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MMT Flashcards

1
Q

MMT: Scapular Elevation

A

ADL: Putting on a jacket
Prime Movers: Upper Trapezius and Levator Scapulae
Patient Position: Seated- Shoulders are slightly abducted, and the elbows are flexed to 90°
Proper Stabilization: Weight of the head
Resistance: Over the top of the shoulders
Gravity Eliminated Position: Prone

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2
Q

MMT: Scapular Depression

A

ADL: Taking off a jacket or raincoat
Prime Movers: Lower Trapezius
Patient Position: Prone- The head is rotated to the opposite side, and the shoulder is abducted to about 130°.
Proper Stabilization: Weight of the trunk
Resistance: Applied over the scapula
Gravity Eliminated Position:

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3
Q

MMT: Scapular Adduction

A

ADL: Pulling a door open
Prime Movers: Middle Trapezius
Patient Position: Prone- The shoulder is abducted to 90° and laterally rotated so the thumb points toward the ceiling.
Proper Stabilization: Weight of the trunk
Resistance: Applied at the distal forearm
Gravity Eliminated Position: Seated

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4
Q

MMT: Scapular Abduction/Lateral Rotation

A

ADL: turning the wheel of a car
Prime Movers: Serratus Anterior
Patient Position: Supine- The shoulder is flexed to 90° with slight horizontal adduction and the elbow is extended.
Proper Stabilization: Weight of the trunk
Resistance: Applied on the distal end of the humerus
Gravity Eliminated Position: Seated

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5
Q

MMT: Shoulder Flexion (to 90°)

A

ADL: Putting a star on the christmas tree
Prime Movers: Anterior Deltoid
Patient Position: Seated- The arm is at the side, with the shoulder in slight abduction and the palm facing medially.
Proper Stabilization: Scapula and Clavicle
Resistance: Applied on anteromedial aspect of the arm just proximal to the elbow joint
Gravity Eliminated Position: Side-lying

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6
Q

MMT: Shoulder Extension

A

ADL: Pulling the curtain blinds down
Prime Movers: Teres Major and Latissimus Dorsi
Patient Position: Prone at the end of the plinth- The arm is at the side, with the shoulder in internal rotation. The palm faces the ceiling.
Proper Stabilization: Weight of the trunk and scapula
Resistance: Applied proximal to the elbow joint on the posteromedial aspect of the arm
Gravity Eliminated Position: Side-lying

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7
Q

MMT: Shoulder Abduction (to 90°)

A

ADL: Snow angels
Prime Movers: Middle Deltoid and Supraspinatus
Patient Position: Seated- test arm is at the side in neutral rotation, and the elbow is extended.
Proper Stabilization: Scapula
Resistance: Applied proximal to the elbow joint on the lateral aspect of the arm
Gravity Eliminated Position: Supine

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8
Q

MMT: Shoulder Adduction (to 90°)

A

ADL:
Prime Movers: Coracobrachialis, Latissimus Dorsi
Patient Position: Seated- test arm is at the side in neutral rotation, and the elbow is extended.
Proper Stabilization: Scapula
Resistance: Applied proximal to the elbow joint on the medial aspect of the arm
Gravity Eliminated Position: Supine

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9
Q

MMT: Shoulder Horizontal Abduction

A

ADL: Cleaning bathroom counter
Prime Movers: Posterior Deltoid, Teres Minor, and Infraspinatus
Patient Position: Prone- Shoulder is abducted to about 75°, the elbow is flexed to 90°, and the forearm is hanging vertically over the edge of the plinth.
Proper Stabilization: Scapula
Resistance: Applied on the posterolateral aspect of the arm proximal to the elbow joint

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10
Q

MMT: Shoulder Horizontal Adduction

A

ADL: Passing a note to the person next to you
Prime Movers: Anterior Deltoid, and Pectoralis Major (both heads)
Patient Position: Supine- shoulder is abducted to 90° and elbow is flexed to 90°.
Proper Stabilization: Weight of the trunk and over the contralateral shoulder to prevent lifting
Resistance: Applied on the anterior aspect of the arm proximal to the elbow joint
Gravity Eliminated Position: Seated

