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Clin skills 1 > Hand ROM and MMT > Flashcards

Hand ROM and MMT Flashcards

1
Q

Finger MCP flexion

A

Testing position: Sitting, forearm and hand on a supporting surface; forearm in 0°supination and pronation; wrist in neutral; MCP joint in 0°abduction and adduction; PIP and DIP joints relaxed

Stabilization: metacarpal to prevent the wrist motion

Axis: dorsal aspect of MCP
SA: dorsal midline of metacarpal
MA: dorsal midline of proximal phalanx
AASO: 90

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2
Q

Finger MCP extension

A

Testing Position: seated with forearm supported and in neutral; PIP and DIP relaxed
Stabilization: metacarpal to prevent wrist motion

Axis: Dorsal aspect of the MCP
SA: dorsal aspect of the metapcarpal
MA: dorsal aspect of the proximal phalanx
AASO: 45

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3
Q

Finger abduction MCP

A

Testing position: seated, forearm in pronation; wrist neutral; PIP/DIP extended

Stabilization: metacarpal to prevent wrist motion

Axis: dorsal aspect of the MCP
SA: dorsal aspect of the midline of the metacarpal
MA: dorsal midline aspect of the proximal phalnax
AASO:

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4
Q

Finger Adduction MCP

A

testing position: Seated, forearm in pronation; wrist in neutral; PIP and DIP extended

Stabilization: Metacarpal for wrist motion

Axis: Dorsal aspect of MCP
SA: Dorsal midline of the metacarpal
MA: Dorsal midline of the proximal phalanx
AASO:

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5
Q

PIP flexion

A

testing position: sitting; forearm and hand on a supporting surface; forearm in neutral; wrist and MCP in neutral

Stabilization: proximal phalanx to prevent MCP joint motion

Axis: Dorsal aspect of the PIP
SA: Dorsal midline of the proximal phalanx
MA: dorsal midline of the middle phalanx
AASO: 100

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6
Q

PIP extension

A

testing position: sitting; forearm and hand on supporting surface; forearm in neutral; wrist and MCP in neutral

Stabilization: proximal phalanx to prevent MCP joint motion

Axis: Dorsal aspect of the PIP
SA: Dorsal midline of proximal phalanx
MA: Dorsal midline of middle phalanx
AASO: 0`

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7
Q

DIP flexion

A

testing position: seated; forearm and wrist supported; forearm pronated; wrist, MCP, and PIP in neutral

Stabilization: middle phalanx to prevent PIP motion

Axis: dorsal aspect of the DIP joint
SA: Dorsal midline of middle phalanx
MA: Dorsal midline of the distal phalanx
AASO: 90

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8
Q

DIp extension

A

testing position: seated forearm and hand on supporting surface; forearm in neutral; wrist and MCP in neutral

Stabilization: middle phalanx to prevent PIP motion

Axis: dorsal aspect of DIP
SA: dorsal midline of middle phalanx
MA: dorsal aspect of distal phalanx
AASO: 0

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9
Q

Thumb CMC flexion

A

Testing position: seated, forearm and hand on supporting surface; forearm in full supination and wrist in neutral; thumb in contact with the lateral aspect of the second metacarpal

Stabilization: Carpals distal radius and ulna to prvent wrist motion

Axis: Palmar aspect of the CMC joint (thumb)
SA: ventral midline of the radius using radial styloid process to reference
MA: ventral aspect of the 1st metacarpal
AASO: 15`

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10
Q

Thumb CMC extension

A

Testing position: seated, forearm and hand on supporting surface; forearm in full supination and wrist in neutral; thumb in contact with the lateral aspect of the second metacarpal

Stabilization: Carpals distal radius and ulna to prvent wrist motion

Axis: Palmar aspect of the CMC joint (thumb)
SA: ventral midline of the radius using radial styloid process to reference
MA: ventral aspect of the 1st metacarpal
AASO: 20

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11
Q

CMC abduction Thumb

A

Testing position:sitting; forearm and hand supported; forearm and wrist neutral; start with thumb in contact with the lateral aspect of the 2nd metacarpal

Stabilization: carpals and metacarpal to prevent wrist motion

Axis: lateral aspect of the thumb CMC
SA: 2nd metacarpal
MA: metacarpal
AASO:70

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12
Q

CMC adduction thumb

A

Testing position:sitting; forearm and hand supported; forearm and wrist neutral; start with thumb in contact with the lateral aspect of the 2nd metacarpal

