ROM and MMT Flashcards
Measure ROM of Shoulder IR/ER
IR: on stomach w/towel under humerus ER: on back w/towel under humerus Axis: olecranon Stable arm: vertical Movable arm: ulna Normal ROM: ER 80-90 IR 70
MMT Shoulder IR/ER
On stomach Stabilization: humerus (prevent add.) Resistance location: wrist Stabilization: trunk Therapist support: UE weight
Hor. Adduction/ Abduction ROM
Sitting Axis: Acromion Stable arm: Perpendicular to trunk Moving arm: Humerus End feel: Firm/soft ROM 135 and 45
ROM Shoulder flexion/Extension
Flex: face up Ext Prone Axis: lateral GHJ Stable arm: thorax Movable arm: humerus Normal rom 180 (Ext 60)
ROM Shoulder Abduction
Flex: face up Axis: anterior GHJ Stable arm: thorax Movable arm: humerus Normal rom 180
ROM Elbow Flexion and extension
Face up, Towel under humerus Axis: lateral epicondyle Stable arm: humerus Movable arm: radial styloid process Normal range 150, 0 to -10 End feel for extension is hard/firm
ROM Pronation and supination
Sitting, 90° elbow flexion. Patient stabilize humerus Axis: 3rd digit Stable arm: vertical Movable arm: dorsal wrist Normal ROM 80-90 for both
ROM wrist Flexion and extension
Sitting, forearm pronated & supported, hand off table Therapist stabilizes forearm Axis: ulnar styloid process Stable arm: ulna Movable arm: 5th metacarpal Normal ROM: 80 flex 70 extend
ROM Radial and Ulnar deviation
Sitting forearm pronated & supported, hand on table Axis: capitate Stable arm: forearm midline Movable arm: 3rd metacarpal Normal range 20 redial 30 ulnar
ROM of MCP, PIP and DIP Extension of MCP
Sitting, forearm in midposition, wrist in neutral, fingers relaxed Axis: dorsal/ventral MCP, PIP or DIP Stable arm: metacarpal, PP, MP Movable arm: proximal phalanx, MP or DP Normal Ranges, 90 MCP (ext 45), 100 PIP, 90 DIP
Finger MCP abduction/adduction
Sitting, forearm pronated, wrist in neutral, fingers in anatomical position Axis: dorsal MCP Stable arm: metacarpal Movable arm: proximal phalanx
MMT EI, ED, EDM / Finger MCP extension
pt: forearm on the table with fingers over edge. Fingers in a claw position with flexed PIP and DIP. stabilize: distal metacarpal, notice tendons popping up resistance: prox phalanges, all 4 at once with equal pressure.
4 Dorsal interossei / MCP finger ABD
pt: palm on table
AROM: all 4 fingers in ADD then spread fingers apart
stabilize: hand/wrist if you want
resist: into ADD (twd middle finger) at prox phalax
ABD of Pinky?
Same except supinated so you can palpate abd digiti minimi.
3 Palmar interossei / MCP finger ADD
*no middle finger test
pt: palm on table with a little gap between fingers
AROM: start with fingers apart the bring together
resist: try to push on prox phalanx away from middle finger
Lumbricals / MCP flexion, PIP & DIP extend
pt: wrist and forearm in neutral, hold the table top position
AROM: start in claw (extension of MCP and flex of PIP and DIP → go into table top)
resist: rotate around PIP so trying to flex PIP and extend MCP. Can test them all at the same time or one by one
Flexor Digiti Minimi / 5th MCP flexion
pt: supinated and table top just the pinky
stabilize: block the other digits
resist: 5th prox phalanx, make sure no ADB
EPB / Thumb MCP extend
push down to pinky but make sure IP doesn’t extend so keep it slightly flex throughout the test
FPB / thumb MCP flexion:
do it
Abd pollicis brevis/ Palmar ABD of thumb
pt: forearm supinated, bring thumb straight up to the ceiling
stabilize: wrist and 2nd metacarpal, allow CMC to move
resist: straight down on the PROX phalanx
ADD pollicis/thumb ADD: very strong muscle
pt: forearm supinated, tip of thumb to base of 2nd metacarpal which give you something to grip
stabilize: wrist and 2nd metacarpal, allow CMC to move
resistance: bring up to the ceiling on distal part of prox phalanx
Opponens pollicis & opponens digiti minimi/ Opposition
pt: forearm supinated, tip of thumb to tip of pinky but then relax so they don’t touch
resistance: grip hypothenar and thenar eminence and try to pull them apart.