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11
Q

MMT: Shoulder Internal Rotation

A

ADL:
Prime Movers: Subscapularis, Pectoralis MAjor, Latissimus Dorsi, Teres Major, and Anterior Deltoid
Patient Position: Prone- shoulder is abducted to 90°, elbow is flexed to 90°, and the arm proximal to the elbow is resting on the plinth.
Proper Stabilization: Humerus to prevent shoulder adduction
Resistance: Applied proximal to the wrist joint
Gravity Eliminated Position: Seated

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12
Q

MMT: Shoulder External Rotation

A

ADL: Reaching up to give a high five
Prime Movers: Teres Minor, Infraspinatus, and Posterior Deltoid
Patient Position: Prone- shoulder is abducted to 90°, elbow is flexed to 90°, and the arm proximal to the elbow is resting on the plinth.
Proper Stabilization: Humerus to prevent shoulder adduction
Resistance: Applied proximal to the wrist joint on the posterior aspect of the forearm
Gravity Eliminated Position: Seated

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13
Q

MMT: Elbow Flexion

A

ADL: Eating/makeup
Prime Movers: Biceps Brachii
Patient Position: Patient seated with elbow flexed to 90 degrees
Proper Stabilization: On humerus just proximal to elbow
Resistance: Just distal to elbow
Gravity Eliminated Position: Seated with arm on table

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14
Q

MMT: Elbow Extension

A

ADL: Setting down the groceries
Prime Movers: Triceps
Patient Position: Patient lying supine with shoulder and elbow flexed (hand comes over face)
Proper Stabilization: On humerus
Resistance: On proximal to wrist joint on posterior aspect of forearm
Gravity Eliminated Position: Side-lying

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15
Q

MMT: Forearm Supination

A

ADL: Flipping cards over during game
Prime Movers: Supinator and Biceps Brachii
Patient Position: Sitting with elbow tucked to side and at 90 degrees
Proper Stabilization: N/A
Resistance: Fingers interlocked, hands over wrist
Gravity Eliminated Position: Supine

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16
Q

MMT: Forearm Pronation

A

ADL: Putting top on a can
Prime Movers: Pronator Teres and Pronator Quadratus
Patient Position: Sitting with elbow tucked to side and at 90 degrees
Proper Stabilization: just above elbow on lateral side
Resistance: Fingers interlocked, hands over wrist
Gravity Eliminated Position: Supine

17
Q

MMT: Wrist Flexion and Radial Deviation

A

ADL: Folding sheets/towels
Prime Movers: Flexor Carpi Radialis
Patient Position: Sitting with forearm supinated and supported on table. Wrist is extended and in ulnar deviation and fingers and thumb are relaxed
Proper Stabilization: At forearm, proximal to wrist
Resistance: Applied distal to the wrist over the thenar eminence or the lateral aspect of the palm
Gravity Eliminated Position: Forearm in mid position

18
Q

MMT: Wrist Flexion and Ulnar Deviation

A

ADL:
Prime Movers:
Patient Position: Sitting with forearm supinated and supported on table. Wrist is extended and in radial deviation and fingers and thumb are relaxed
Proper Stabilization: At forearm, proximal to wrist
Resistance: Over hypothenar eminence
Gravity Eliminated Position: Forearm in mid position

19
Q

MMT: Wrist Flexion

A

ADL:
Prime Movers: Flexor Carpi Radialis and Flexor Carpi Ulnaris
Patient Position: Sitting with forearm supinated and supported on table. Wrist is extended and in ulnar deviation and fingers and thumb are relaxed
Proper Stabilization: At forearm, proximal to wrist
Resistance: Across mid palm
Gravity Eliminated Position: Forearm in mid position

