Hand Goniometry Flashcards
MCP flexion
Maintain MCP joint in neutral position F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx End feel: hard or firm
MCP extension
Maintain MCP joint in neutral position F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx End feel: hard or firm
MCP abduction
Sitting, forearm in pronation, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx End feel: firm
PIP extension
Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of PIP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of middle phalanx End feel: firm
DIP flexion
Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of DIP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of middle phalanx End feel: firm
DIP extension
Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of PIP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of middle phalanx End feel: firm
Thumb: CMC flexion
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface
F: palmar aspect of CMC joint
PA: ventral midline of radius (radial styloid process)
DA: ventral midline of 1st metacarpal
End feel: soft or firm
Thumb: CMC extension
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface
F: palmar aspect of CMC joint
PA: ventral midline of radius (radial styloid process)
DA: ventral midline of 1st metacarpal
End feel: firm
Thumb: CMC abduction
Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation; CMC, MCP, and IP joints of thumb in 0 degrees of flex and ext, resting on supporting surface
F: lateral aspect of radial styloid process
PA: lateral midline of 2nd metacarpal (2nd MCP for reference)
DA: lateral midline of 1st metacarpal (1st MCP joint for reference)
End feel: firm
Thumb: CMC adduction
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface
Measure the shortest distance between center of the proximal digital crease of the thumb and the distal palmar crease directly over the 5th MCP joint
Thumb: MCP flexion
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx Normal end feel: hard or firm
Thumb: MCP extension
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx Normal end feel: firm
Thumb: IP flexion
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of IP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of distal phalanx Normal end feel: firm
Thumb: IP extension
Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface
Flex IP joint by pushing the dorsal surface of the distal phalanx
Normal end feel: firm