Stabilization: carpals and metacarpal to prevent wrist motion

Axis: lateral aspect of the thumb CMC
SA: 2nd metacarpal
MA: metacarpal
AASO

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13
Q

MCP flexion Thumb

A

Testing position: seated; forearm and hand on supporting surface; forearm supinated; wrist, CMC, and IP joints all in neutral

Stabilization: 1st metacarpal to prevent wrist motion and CMC flexion

Axis: Dorsal aspect of first MCP joint
SA: Dorsal midline of first metacarpal
MA: Dorsal midline of 1st proximal phalanx
AASO: 50º

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14
Q

MCP thumb extension

A

Testing position: seated; forearm and hand on supporting surface; forearm supinated; wrist, CMC, and IP joints all in neutral

Stabilization: 1st metacarpal to prevent wrist motion and CMC extension

Axis: Dorsal aspect of first MCP joint
SA: Dorsal midline of first metacarpal
MA: Dorsal midline of 1st proximal phalanx
AASO: 0º

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15
Q

IP flexion

A

Testing position: sitting; forearm and hand supported; forearm supinated; Wrist, CMC, and MCP joints in neutral

Stabilization: First proximal phalanx to prevent MCP flexion

Axis: Dorsal aspect to the 1st IP joint
SA: Dorsal midline of the 1st proximal phalanx
MA: dorsal midline of the 1st distal phalanx
AASO: 0-80º

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16
Q

IP extension

A

Testing position: sitting; forearm and hand supported; forearm supinated; Wrist, CMC, and MCP joints in neutral

Stabilization: First proximal phalanx to prevent MCP extension

Axis: Dorsal aspect to the 1st IP joint
SA: Dorsal midline of the 1st proximal phalanx
MA: dorsal midline of the 1st distal phalanx
AASO: 0-20

17
Q

Lumbricals:
-position
-movement
-resistance

A

Position: seated; forearm supinated and supported on a flat surface; fingers extended

Movement: MCP flexion and extended PIP/DIP

Resistance: proximal phalanx (each one separately)

18
Q

Dorsal interrossei:
-position
-movement
-resistance

A

-position: Seated forearm pronated; wrist neural; fingers adducted
-movement: finger abduction
-resistance: proximal phalanx

19
Q

Palmar interossei:
-position
-movement
-resistance

A

-position: seated, forearm pronated, fingers abducted
-movement: finger adduction
-resistance: proximal phalanx

20
Q

FDS:
-position
-movement
-resistance

A

-position: dorsum of the hand on the table, wrist and MCP in neutral
-movement: PIP flexion and DIP flexion
-resistance: middle phalanx

21
Q

FDP:
-position
-movement
-resistance

A

-position: dorm of hand on the table, wrist and MCP in neutral
-movement: DIP flexion
-resistance: distal phalanx

22
Q

Extensors (digits)
-position
-movement
-resistance

A

-position: Palmar surface of hand on the table with wrist neutral, MCP flexed to 90º
-movement: MCP extension with IPS flexed
-resistance: proximal phalanx

23
Q

FPL
-position
-movement
-resistance

A

-position: dorm of the hand on table with wrist neutral and thumb adducted
-movement: thumb MCP and IP flexion
-resistance: distal phalanx thumb

24
Q

EPL/EPB
-position
-movement
-resistance

A

-position: ulnar border of the hand on table MCP abducted, IP flexed
-movement: MCP and IP extension
-resistance: longus - distal phalanx thumb, brevis – proximal phalanx thumb

25
Q

APL
-position
-movement
-resistance

A

-position: ulnar border of hand on table
-movement: thumb abducts
-resistance: metacarpal

26
Q

adductor pollicis
-position
-movement
-resistance

A

-position: thumb abducted
-movement thumb adducts
-resistance: proximal phalanx

27
Q

Opponens Pollicis:
-position
-movement
-resistance

A

-position: dorsum of hand on table and forearm supinated
-movement: thumb opposition
-resistance: 1st metacarpal

28
Q

FPB
-position
-movement
-resistance

A

-position: Dorsum of hand on table wrist neutral and thumb adducted
-movement: thumb MCP and IP flexion
-resistance: proximal phalanx

29
Q

Abductor Pollicis brevis
-position
-movement
-resistance

A

-position: ulnar border of hand on the table
-movement: thumb Abducted
-resistance: thumb proximal phalanx

30
Q

Opponens digiti minimi
-position
-movement
-resistance

A

-position: dorsum of hand on table, forearm supinated test with opponens pollicis
-movement: 5th finger opposition
-resistance: 5th metacarpal

Clin skills 1 (18 decks)

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