Performance Exam 3 Flashcards
ROM and MMT for fingers: ROM introduction and explanation__________________________________ patient in correct start position_________________________________ directions and demonstration accurate___________________________ axis correct placement_______________________________________ stationary arm correct placement_______________________________ moveable arm correct placement_______________________________ accurate measurement_______________________________________ accurate recording
(1) ROM: MCP flexion and IP extension
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported, hand in neutral position
directions and demonstration accurate - I am going to move your fingers for you. Can you (flex your proximal phalanx and extend your middle and distal phalanges) for me?
axis correct placement - MCP
stationary arm correct placement - Metacarpal
moveable arm correct placement - Proximal Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-90 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(2) ROM: MCP extension
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported, hand in neutral position
directions and demonstration accurate - I am going to move your fingers for you. Can you (extend your proximal phalanx and flex your middle and distal phalanges) for me?
axis correct placement - MCP
stationary arm correct placement - Metacarpal
moveable arm correct placement - Proximal Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-45 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(3) ROM: MCP abduction
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported; pronated- hand palm down (index and middle fingers), supinated-palm up (ring and pinky fingers) in relaxed position
directions and demonstration accurate - I am going to move your fingers for you. Can you (abduct your finger) for me?
axis correct placement - MCP
stationary arm correct placement - Metacarpal
moveable arm correct placement - Proximal Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-15 or 0-30 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(4) ROM: MCP adduction
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported; pronated- hand palm down (index and middle fingers), supinated-palm up (ring and pinky fingers) in relaxed position
directions and demonstration accurate - I am going to move your fingers for you. Can you (adduct your finger) for me?
axis correct placement - MCP
stationary arm correct placement - Metacarpal
moveable arm correct placement - Proximal Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-15 or 0-30 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(5) ROM: PIP flexion
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported in neutral position
directions and demonstration accurate - I am going to move your fingers for you. Can you (flex the middle of your finger) for me?
axis correct placement - PIP
stationary arm correct placement - Proximal Phalax
moveable arm correct placement - Middle Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-100 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(6) ROM: DIP flexion
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported in neutral position
directions and demonstration accurate - I am going to move your fingers for you. Can you (flex the tip of your finger) for me?
axis correct placement - DIP
stationary arm correct placement - Middle Phalax
moveable arm correct placement - Distal Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-90 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(7) ROM: Thumb MCP flexion
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported, slightly supinated, palm up, wrist slightly ulnar deviated
directions and demonstration accurate - I am going to move your fingers for you. Can you (flex your thumb across your palm) for me?
axis correct placement - Sellar Joint
stationary arm correct placement - MC I
moveable arm correct placement - Proximal Phalanx
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-50 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(8) ROM: Thumb IP flexion
introduction and explanation - Hi, my name is Max and I will be your therapist today. We are going to be working with your hand today to see how flexible and how strong you are.
patient in correct start position - sitting with arm supported, slightly supinated, palm up, wrist slightly ulnar deviated
directions and demonstration accurate - I am going to move your fingers for you. Can you (flex the tip of your thumb across your palm) for me?
axis correct placement - IP I
stationary arm correct placement - Proximal Phalanx of first digit
moveable arm correct placement - Distal Phalanx of first digit
accurate measurement - make sure the goniometer is aligned properly and that all surfaces are in contact; make sure the reading is appropriate (WNL)
accurate recording of ROM - 0-80 degrees
precautions and safety of patient - appropriate blocking, use a towel to support wrist and elbow if available
(9) MMT: MCP flexion & IP extension (Lumbricales)
introduction and explanation - Hi, my name is Max. I will be your therapist today. I want to see how strong your fingers are.
patient in correct start position - sitting with arm supported in midposition, neutral wrist, MCP extended and adducted, IP slightly flexed
directions and demonstration accurate - I am going to move your fingers. Can you (flex our MCP while extending your IP) for me?
patient performs motion - at least a three
stabilization applied correctly - MCs
manual resistance applied correctly - palm of proximal phalanx, dorsum of middle phalanx
assign grade - can not palpate for 1-2
(10) MMT: MCP extension
introduction and explanation - Hi, my name is Max. I will be your therapist today. I want to see how strong your fingers are.
patient in correct start position - sitting with arm supported, wrist over edge of the table, hand in a fist
directions and demonstration accurate - I am going to move your fingers. Can you (extend your MCP while flexing your IP) for me?
patient performs motion - at least a three
stabilization applied correctly - MCs
manual resistance applied correctly - dorsum of proximal phalanx
assign grade - can palpate extensor digitorum/indicis/minimi for a grade of 1-2
(11) MMT: MCP abduction
introduction and explanation - Hi, my name is Max. I will be your therapist today. I want to see how strong your fingers are.
patient in correct start position - sitting with arm supported, pronated-palm down (dorsal interossei); supinated-palm up (digiti minimi)
directions and demonstration accurate - I am going to move your fingers. Can you (abduct your MCP) for me?
patient performs motion - at least a three
stabilization applied correctly - dorsal interossei: dorsum of hand at MC & wrist; digiti minimi: wrist, lateral 3 MCs
manual resistance applied correctly - proximal phalanx
assign grade - can not palpate for 1-2
(12) MMT: MCP adduction
introduction and explanation - patient in correct start position - directions and demonstration accurate - patient performs motion - stabilization applied correctly - stabilize MP manual resistance applied correctly - assign grade - Note: not for middle finger (MCP III);
(13) MMT: PIP flexion
introduction and explanation - patient in correct start position - directions and demonstration accurate - patient performs motion - stabilization applied correctly - stabilize all 4 MPs manual resistance applied correctly - assign grade -
(14) MMT: DIP flexion
introduction and explanation -
patient in correct start position -
directions and demonstration accurate -
patient performs motion -
stabilization applied correctly - stabilize all 4 PIPs
manual resistance applied correctly - push down on DIPs
assign grade -
(15) MMT: Thumb MP flexion
introduction and explanation -
patient in correct start position -
directions and demonstration accurate -
patient performs motion -
stabilization applied correctly - stabilize MCI
manual resistance applied correctly - distal head of MP
assign grade -
