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Pt Assessment- UE > ROM/MMT steps > Flashcards

ROM/MMT steps Flashcards

0
Q

Shoulder extension ROM

A 
Prone
Stabilize: lateral midline of thorax
Axis: mid acromion 
Trunk midline
Lateral epicondyle
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1
Q

Shoulder flexion ROM

A 
Pt supine
Stabilize: Ipsilateral shoulder prox to humeral head
Axis: Midpoint of lateral acromion
Midline of trunk
Lateral epicondyle
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2
Q

Shoulder aBduction ROM

A 
Side/supine 
Stabilize: ipsilateral shoulder proximal to humeral head
Axis: ant acromion
Parallel to sternum
Med epicondyle
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3
Q

Shoulder adduction ROM

A 
Supine with hand supinated
Stabilize: ipsilateral shoulder proximal to humeral head
Axis: ant acromion
Parallel to sternum *in frontal plane
Med epicondyle
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4
Q

Shoulder ER ROM

A 
Supine
Stabilize: ipsilateral shoulder with fingers over scapula **towel under humerus
Axis: olecranon process
Perpendicular to floor
Ulnar styloid process
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5
Q

Shoulder IR ROM

A 
Supine
Stabilize: ipsilateral shoulder with fingers over scapula **towel under humerus
Axis: olecranon process
Perpendicular to floor
Ulnar styloid process
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6
Q

Shoulder horizontal aBduction ROM

A 
Seated with shoulder aBducted 90' and elbow flexed
Axis: top of acromion
Perpendicular to C7
Lat epicondyle 
45 degrees
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7
Q

Shoulder horizontal adduction ROM

A 
Seated with shoulder aBducted to 90' and elbow flexed
Axis: top of acromion
Perpendicular to C7 and trunk 
Lat epicondyle 
135 degrees
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8
Q

Shoulder flexion MMT

A

Ant deltoid
Pt Sitting
Stabilize: sup aspect of ipsilateral shoulder
Palpate: ant aspect of shoulder distal to lateral 1/3 clavicle
Resist: don’t cross elbow jt

Gravity eliminated: side lying with arm on table

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9
Q

Shoulder extension MMT

A

Muscle: lats, teres major, post deltoid
Position: prone
Stabilize: thorax or scapula
Palpate: lateral to inf angle of scapula- post border of Axilla
Resistance: prox elbow on posterior aspect

Gravity eliminated: pt side lying with arm lying over draped table

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10
Q

Shoulder flexion and adduction MMT

A

Muscle: coracobrachialis
Position: sitting
Stabilize: sup shoulder
Palpate: proximal 1/3 of anteromedial arm
Resistance: anteromedial aspect of distal humerus
** modified scale

Gravity eliminated: sitting?

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11
Q

Shoulder aBduction MMT

A 
Muscle: middle Delt
Position: sitting
Stabilize: sup shoulder
Palpate: inf to tip of acromion
Resistance: proximal to elbow

Gravity eliminated: supine

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12
Q

Shoulder horizontal aBduction MMT

A 
Muscle: posterior Delt
Position: prone with arm 90' and forearm off table but not ER
Stabilize: ipsilateral scapula
Palpate: inf to lateral spine of scapula
Resistance: distal end of humerus

Gravity eliminated: sitting with arm supporter on a table

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13
Q

Shoulder horiz adduction MMT

A 
Muscle: pectoralis major 
Position: supine
Stabilize: ipsilateral shoulder 
Palpate: ant border of Axilla
Resistance: proximal to elbow

Gravity eliminated: sitting with arm on table

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14
Q

Shoulder ER MMT

A 
Muscle: infraspinatus, teres minor
Position: prone ** with towel under humerus 
Stabilize: ipsilateral thorax/scapula 
Palpate: proximal to wrist
Resistance:

Gravity eliminated: prone with arm hanging straight down

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15
Q

Shoulder IR MMT

A

Muscle: subscapularis, pect major, lats, teres major
Position: prone with towel under humerus and arm bent off table
Stabilize: ipsilateral thorax
Palpate: deep in Axilla along ant surface of scapula
Resistance: proximal wrist

Gravity eliminated: prone with arm hanging straight down

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16
Q

Elbow flexion ROM

A 
Position: supine with towel under distal humerus 
Stabilize: proximal humerus
Axis: lateral epicondyle
Arms: midline of humerus
           Radial styloid process
17
Q

Elbow extension ROM

A 
Position: supine with towel under distal humerus
Stabilize: proximal humerus
Axis: lateral epicondyle 
Arms: midline of humerus 
           Radial styloid
  • measure from 140-0. Start with elbow in flexed position
18
Q

Forearm pronation ROM

A

Position: seated with feet on floor and wrist in neutral
Stabilize: distal humerus on lateral side
Axis: ulnar styloid
Arms: parallel to midline of humerus
Dorsal side of wrist toward prox ulnar styloid

19
Q

Forearm supination ROM

A

Position: seated with feet on the floor and hand in neutral
Stabilize: lateral aspect of distal humerus
Axis: volar surface of wrist in line with ulnar styloid
Arms: parallel with ant midline of humerus
Volar surface of the wrist at level of ulnar styloid

20
Q

Wrist flexion ROM

A

Position: sitting with hand off table
Stabilize: dorsal surface of forearm
Axis: triquetrum bone (lunate if measuring on dorsal surface)
Arms: lateral midline of ulna towards olecranon (dorsal midline of forearm toward lat epicondyle if measuring dorsally)

Lateral midline of 5th metacarpal (if measuring dorsally- parallel to 3rd mc)

21
Q

Wrist extension (volar) ROM

A 
Position: sitting with hand off table 
Stabilize: ventral surface of forearm 
Axis: lunate bone 
Arms: midline of forearm toward bicipital tendon
Midline of 3rd metacarpal
22
Q

