Study Cards for the Practical

Question 1

Average ROM for shoulder flexion

Answer 1

0-180 degrees

Question 2

Average ROM for shoulder extension

Answer 2

0-60 degrees

Question 3

Average ROM for shoulder abduction

Answer 3

0-180 degrees

Question 4

Average ROM for shoulder external rotation

Answer 4

0-90 degrees

Question 5

Average ROM for shoulder internal rotation

Answer 5

0-70 degrees

Question 6

Average ROM for elbow flexion

Answer 6

0-150 degrees

Question 7

Average ROM for pronation

Answer 7

0-80 degrees

Question 8

Average ROM for supination

Answer 8

0-80 degrees

Question 9

Average ROM for wrist extension

Answer 9

0-70 degrees

Question 10

Average ROM for wrist flexion

Answer 10

0-80 degrees

Question 11

Average ROM for radial deviation

Answer 11

0-20 degrees

Question 12

Average ROM for ulnar deviation

Answer 12

0-30 degrees

Question 13

Average ROM for scaption

Answer 13

0-180 degrees

Question 14

Testing position for ROM shoulder flexion, shoulder abduction, shoulder internal rotation, external rotation, elbow flexion, and elbow extension is ___?

Answer 14

Supine

Question 15

Testing position for ROM shoulder extension is ____?

Answer 15

prone

Question 16

Testing position for ROM supination, pronation, wrist flexion, wrist extension, radial deviation, and ulnar deviation is _____?

Answer 16

sitting

Question 17

T/F: For ROM wrist flexion and extension, the forearm should be supported but the wrist should be hanging off the surface and freely moving

Answer 17

True

Question 18

T/F: For ROM radial and ulnar deviation, the forearm and the hand should both be resting on the supporting surface

Answer 18

true

Question 19

The ROM bony landmarks for shoulder flexion and extension are

Answer 19

Fulcrum: greater tubercle of humerus (lateral aspect)
Stable arm: parallel to thorax
Mobile arm: lateral midline of humerus

Question 20

The ROM bony landmarks for shoulder abduction are

Answer 20

Fulcrum: anterior acromial process
Stable: parallel to thorax
Mobile: anterior midline of humerus –> medial epicondyle

Question 21

The ROM bony landmarks for shoulder internal and external rotation are

Answer 21

Fulcrum: olecranon process
Stable: perpendicular to floor
Mobile: styloid process of ulna

Question 22

The ROM bony landmarks for elbow flexion and extension are

Answer 22

Fulcrum: lateral epicondyle
Stable: lateral midline of humerus
Mobile: lateral midline of radius with radial styloid as reference

Question 23

What are the ROM bony landmarks for supination and pronation?

Answer 23

Fulcrum: ulnar styloid process
Stable: perpendicular to the floor
Moving: across ventral (dorsal for pronation) aspect of arm

Question 24

What are the ROM bony landmarks for wrist flexion and extension?

Answer 24

Fulcrum: lateral aspect of wrist over triquetrum
Stable: lateral midline of ulna (olecranon process)
Moving: lateral midline of fifth metacarpal

Question 25

What are the ROM bony landmarks for radial and ulnar deviation?

Answer 25

Fulcrum: dorsal aspect of wrist over the capitate Stable: dorsal midline of forearm Moving: dorsal midline of third metacarpal

Question 26

Prime movers for MMT shoulder flexion

Answer 26

anterior deltoid, coracobrachialis, supraspinatus

Question 27

Substitutions for MMT shoulder flexion

Answer 27

biceps (external rotation), upper trap (shoulder elevation), pec major (horizontal adduction), and leaning back

Question 28

The testing position for MMT shoulder flexion, abduction, caption, wrist flexion, wrist extension, elbow flexion, supination, and pronation is

Answer 28

short sitting

Question 29

The testing position for MMT shoulder extension, shoulder internal rotation, external rotation, and elbow extension is

Answer 29

prone on table

Question 30

Prime movers for MMT shoulder extension

Answer 30

latissimus dorsi, posterior deltoid, and teres major

Question 31

Prime movers for MMT shoulder abduction

Answer 31

deltoid (middle) and supraspinatus

Question 32

Substitutions for MMT shoulder abduction

Answer 32

biceps (externally rotate)

Question 33

Prime movers for MMT shoulder internal rotation

Answer 33

subscapularis, pec major, latissimus dorsi, anterior deltoid, and teres major (SPLAT)

Question 34

Prime Movers for MMT shoulder external rotation

Answer 34

infraspinatus, teres minor, and posterior deltoid

Question 35

Prime movers for MMT scaption

Answer 35

anterior/middle deltoid, supraspinatus, and coracobrachialis

Question 36

Substitutions for MMT scaption

Answer 36

biceps (external rotation), upper trap (elevation), pec major (horizontal adduction), and leaning back

Question 37

Prime movers for MMT wrist flexion

Answer 37

flexor carpi radialis, flexor carpi ulnaris

Question 38

Prime movers for MMT wrist extension

Answer 38

extensor carpi radialis longus, extensor carpi radialis brevis, and extensor carpi ulnaris

Question 39

Prime movers for elbow extension

Answer 39

triceps and anconeus

Question 40

substitutions for MMT elbow extension

Answer 40

external rotation and horizontal adduction

Question 41

Prime movers for MMT elbow flexion

Answer 41

biceps brachiii, brachialis, and brachioradialis

Question 42

Prime movers for MMT Supination

Answer 42

supinator and biceps

Question 43

Substitutions for MMT supination

Answer 43

pt may externally rotate or horizontal adduct

Question 44

Prime movers for MMT pronation

Answer 44

pronator teres and pronator quadratus

Question 45

Substitutions for MMT pronation

Answer 45

patient may internally rotate the shoulder or abduct it

Question 46

Name the 3 MMT that have more than one position you have to test in (this is not referring to gravity eliminated positions)

Answer 46

Wrist flexion, wrist extension, and elbow flexion