MMT - Actions Flashcards
1
Q
Scapular Elevation
A
- Upper Trapezius
- Palpate: on the shoulder, at the curve of the neck
- Resistance: place hands over each acromion and push down
2
Q
Scapular Depression
A
- Lower Trapezius
- Palpate: find inferior angle, palpate medial and inferior (between vertebral border and spine)
- Resistance: cup the inferior angle of scapula and push up
- Note: use alternate grading system because no against gravity position
3
Q
Scapular Abduction/Scapular Protraction
A
- Serratus Anterior
- Palpate: lateral ribs, just lateral to to inferior angle of scapula
- Resistance: axial border of scapula push towards back
4
Q
Shoulder Flexion
A
- Anterior Deltoid
- Palpate: immediately anterior to glenohumeral joint
- Resistance: distal end of humerus
5
Q
Shoulder Extension
A
- Latissmus Dorsi
- Palpate: resist extension, palpate with whole hand on back near armpit
- Resistance: distal end of humerus
6
Q
Shoulder Abduction
A
- Middle Deltoid
- Palpate: below acromion, lateral to glenohumeral joint
- Resistance: distal end of humerus
7
Q
Shoulder External Rotation
A
- Infraspinatus
- Palpate: use alternate position, inferior to spine of scapula
- Resistance: dorsal surface of distal forearm
8
Q
Shoulder Internal Rotation
A
- Pectoralis Major
- Palpate: use alternate position, palpate on chest
- Resistance: volar surface of distal forearm
9
Q
Elbow Flexion
A
- Biceps brachii
- Starting position: forearm/hand in supination
- Palpate: anterior surface of humerus
- Resistance: distal end of forearm, pull out into extension - Brachialis
- Starting position: forearm/hand in pronation
- Palpate: forearm pronated, medial to the distal biceps tendon
- Resistance: distal end of forearm, pull out into extension - Brachioradialis
- Starting position: forearm/hand in midposition like holding a beer
- Palpate: radial side of the proximal forearm
- Resistance: distal end of forearm, pull out into extension
10
Q
Elbow Extension
A
- Triceps
- Palpate: posterior surface of the humerus
- Resistance: make sure elbow is not locked, push at the proximal end of the posterior forearm to flex elbow
11
Q
Forearm Pronation
A
- Pronator teres
- Palpate: medial to the distal biceps tendon on the anterior side of the proximal forearm
- Resistance: weird handshake thing where you hold their forearm
12
Q
Forearm Supination
A
- Supinator
- Palpate: dorsal surface of the proximal forearm, near head of radius
- Resistance: resist on forearm from dorsal side
13
Q
Wrist Extension
A
- Extensor carpi radialis longus (ECRL)
- Palpate: tendon, dorsal surface of wrist, base of the 2nd metacarpal
- Resistance: back of the hand on radial side, push into flexion and ulnar deviation - Extensor carpi radialis brevis (ECRB)
- Palpate: tendon, dorsal surface of wrist, base of 3rd metacarpal
- Resistance: back of the hand, push into flexion - Extensor carpi ulnaris (ECU)
- Palpate: tendon, dorsal surface of the wrist, between head of ulna and base of the 5th metacarpal
14
Q
Wrist Flexion
A
- Flexor carpi radialis (FCR)
- Palpate: anterior side of the wrist, in line with 2nd metacarpal
- Resistance: metacarpals on the palm - Palmaris Longus
- Palpate: will stand out on anterior side of wrist if flexion is resisted or thumb/pinky opposition, may not be present
- Resistance: metacarpals on the palm - Flexor carpi ulnaris (FCU)
- Palpate: anterior surface of the wrist, ulnar side
- Resistance: head of the fifth metacarpal toward wrist extension and radial deviation
15
Q
Finger Metacarpophalangeal Extension
A
- Extensor digitorum
- Palpate: dorsal-ulnar surface of the proximal forearm, tendons are on dorsum of the hand
- Resistance: use one finger, push head of proximal phalanx - Extensor indicis (EI)
- Palpate: mid to distal dorsal forearm between radius and ulna, tendon is ulnar to ED tendon
- Resistance: use one finger, push head of proximal phalanx - Extensor digiti minimi (EDM)
- Palpate: tendon is ulnar to ED tendon
- Resistance: use one finger, push head of proximal phalanx
16
Q
Finger Distal Interphalangeal Flexion (DIP)
A
- Flexor digitorum profundus (FDP)
- Palpate: just volar to the ulna, proximal 1/3 of forearm
- Resistance: one finger on pad of their finger
17
Q
Finger Proximal Interphalangeal Flexion (PIP)
A
- Flexor digitorum superficialis (FDS)
- Palpate: volar surface, ulnar side, proximal forearm
- Resistance: use one finger, head of middle phalanx
18
Q
Finger Abduction (MP)
A
- Dorsal interossei (there are 4)
- Palpate: first is in webspace between first finger and thumb, dorsal side of hand
- Resistance: pinch fingers together at proximal phalanx - Abductor digiti minimi
- Palpate: ulnar border of fifth metacarpal
- Resistance: pinch fingers together at proximal phalanx
19
Q
Finger Adduction
A
- Volar palmar interossei (there are 3)
- Palpate: too deep, when atrophied the areas between metacarpals on palm appear sunken
20
Q
Thumb Interphalangeal Extension
A
- Extensor pollicis longus (EPL)
- Palpate: ulnar border of snuffbox, dorsal surface of proximal phalanx
- Resistance: push distal phalanx into flexion with one finger
21
Q
Thumb Metacarpophalangeal Extension (MP)
* don’t need to know resistance
A
- Extensor pollicis Brevis (EPB)
- Palpate: radial border of snuffbox (keep IP flexed)
22
Q
Thumb Abduction
A
- Abductor pollicis brevis
- Palpate: thenar eminence (muscley part at base of thumb)
- Resistance: press the first metacarpal toward adduction
23
Q
Thumb Interphalangeal Flexion
* don’t need to know resistance
A
- Flexor pollicis longus (FPL)
- Palpate: proximal phalanx, palmar surface
24
Q
Thumb Metacarpophalangeal Flexion (MP)
A
- Flexor pollicis brevis (FBP)
- Palpate: thenar eminence (muscley part at base of thumb)
- Resistance: use one finger to push the head of proximal phalanx to extension
25
Q
Thumb Adduction (CMC)
A
- Adductor pollicis
- Palpate: palmar surface of thumb webspace
- Resistance: puls head of proximal phalanx toward abduction