Elbow flexion MMT (biceps brachi)

A

Position: sitting with forearm supinated*
Stabilize: posterior humerus
Palpation: bicipital tendon on ant humerus
Resistance: proximal to wrist in direction of elbow ext

Gravity eliminated: sitting with arm on table moving across table

23
Q

Elbow flexion MMT (brachialis)

A

Position: sitting with forearm pronated*
Stabilize: post humerus
Palpation: medial to biceps (just under them)
Resistance: prox to wrist in direction of elbow ext

Gravity eliminated: pt sitting with arm supported on table

24
Q

Elbow flexion MMT (brachioradialis)

A

Position: sitting with forearm neutral*
Stabilize: post humerus
Palpation: anterolateral aspect of forearm, distal to lat epicondyle
Resistance: prox to wrist in direction of elbow ext

Gravity eliminated: pt sitting with arm supported on table

25
Q

Elbow extension MMT

A 
Muscle: triceps
Position: supine
Stabilize: same shoulder
Palpation: proximal to olecranon
Resistance: prox to wrist in direction of elbow flexion

Gravity eliminated: sitting

26
Q

Supination MMT

A

Muscle: supinated, biceps brachii
Position: seated with forearm pronated
Stabilize: inferolateral aspect of humerus
Palpation: distal to radial head
Resistance: volar surface of ulna, and dorsal surface of radius in direction of pronation * wrist in neutral bc if fully supinated Gravity is helping resist

Gravity eliminated: pt sitting with elbow resting on table and flexed to 90’

27
Q

Probation MMT

A

Muscle: pronator teres, pronator quadratus
Position: sitting with forearm supinated
Stabilize: inferolateral humerus
Palpation: anterior and proximal 1/3 forearm
Resistance: have pt with wrist neutral bc Gravity is helping if wrist is fully pronated

Gravity eliminated: pt sitting with elbow on table and flexed 90’

28
Q

Wrist flexion (ulnar deviation) MMT

A

Muscle: flexor carpi ulnaris
Position: sitting with forearm supinated
Stabilize: posterior aspect of distal forearm
Palpation: anteromedial wrist- proximal to pisiform
Resistance: volar side of 5th metacarpal bone in direction of wrist ext and radial deviation

Gravity eliminated: sitting with neutral wrist?

29
Q

Wrist flexion (radial deviation) MMT

A

Muscle: flexor carpi radialis
Position: sitting with forearm supinated
Stabilize: posterior aspect of distal forearm
Palpation: base of 2nd metacarpal just lateral to midline of forearm
Resistance: volar side of mc 1 and 2 in direction of ext and ulnar deviation

Gravity eliminated: sitting with neutral wrist

30
Q

Wrist extension (ulnar deviation) MMT

A

Muscle: extensor carpi ulnaris
Position: sitting with forearm pronated*
Stabilize: ant aspect of distal forearm
Palpation: ulnar side of wrist just distal to ulnar styloid
Resistance: dorsal aspect of 5th metacarpal in direction of wrist flex and rad dev

Gravity eliminated: sitting with wrist in neutral on table

31
Q

Wrist extension (radial deviation) MMT

A

Muscle: extensor carpi radialis longus and brevis
Position: sitting with arm pronated on table
Stabilize: ant side of distal forearm
Palpation: dorsal side of wrist at base of 2nd and 3rd metacarpals
Resistance: dorsal side of 1st and 2nd metacarpal in direction of flex and ulnar dev

Gravity eliminated: sitting with wrist in neutral on table

32
Q

Wrist aBduction (rad dev) ROM

A

Position: sitting with hand on table
Stabilize: dorsal surface of distal forearm
Axis: capitate
Arms: dorsal midline of forearm toward lat epicondyle
Dorsal midline of 3rd metacarpal

33
Q

Wrist adduction (ulnar dev) ROM

A

Position: sitting with hand on table
Stabilize: dorsal surface of distal forearm
Axis: capitate
Arms: dorsal midline of forearm toward lat epicondyle
Dorsal midline of 3rd metacarpal

34
Q

MCP flexion ROM

A 
Pt sitting 
Stabilize: metacarpal
Axis: dorsal aspect of MCP
Arms: dorsal midline of metacarpal
           Dorsal midline of proximal phalanx
35
Q

MCP extension ROM

A 
Pt sitting 
Stabilize: metacarpal
Axis: dorsal aspect of MCP
Arms: dorsal midline of metacarpal
           Dorsal midline of proximal phalanx

Use small flat goni

36
Q

PIP flexion ROM

A 
Sitting
Stabilize: proximal phalanx 
Axis: dorsal side of PIP
Arms: dorsal midline of prox phalanx 
           Dorsal midline of middle phalanx
100'
37
Q

PIP extension ROM

A 
Sitting
Stabilize: proximal phalanx 
Axis: dorsal side of PIP
Arms: dorsal midline of prox phalanx 
           Dorsal midline of middle phalanx
0'
38
Q

DIP flexion ROM

A 
Sitting
Stabilize: middle phalanx 
Axis: dorsal side of DIP
Arms: dorsal midline of middle phalanx 
           Dorsal midline of distal phalanx
70'
39
Q

DIP extension ROM

A 
Sitting
Stabilize: middle phalanx 
Axis: dorsal side of DIP
Arms: dorsal midline of middle phalanx 
           Dorsal midline of distal phalanx
20'
Use flat goni*
40
Q

Finger aBduction and adduction ROM

A 
Sitting with hand on table
Stabilize: metacarpals
Axis: dorsal MCP 
Arms: dorsal midline of metacarpal
          Dorsal midline of proximal phalanx

20’ for aB and add

Pt Assessment- UE (3 decks)

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