20
Q

MMT: Radial Deviation

A

ADL:
Prime Movers: Flexor Carpi Radialis
Patient Position: Sitting with forearm supinated and supported on table. Wrist is extended and in ulnar deviation and fingers and thumb are relaxed
Proper Stabilization: At forearm, proximal to wrist
Resistance:
Gravity Eliminated Position: Forearm in mid position

21
Q

MMT: Wrist Extension and Ulnar Deviation

A

ADL:
Prime Movers: Extensor Carpi Ulnaris
Patient Position: Sitting with forearm pronated and supported on table. Wrist is extended and in radial deviation and fingers and thumb are relaxed
Proper Stabilization: At forearm, proximal to wrist
Resistance:
Gravity Eliminated Position:

22
Q

MMT: Wrist Extension and Radial Deviation

A

ADL:
Prime Movers: Extensor Carpi Radialis Longus and Extensor Carpi Radialis Brevis
Patient Position: Sitting with forearm pronated and supported on table. Wrist is extended and in ulnar deviation and fingers and thumb are relaxed
Proper Stabilization: At forearm, proximal to wrist
Resistance:
Gravity Eliminated Position:

23
Q

MMT: Finger MCP Extension

A

ADL:
Prime Movers: Extensor Digitorum Communis, Extensor Indicis Proprius, Extensor Digiti Minimi
Innervation: Posterior Interosseous (C7, C8) for all
Patient Position: Sitting with forearm pronated, wrist in neutral, IP joints flexed (patient extends all 4 MCP joints while maintaining flexion at IP’s)
Proper Stabilization: Metacarpals
Resistance: Dorsal aspect of proximal phalanges of each digit (into MCP flexion)

24
Q

MMT: Finger MCP Abduction

A

ADL:
Prime Movers: Dorsal Interosseous, Abductor Digiti Minimi
Innervation: Ulnar N. (C8, T1) for both
Patient Position: Sitting with forearm pronated, wrist in neutral, fingers extended and abducted
Proper Stabilization: DI: Dorsum of hand over metacarpal bones, ADM- Wrist and lateral ulnar three metacarpals
Resistance: Proximal phalanx of finger being tested

