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MSK 1 > Practical 2_MMT > Flashcards

Practical 2_MMT Flashcards

1
Q

Patient position: sitting with forearm resting in supination on tabletop or forearm support; wrist in midrange flexion; fingers relaxed

Ask patient to bring their hand to their chest

Stabilizing hand: mid-volar forearm stabilizing against tabletop or forearm support

Resistive hand: mid-volar palm

Force application (direction): against flexion

A

Wrist Flexion

___________________

Gravity reduced

Patient position: sitting with forearm neutral (thumb up) and ulnar forearm and hand resting on tabletop

Stabilization: radial forearm against tabletop

Palpation: flexor carpi radialis and flexor carpi ulnaris at volar wrist

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2
Q

Patient position: sitting with forearm resting in pronation on tabletop or forearm support; wrist in midrange extension; fingers relaxed

Ask patient to bring their hand up towards their body/sky

Stabilizing hand: mid-dorsal forearm stabilizing against tabletop or forearm support

Resistive hand: dorsal metacarpals

Force application (direction): against extension

A

Wrist Extension

__________________

Gravity reduced

Patient position: sitting with forearm neutral (thumb up) and ulnar forearm and hand resting on tabletop

Stabilization: radial forearm against tabletop

Palpation: extensor carpi ulnaris, extensor carpi radialis longus, and extensor carpi radialis brevis at dorsal wrist

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3
Q

Patient position: sitting with forearm resting in pronation on tabletop or forearm support; wrist in midrange ulnar deviation; hand elevated or off table; fingers and thumb relaxed

Ask patient to move their hand outward

Stabilizing hand: dorsal forearm stabilizing against tabletop or forearm support

Resistive hand: ulnar aspect of 5th metacarpal

Force application (direction): against ulnar deviation

A

Ulnar Deviation

__________________

Gravity reduced

Patient position: sitting with forearm pronated and hand resting on tabletop

Stabilization: dorsal forearm against tabletop

Palpation: extensor carpi ulnaris at dorsal wrist; flexor carpi ulnaris at volar wrist

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4
Q

Patient position: sitting with forearm resting in neutral (thumb up) on tabletop or forearm support; wrist in midrange radial deviation; hand elevated or off table; fingers and thumb relaxed

Ask patient to move their hand inward towards body

Stabilizing hand: radial forearm stabilizing against tabletop or forearm support

Resistive hand: radial aspect of 2nd metacarpal in web space of thumb

Force application (direction): against radial deviation

A

Radial Deviation

__________________

Gravity reduced

Patient position: sitting with forearm pronated and hand resting on tabletop

Stabilization: dorsal forearm against tabletop

Palpation: extensor carpi radialis longus and brevis at dorsal wrist; flexor carpi radialis at volar wrist

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5
Q

Patient position: sitting with hand elevated and forearm supported in pronation or propped on elbow; wrist neutral; MCP(s) flexed, PIP(s) and DIP(s) extended (intrinsic plus position)

Ask patient to push fingers against hand

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of distal metacarpal(s)

Resistive hand: volar aspect of proximal phalanx (phalanges) and dorsal aspect of middle or distal phalanx (phalanges)

Force application (direction): against flexion of the MCP joint(s) and against extension of the IP joint(s)

A

MCP Flexion

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6
Q

Patient position: sitting with hand elevated and forearm supported in pronation or propped on elbow; wrist neutral; MCPs in midrange flexion with PIPs and DIPs in relaxed flexion

Ask patient to push fingers up against hand

Stabilizing hand: stabilizing (pinching) volar and dorsal aspect(s) of distal metacarpal(s)

Resistive hand: dorsal aspect(s) of proximal phalanx (phalanges)

Force application (direction): against extension

A

MCP Extension

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7
Q

Patient position: sitting with hand elevated and forearm supported in pronation or propped on elbow; wrist neutral

Ask patient to push finger up against finger

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of distal metacarpal

Resistive hand: lateral or medial aspect of proximal phalanx relative to middle finger

Force application (direction): against abduction or adduction, depending on movement being assessed

A

MCP Abduction and Adduction

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8
Q

Patient position: sitting with hand elevated and forearm supported in supination or propped on elbow; wrist neutral; PIP being tested in mild flexion; DIP relaxed; non-test fingers held in extension

Ask patient to push finger against finger

Stabilizing hand: holding non-test fingers in extension

Resistive hand: volar aspect of middle phalanx

Force application (direction): against flexion

A

PIP Flexion

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9
Q

Patient position: sitting with forearm pronated and hand elevated on forearm support or propped on elbow; MCP and PIP extension

Ask patient to push finger up against finger

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of proximal phalanx

Resistive hand: dorsal aspect of middle phalanx

Force application (direction): against extension

A

PIP Extension

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10
Q

Patient position: sitting with hand elevated and forearm supported in supination or propped on elbow; wrist neutral; PIP extended; DIP in mild flexion

