometer positioning
- Fulcrum: Dorsal aspect of MCP joint
- Proximal Arm: Dorsal midline of metacarpal
- Distal Arm: Dorsal midline of proximal phalanx
Metacarpal Phalangeal Extension Stabilization
At metacarpal to prevent wrist motion, do not hold MCP of other fingers in flexion
Metacarpal Phalangeal Extension End feel
Firm
Metacarpal Phalangeal Extension ROM
20-45º
Metacarpal Phalangeal Abduction Plane
Frontal
Metacarpal Phalangeal Abduction Position
Sitting, forearm and hand resting on surface
Metacarpal Phalangeal Abduction Limb Position
- Place the wrist in 0º of flexion, extension, and radial and ulnar deviation;
- The forearm in full pronation so that the palm of the hand faces the ground;
- The MCP joint in 0º of flexion and extension.
Metacarpal Phalangeal Abduction Goniometer positioning
- Fulcrum: Dorsal aspect of MCP joint
- Proximal Arm: Dorsal midline of metacarpal
- Distal Arm: Dorsal midline of proximal phalanx
Metacarpal Phalangeal Abduction Stabilization
At metacarpal to prevent wrist motion
Metacarpal Phalangeal Abduction End Feel
Firm
Metacarpal Phalangeal Abduction ROM
No normal measure, but max is 25º
Metacarpal Phalangeal Adduction Plane
Frontal
Metacarpal Phalangeal Adduction Position
Sitting, forearm and hand resting on surface
Metacarpal Phalangeal Adduction Limb Position
- Place the wrist in 0 degrees of flexion, extension, and radial and ulnar deviation
- The forearm in full pronation so that the palm of the hand faces the ground
- The MCP joint in 0 degrees of flexion and extension.