24
MMT: Finger MCP Abduction
ADL: Prime Movers: Lumbricals Innervation: Ulnar N. (C8, T1) for both Patient Position: Sitting with forearm pronated, wrist in neutral, fingers extended and abducted Proper Stabilization: DI: Dorsum of hand over metacarpal bones, ADM- Wrist and lateral ulnar three metacarpals Resistance: Proximal phalanx of finger being tested
25
MMT: Finger MCP Adduction
ADL: Prime Movers: Palmar Interosseous Innervation: Ulnar (C7, C8) Patient Position: Sitting with forearm supinated, wrist in neutral, fingers abducted (patient adducts the index, ring, and little finger towards the middle finger Proper Stabilization: Metacarpal bones and wrist Resistance: Proximal phalanx direction of abduction
26
MMT: Finger MCP Flexion and IP Extension
ADL: Prime Movers: Lumbricals Innervation: 4th and 5th- Ulnar (C8, T1), 2nd and 3rd- Median (C8, T1) Patient Position: Sitting with forearm supinated, wrist in neutral, MCP joints extended and adducted, IP joints are slightly flexed (patient flexes MCP joints while extending IP joints) Proper Stabilization: Metacarpals Resistance: Volar surface of proximal phalanx and dorsal surface of middle phalanx
27
MMT: 5th Finger MCP Flexion
ADL: Prime Movers: Flexor Digiti Minimi Innervation: Ulnar N. (C8, T1) Patient Position: Sitting with forearm supinated, wrist in neutral, fingers extended (patient flexes the MCP joint of little finger) Proper Stabilization: Metacarpals Resistance: Volar aspect of the proximal phalanx of little finger
28
MMT: Finger PIP Flexion
ADL: Prime Movers: Flexor Digitorum Superficialis Innervation: Median (C8, T1) Patient Position: Sitting with forearm supinated, wrist in neutral, fingers extended (patient flexes the PIP joint of each finger while maintaining DIP joint extension) Proper Stabilization: Metacarpals and proximal phalanx of each finger being tested Resistance: May hold non tested digits in extension to limit FDP
29
MMT: Finger DIP Flexion
ADL: Prime Movers: Flexor Digitorum Profundus Innervation: 4th and 5th finger- Ulnar (C8-T1), 2nd and 3rd finger -Anterior Interosseous branch of median nerve (C8, T1) Patient Position: Sitting with forearm supinated, wrist in neutral, test finger extended (patient flexes Dip joint through full ROM) Proper Stabilization: Proximal and Middle Phalanges Resistance: Volar aspect of distal phalanx in direction of extension
30
MMT: Thumb IP Flexion
ADL: Prime Movers: Flexor Pollicis Longus Innervation: Anterior Interosseous branch of median nerve (C8, T1) Patient Position: Sitting with forearm supinated, wrist in neutral, thumb extended Proper Stabilization: Wrist, thumb, metacarpal and proximal phalanx Resistance: Volar surface of distal phalanx in direction of extension
31
MMT: Thumb MCP Flexion
ADL: Prime Movers: Flexor Pollicis Brevis Innervation: Superficial Head- Median, Deep- Ulnar (C8, T1) Patient Position: Sitting with forearm supinated, wrist in neutral, thumb extended and abducted. (Patient flexes the MCP joint while maintaining ext of IP joint. Proper Stabilization: Wrist and thumb metacarpal. Resistance: Volar aspect of the proximal phalanx in the direction of extension.
32
MMT: Thumb MCP Extension
ADL: Prime Movers: Extensor Pollicis Brevis Innervation: Posterior Interosseous (C7, C8) Patient Position: Sitting with forearm in neutral, wrist in neutral, thumb MCP and IP joints are flexed. (Patient extends the MCP joint of the thumb while maintaining slight flexion of the IP joint) Proper Stabilization: First metacarpal Resistance: Dorsal surface of proximal phalanx in direction of flexion
33
MMT: Thumb Radial Abduction (thumb CMC abduction)
ADL: Prime Movers: Abductor Pollicis Longus Innervation: Posterior Interosseous (C7, C8) Patient Position: Sitting with forearm in supination, wrist in neutral, thumb is adducted again the volar aspect of index finger. (patient abducts thumb in radial direction) Proper Stabilization: Wrist and 2nd metacarpal Resistance: Lateral aspect of thumb metacarpal
34
MMT: Thumb Radial Abduction (thumb CMC extension)
ADL: Prime Movers: Abductor Pollicis Brevis Innervation: Median N. (C8, T1) Patient Position: Sitting with forearm in supination, wrist in neutral, thumb is adducted again the volar aspect of index finger. (patient abducts thumb at right angle to index finger) Proper Stabilization: Wrist and 2nd metacarpal Resistance: Lateral aspect of proximal phalanx in direction of adduction
35
MMT: Thumb Adduction
ADL: Prime Movers: Adductor Pollicis Innervation: Ulnar (C8, T1) Patient Position: Sitting with forearm in supination, wrist in neutral. Fingers are extended and MCP and IP joints of thumb extended. The thumb is in palmar abduction. (patient adducts thumb while maintaining flexion of the MCP and IP joints) Proper Stabilization: Wrist and the 2nd-5th metacarpals Resistance: Medial aspect of proximal phalanx
36
MMT: Opposition of Thumb and Fifth Finger
ADL: Prime Movers: Opponens Pollicis and Opponens Digiti Minimi Innervation: Median (C8, T1), Ulnar (C8, T1) Patient Position: Sitting with forearm in supination, wrist in neutral. Fingers are extended and MCP and IP joints of thumb extended. The thumb is in palmar abduction. Patient flexes thumb and little finger so the pads are touching. Proper Stabilization: Distal Forearm Resistance: Applied on the volar surface of the thumb and 5th MC. (both resisted simultaneously)

Applied Practical 3 (2 decks)

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