Ask patient to bend finger up against finger

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of middle phalanx

Resistive hand: volar aspect of distal phalanx

Force application (direction): against flexion

A

DIP Flexion

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11
Q

Patient position: sitting with hand elevated and forearm supported in pronation or propped on elbow; PIP and DIP extended

Ask patient to lift finger up against finger

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of middle phalanx

Resistive hand: dorsal aspect of distal phalanx

Force application (direction): against extension

A

DIP Extension

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12
Q

Patient position: sitting with the forearm and hand supported in neutral; wrist neutral; thumb resting against the lateral aspect of the 2nd metacarpal

Ask patient to bend thumb across palm

Stabilizing hand: radial aspect of distal forearm stabilizing against tabletop

Resistive hand: anterior aspect of 1st metacarpal

Force application (direction): against flexion

A

Thumb CMC Flexion

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13
Q

Patient position: sitting with forearm and hand supported in neutral; wrist neutral; thumb resting against the lateral aspect of the 2nd metacarpal

Ask patient to extend thumb out to the side

Stabilizing hand: radial aspect of distal forearm stabilizing against tabletop or forearm support

Resistive hand: posterior aspect of 1st metacarpal

Force application (direction): against extension

A

Thumb CMC Extension

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14
Q

Patient position: sitting with the forearm and hand supported in neutral; wrist neutral; thumb in mild palmar abduction

Ask patient to move thumb down and in front

Stabilizing hand: radial aspect of distal forearm stabilizing against tabletop or forearm support

Resistive hand: lateral aspect of 1st metacarpal

Force application (direction): against palmar abduction

A

Thumb (CMC) Palmar Abduction

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15
Q

Patient position: sitting with the hand elevated and forearm supported in neutral (thumb up); wrist neutral; thumb in mild radial abduction

Ask patient to move thumb up against fingers

Stabilizing hand: dorsal aspect of distal forearm stabilizing against tabletop or forearm support

Resistive hand: lateral aspect of 1st metacarpal

Force application (direction): against radial abduction

A

Thumb CMC Radial Abduction

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16
Q

Patient position: sitting with the forearm and hand supported in neutral (thumb up); wrist neutral; thumb CMC supported in neutral; thumb MCP in mild flexion

Ask patient to bend thumb against pressure

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of distal 1st metacarpal

Resistive hand: volar surface of proximal phalanx

Force application (direction): against flexion

A

Thumb MCP Flexion

17
Q

Patient position: sitting with the forearm and hand supported in neutral (thumb up); wrist neutral; thumb CMC supported in neutral; thumb MCP extended

Ask patient to extend thumb against pressure

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of distal 1st metacarpal

Resistive hand: dorsal surface of proximal phalanx

Force application (direction): against extension

A

Thumb MCP Extension

18
Q

Patient position: sitting with the forearm and hand supported in neutral (thumb up); wrist neutral; thumb CMC and MCP supported in neutral; thumb IP in mild flexion

Ask patient to bend thumb against pressure

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of proximal phalanx

Resistive hand: volar surface of distal phalanx

Force application (direction): against flexion

A

Thumb IP Flexion

19
Q

Patient position: sitting with the forearm and hand supported in neutral (thumb up); wrist neutral; thumb CMC and MCP supported in neutral

Ask patient to extend thumb against pressure

Stabilizing hand: stabilizing (pinching) volar and dorsal aspects of proximal phalanx

Resistive hand: dorsal surface of distal phalanx

Force application (direction): against extension

A

Thumb IP Extension

20
Q

Patient position: seated with hip flexed to elevate thigh from surface of plinth

Ask patient to lift their knee up

Stabilizing hand: anterior pelvis stabilizing against plinth

Resistive hand: midpoint of anterior thigh

Force application (direction): against flexion

A

Hip Flexion

__________________

Gravity reduced

Patient position: side lying on non-test side, non-test hip and knee flexed to help stabilize

Stabilization: lateral hip and medial aspect of knee and lower leg

Palpation: iliopsoas (psoas major and iliacus) at anterior hip

21
Q

Patient position: prone on plinth with hip in midrange extension

Ask patient to lift their leg up against pressure

Stabilizing hand: posterior aspect of pelvis stabilizing against mat

Resistive hand: midpoint of posterior thigh

Force application (direction): against extension

A

Hip Extension

__________________

Gravity reduced

Patient position: side lying on non-test side, non-test hip and knee flexed to help stabilize

Stabilization: posterior hip and medial aspect of knee and lower leg

Palpation: gluteus maximus, semimembranosus, semitendinosus, and biceps femoris at posterior hip

22
Q

Patient position: side lying on non-test side with hip in midrange abduction, non-test hip and knee flexed to help stabilize

