Practical Questions Flashcards

1
Q

ROM: MP Flexion

A

0-90 degrees

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2
Q

ROM: MP Extension (Hyperextension)

A

0-45 degrees

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3
Q

ROM: MP Abduction

A

No normal ROM

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4
Q

ROM: MP Adduction

A

very little adduction beyond zero; typically not measured

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5
Q

ROM: PIP Flexion

A

0-100 degrees

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6
Q

ROM: PIP Extension

A

back to 0 degrees; (some people have -16 degrees of hyperextension, but most people don’t have any)

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7
Q

ROM: DIP Flexion

A

0-90 degrees

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8
Q

ROM: DIP Extension

A

back to 0 degrees

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9
Q

ROM: Thumb MP Flexion

A

0-50 degrees

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10
Q

ROM: Thumb MP Extension

A

0 degrees

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11
Q

ROM: Thumb IP Flexion

A

0-80 degrees

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12
Q

ROM: Thumb IP Extension (Hyperextension)

A

0-20 degrees (hyperextension)

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13
Q

ROM: Hip Flexion

A

0-120 degrees

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14
Q

ROM: Hip Extension

A

0-30 degrees

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15
Q

ROM: Knee Flexion

A

0-135 degrees

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16
Q

ROM: Ankle dorsiflexion

A

0-20 degrees

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17
Q

ROM: Ankle plantar flexion

A

0-50 degrees

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18
Q

MMT: MP Flexion Substitutions

A

Flexor digitorum superficialis, flexor digitorum profundus, flexor digiti minimi brevis, and opponens digiti minimi

19
Q

MMT: MP Extension Substitutions

A

Flexion of the wrist will produce IP extension through a tenodesis action

20
Q

MMT: MP Flexion Primary Movers

A

Lumbricals (all 4); Dorsal and Palmar Interossei

21
Q

MMT: MP Extension Primary Movers

A

extensor digitorum, extensor indices, extensor digiti minimi

22
Q

MMT: PIP Flexion Primary Movers

A

flexor digitorum superficialis

23
Q

MMT: PIP Flexion Substitutions

A

flexor digitorum profundus if DIP allowed to flex; wrist extension; relaxation of IP extension

24
Q

MMT: DIP Flexion Primary Movers

A

flexor digitorum profundus

25
Q

MMT: DIP Flexion Substitutions

A

wrist extension; make sure patient actively flexes the DIP joint rather than extending the DIP joint and then relaxing

26
Q

MMT: MP (digit) Abduction Primary Movers

A

dorsal interossei and abductor digiti minimi

27
Q

MMT: MP (digit) Abduction Substitutions

A

none

28
Q

MMT: MP (digit) Adduction Primary Movers

A

palmar interossei

29
Q

MMT: MP (digit) Adduction Substitutions

A

Prevent finger flexion b/c middle finger flexors can contribute to adduction

30
Q

MMT: Thumb MP Flexion Primary Movers

A

Flexor pollicis brevis

31
Q

MMT: Thumb MP Flexion Substitutions

A

Make sure patient keeps their thumb straight; if it is bent, the flexor pollicis longus can substitute

32
Q

MMT: Thumb IP Flexion Primary Movers

A

Flexor Pollicis longus

33
Q

MMT: Thumb IP Flexion Substitutions

A

Make sure that the patient does not extend and then relax the distal phalanx of the thumb at the beginning of the test, as this will make it look like the pt has actively flexed the IP joint

34
Q

MMT: Thumb MP Extension Primary Movers

A

Extensor Pollicis Brevis

35
Q

MMT: Thumb MP Extension Substitutions

A

Extension of the IP joint of thumb with carpometacarpal adduction in addition to extension of the MP joint indicates substitution by the extensor pollicis longus

36
Q

MMT: Thumb IP Extension Primary Movers

A

extensor pollicis longus

37
Q

MMT: Thumb IP Extension Substitutions

A

Muscles of the thenar eminence (abductor pollicis brevis, flexor pollicis brevis, and adductor pollicis) can extend the IP joint by flexing the carpometacarpal joint

38
Q

MMT: Thumb Abduction Primary Movers

A

abductor pollicis longus and brevis

39
Q

MMT: Thumb Abduction Substitutions

A

APL: extensor pollicis brevis (watch for pull towards dorsal surface of arm)
APB: abductor pollicis longus (watch for plane of motion to be toward radial side of hand, not perpendicular)

40
Q

MMT: Thumb Adduction Primary Movers

A

Adductor pollicis: oblique and transverse heads; 1st dorsal interosseus

41
Q

MMT: Thumb Adduction Substitutions

A

flexor pollicis longus and flexor pollicis brevis will flex thumb; extensor pollicis longus may try to sub for the thumb adductor - watch for CMC joint to extend

42
Q

MMT: Opposition Prime Movers

A

Opponens pollicis and opponens digiti minimi

43
Q

MMT: Opposition Substitutions

A

Flexor pollicis longus/brevis can draw the thumb across the palm to the little finger (contact would be with tips of fingers instead of pads); abductor pollicis brevis may substitute, but rotation component will not be present in motion