MMT for elbow , forearm , wrist

Question 1

elbow flexion biceps MMT:
* nerve inn
* nerve supply
* how is patient positioned
°what do you ask the patient to do
*where do you stabilize
* where do you push/pull

Answer 1

*nerve inn- C5-C6
* nerve supply - Musculocutaneous
* how is patient positioned- sitting with arm in neutral and supinated
°what do you ask the patient to do- fully flex arm in neutral
*where do you stabilize - shoulder
* where do you push/pull- distal forearm

Question 2

elbow flexion brachialis MMT:
* nerve inn
* nerve supply
* how is patient positioned
°what do you ask the patient to do
*where do you stabilize
* where do you push/pull

Answer 2

*nerve inn- C5-C6
* nerve supply - Musculocutaneous
* how is patient positioned- sitting with arm pronated
°what do you ask the patient to do- fully flex arm in pronated position
*where do you stabilize - shoulder
* where do you push/pull- distal forearm

Question 3

elbow flexion brachioradialis MMT:
* nerve inn
* nerve supply
* how is patient positioned
°what do you ask the patient to do
*where do you stabilize
* where do you push/pull

Answer 3

*nerve inn- C5-C6
* nerve supply - radial
* how is patient positioned- sitting with arm half neutral (thumb up)
°what do you ask the patient to do- fully flex arm with thumb up
*where do you stabilize - shoulder
* where do you push/pull- distal forearm

Question 4

elbow extension triceps MMT:
* nerve inn
* nerve supply
* how is patient positioned
°what do you ask the patient to do
*where do you stabilize
* where do you push/pull

Answer 4

*nerve inn- C7- C8
* nerve supply - radial
* how is patient positioned- supine with shoulder in 90°
°what do you ask the patient to do- flex elbow slightly and resist
*where do you stabilize - shoulder
* where do you push/pull- push at distal wrist

Question 5

forearm supination (supinator and biceps brachii) MMT:
* nerve inn
* nerve supply
* how is patient positioned
*where do you stabilize
* where do you push/pull

Answer 5

*nerve inn- C5- C6
* nerve supply - sup: deep radial ; biceps: MSK
* how is patient positioned- sitting with arm in supination at 90° of elbow flexion
*where do you stabilize - stabilize on the medial side of the elbow and place your other hand on underneath their distal forearm with ur thumb in line with the radius
* where do you push/pull- twist the patients forearm out of supination (twist inwards)

Question 6

forearm pronation (pronator teres & pronator quadratus) MMT:
* nerve inn
* nerve supply
* how is patient positioned
*where do you stabilize
* where do you push/pull

Answer 6

*nerve inn- C6-T1
* nerve supply - median
* how is patient positioned- sitting with arm in pronation at 90° of elbow flexion
*where do you stabilize - stabilize on the lateral side of the elbow and place your other hand on underneath their distal forearm with ur thumb in line with the radius
* where do you push/pull- twist the patients forearm out of pronation

Question 7

radial wrist flexion (flexor carpi radialis) MMT:
* nerve inn
* nerve supply
* how is patient positioned
*where do you stabilize
* where do you push/pull

Answer 7

• nerve inn- C6-C7
• nerve supply - median
• how is patient positioned- sitting with forearm resting on table and supinated and wrist flexed
  *where do you stabilize - one hand is underneath the wrist and the other hand has 2 fingers on base of 1st and 2nd metacarpal
• where do you push/pull- pull in the direction of wrist extension and ulnar deviation

Question 8

ulnar wrist flexion (flexor carpi ulnaris) MMT:
* nerve inn
* nerve supply
* how is patient positioned
*where do you stabilize
* where do you push/pull

Answer 8

• nerve inn- C8-T1
• nerve supply - ulnar
• how is patient positioned- sitting with forearm resting on table and supinated and wrist flexed
  *where do you stabilize - one hand is underneath the wrist and the other hand has 2 fingers on base of the 5th metacarpal
• where do you push/pull- pull in the direction of wrist extension and radial deviation

Question 9

radial wrist extension (ECRL, ECRB) MMT:
* nerve inn
* nerve supply
* how is patient positioned
*where do you stabilize
* where do you push/pull

Answer 9

• nerve inn- C6-7
• nerve supply - radial
• how is patient positioned- sitting with forearm resting on table and pronated and wrist extended
  *where do you stabilize - one hand is underneath the wrist and the other hand has 2 fingers on dorsum of 1st and 2nd metacarpals
• where do you push/pull- pull in the direction of wrist flexion and ulnar deviation

Question 10

ulnar wrist extension (ECU) MMT:
* nerve inn
* nerve supply
* how is patient positioned
*where do you stabilize
* where do you push/pull

Answer 10

• nerve inn- C6-C8
• nerve supply - deep radial
• how is patient positioned- sitting with forearm resting on table and pronated and wrist extended
  *where do you stabilize - one hand is underneath the wrist and the other hand has 2 fingers on dorsum of the 5th metacarpal
• where do you push/pull- pull in the direction of wrist flexion and ulnar deviation