Ask patient to lift their leg up against pressure

Stabilizing hand: lateral aspect of pelvis

Resistive hand: distal aspect of lateral thigh

Force application (direction): against abduction

A

Hip Abduction

__________________

Gravity reduced

Patient position: supine

Stabilization: posterior aspect of thigh and lower leg

Palpation: tensor fasciae latae at lateral hip

23
Q

Patient position: side lying on test leg, with non-test leg supported by practioner in abduction

Ask patient to lift their leg up against pressure

Stabilizing hand: supporting non-test leg in abduction

Resistive hand: distal aspect of medial thigh

Force application (direction): against adduction

A

Hip Adduction

__________________

Gravity reduced

Patient position: supine with non-test left abducted (to allow room for test leg movement)

Stabilization: posterior thigh and lower leg

Palpation: adductor longus, adductor brevis, adductor magnus at medial aspect of proximal thigh

24
Q

Patient position: sitting with hips and knees in 90 degrees flexion and legs off plinth

Ask patient to move their leg inward against pressure

Stabilizing hand: anterior thigh stabilizing against plinth

Resistive hand: distal aspect of medial tibia

Force application (direction): against external rotation

A

Hip External Rotation

__________________

Gravity reduced

Patient position: supine with hip and knee supported in flexion

Stabilization: posterior aspect of distal lower leg

Palpation: gluteus maximus, piriformis, obturator internus/externus, gemellus superior/inferior at posterior aspect of hip

25
Q

Patient position: sitting with hips and knees in 90 degrees flexion and legs off plinth

Ask patient to move their leg outward against pressure

Stabilizing hand: anterior thigh stabilizing against plinth

Resistive hand: distal aspect of lateral fibula

Force application (direction): medial

A

Hip Internal Rotation

__________________

Gravity reduced

Patient position: supine with hip and knee supported in flexion

Stabilization: posterior aspect of distal lower leg

Palpation: gluteus medius and gluteus minimus

26
Q

Patient position: prone with knee in approximately 90 degrees flexion

Ask patient to bend knee so foot touches backside

Stabilizing hand: posterior femur stabilizing against mat

Resistive hand: distal posterior tibia just proximal to ankle

Force application (direction): against flexion

A

Knee Flexion

__________________

Gravity reduced

Patient position: side lying on non-test side; hip neutral

Stabilization: supporting thigh and lower leg

Palpation: semimembranosus, semitendinosus, and biceps femoris at posterior knee

27
Q

Patient position: sitting with knee extended and towel roll beneath thigh for stability

Ask patient to kick knee out against pressure

Stabilizing hand: anterior thigh stabilizing against mat

Resistive hand: distal anterior tibia

Force application (direction): against extension

A

Knee Extension

__________________

Gravity reduced

Patient position: side lying on non-test side; hip neutral

Stabilization: supporting thigh and lower leg

Palpation: rectus femoris, vastus intermedius, vastus lateralis, and vastus medialis proximal to patella

28
Q

Patient position: prone with foot off plinth; knee extended; ankle dorsiflexed

Ask patient to push foot against pressure

Stabilizing hand: posterior tibia stabilizing leg against plinth

Resistive hand: plantar surface of foot over metatarsals

Force application (direction): against plantar flexion

A

Ankle Plantar Flexion

__________________

Gravity reduced

Patient position: side lying on side to be tested, with knee extended; non-test hip and knee flexed and supported on plinth

Stabilization: lower leg elevated slightly from plinth

Palpation: gastrocnemius at proximal posterior tibia

29
Q

Patient position: sitting with lower leg supported

Ask patient to push foot up against pressure

Stabilizing hand: anterior tibia

Resistive hand: dorsal surface of foot over metatarsals

Force application (direction): against dorsiflexion

A

Ankle Dorsiflexion

__________________

Gravity reduced

Patient position: side lying on side to be tested, with knee flexed; non-test hip and knee flexed and supported on plinth

Stabilization: lower leg elevated slightly from plinth

Palpation: tibialis anterior at distal anterior tibia

30
Q

Patient position: side lying on side to be tested, with foot off plinth; non-test leg supported with hip and knee flexed

Ask patient to push foot up against pressure

Stabilizing hand: medial tibia stabilizing against plinth

Resistive hand: medial aspect of forefoot (metatarsals)

Force application (direction): against inversion

A

Ankle Inversion

__________________

Gravity reduced

Patient position: supine with ankle off plinth

Stabilization: anterior distal tibia against plinth

Palpation: tibialis posterior at posterior medial malleolus

31
Q

Patient position: side lying on non-test side, with side being tested supported and off plinth

Ask patient to push foot up against pressure

Stabilizing hand: lateral lower leg

Resistive hand: lateral forefoot (metatarsals)

Force application (direction): against eversion

A

Ankle Eversion

__________________

Gravity reduced

Patient position: supine with ankle off plinth

Stabilization: anterior distal tibia against plinth

Palpation: fibularis longus and brevis distal to lateral malleolus

MSK 1 (10 decks)

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