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Clinical Practice > UE MMT > Flashcards

UE MMT Flashcards

1
Q

Shoulder flexion

A

Primary M: anterior delt, supraspinatus
Secondary M: long head of biceps
Grade 2: side lying
Comp patterns: shoulder elevation, elbow flexion

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2
Q

Shoulder extension

A 
Primary M: posterior delt, latissisimus dorsi 
Secondary M: long head triceps
Grade 5: prone with PALM FACING UP
Grade 2: side lying
Comp patterns: shoulder abduction
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3
Q

Shoulder Abduction

A

Primary M: middle delt, supraspinatus
Secondary M: long head biceps
Grade 2:
Comp patterns:

*would want to assess scapular abduction and upward rotation (serratus anterior) before test

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4
Q

Shoulder ER

A 
Primary M: infraspinatus, teres minor
Secondary M: posterior deltoid
Grade 5: prone w tool underneath humerus 
Grade 2: seated with arm on the table
Comp patterns:
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5
Q

Shouler IR

A

Primary M: subscapularis, teres major
Secondary M: pectoralis major
Grade 2: seated with arm on table
Comp patterns:

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6
Q

Shoulder horizontal adduction

A 
Primary M: pectoralis major
Secondary M: latissimus dorsi
Grade 2: seated 
Grade 5: supine
Comp patterns: protraction

*you can bias sternal and clavicular heads

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7
Q

Shoulder horizontal abduction

A 
Primary M: posterior delt
Secondary M:  supraspinatus 
Grade 2: seated
Grade 5: prone
Comp patterns: shoulder extension/adduction combo, ER or IR
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8
Q

Scapular abduction and upward rotation (protraction)

A

Primary M: serratus anterior
Secondary M: pectorals minor
Grade 2: scapula moves towards the spine
Grade 5: seated, raise arm and push down just above elbow
Comp patterns:

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9
Q

Scapular elevation

A 
Primary M: upper trap, levator scap
Secondary M: rhomboids
Grade 5: seating 
Grade 2: prone
Comp patterns:
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10
Q

Scapular adduction (retraction)

A 
Primary M: middle trap, rhomboid major
Secondary M: upper and lower trap
Grade 2: prone w supported arm
Grade 5: prone
Comp patterns:
  • *posterior delt considerations, should be at least a grade 3
    • if posterior delt is a 2 or less apply pressure proximally
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11
Q

Scapular depression and adduction

A 
Primary M: lower and middle traps
Secondary M: latissimus dorsi
Grade 2: prone w arm supported. can complete full scapular ROM w out weight of the arm 
Grade 5: prone
Comp patterns:
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12
Q

Scapular retraction and downward rotation

A 
Primary M: rhomboid major and minor
Secondary M: levator scap
Grade 2: prone, can complete scapular ROM towards spine
Grade 5: prone with arm behind back
Comp patterns:

*can do Kendall method for grades 4 and 5

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13
Q

Scapular depression, Shoulder extension

A 
Primary M: latissimus dorsi
Secondary M: 
Grade 5: prone, head turned away. apply resistance above wrist out and down
Grade 2: partial ROM
Comp patterns:
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14
Q

Elbow Flexion

A

Primary M: biceps brachii, bracioradialis
Secondary M: pronator teres
Grade 5: sitting
Grade 2: sitting with arm horizontal and supported
Comp patterns:

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15
Q

Elbow Extension

A 
Primary M: triceps brachii
Secondary M: anconeus
Grade 5: supine with arm up in air
Grade 2: seated with arm in horizontal plane and supported
Comp patterns:
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16
Q

Pronation

A

Primary M: pronator teres, pronator quadratus
Secondary M: flexor carpi radialis
Grade 5: seated with elbow flexed, start in supination, as pt try to pronate, push into supination
Grade 2: seated with arm bent up “turn palm away from face”
Comp patterns:

17
Q

Supination

A

Primary M: biceps brachia and supinator
Secondary M:
Grade 5: seated with elbow flexed, pt begins in pronation, as they try to supinate push them back into pronation
Grade 2: seated w arm bent up “turn palm towards your face”
Grade 1: grade 5 position, palpate distal to radius on back of forearm
Comp patterns:

18
Q

Wrist Flexion

A 
Primary M: flexor carpi ulnaris and radialis
Secondary M: palmaris longus
Grade 5: sitting with arm on table
Grade 2: brachium is side lying
Comp patterns:
  • to bias flexor carpi ulnaris go into slight ulnar deviation
  • to bias flexor carpi radialis go into slight radial devision
19
Q

Wrist Extension

A

Primary M: extensor carpi radialis (longus and brevis), extensor carpi ulnaris
Secondary M: extensor digitorum
Grade 5: sitting with brachium resting on table
Grade 2: brachium is side lying
Comp patterns:

20
Q

MCP Flexion

A

Primary M: palmar interossei, lumbericals
Secondary M: flexor digitorum
Grade 5: brachium in supination, have pt bent at MCP joint
Grade 2: partial ROM
Comp patterns: flexion at DIP and PIP, wrist flexion

21
Q

MCP Extension

A

Primary M: extensor digitorum
Secondary M: extensor indicis, extensor digiti minimi
Grade 5: allow IP joints to be in slight flexion to isolate MCP
Grade 2: partial ROM
Comp patterns: wrist extension

22
Q

Finger abduction

A 
Primary M: dorsal interossei
Secondary M: 
Grade 5: forearm pronated and wrist in neutral "dont let me push your fingers together
Grade 2: partial ROM
Comp patterns:
23
Q

Finger adduction

A

Primary M: palmar interossei
Secondary M: flexor pollicis brevis, adductor pollicis
Grade 5: brachium in pronation “dont let me pull your fingers apart”
Grade 2: partial ROM
Comp patterns:

24
Q

PIP Flexion

A

Primary M: flexor digitorum superficialis
Secondary M: abductor digiti minimi, flexor digiti minimi
Grade 5: arm supinated, stabilize proximal phalanx and bend at PIP (do each finger individually)
Grade 2: partial ROM
Comp patterns:

25
Q

PIP Extension

A

Primary M: lumbricals
Secondary M: dorsal inerossei, palmar interossei
Grade 2: partial ROM
Comp patterns:

26
Q

DIP Flexion

A 
Primary M: flexor digitorum profundus 
Secondary M: 
Grade 5: brachium in supination, isolate DIP
Grade 2: partial ROM
Comp patterns:
27
Q

DIP Extension

A

Primary M: lumbricals
Secondary M: dorsal and palmar interossei
Grade 2: partial ROM
Comp patterns:

28
Q

Combined PIP and DIP flexion

A

Primary M:
Secondary M:
Grade 2:
Comp patterns:

29
Q

First MCP flexion

A

Primary M: flexor pollicis longus and brevis
Secondary M:
GRade 5: brachium in supination, “bring thump across hand w out bending other joints”
Grade 2: Partial ROM
Comp patterns:

30
Q

First MCP extension

A 
Primary M: extensor pollicis longus and brevis
Secondary M: 
Grade 5: "lift thumb towards ceiling"
Grade 2: Partial ROM
Comp patterns:
31
Q

First IP flexion

A 
Primary M: flexor pollicis longus
Secondary M: 
Grade 5: just distal portion of thumb, stabilize MP joint. brachium resting on ulnar surface
Grade 2: partial ROM
Comp patterns:
32
Q

First IP extension

A 
Primary M: extensor pollicis longus
Secondary M: 
Grade 5: just distal portion of thumb, stabilize MP joint. brachium resting on ulnar surface. 
Grade 2: partial ROM
Comp patterns:
33
Q

Thumb abduction

A

Primary M: abductor pollicis longus and brevis
Secondary M:
Grade 5: forearm supination, “move thumb towards ceiling”
Grade 2: full ROM in horizontal plane
Comp patterns: radial deviation

34
Q

Opposition

A

Primary M: opponent pollicis, opponens digiti minimi
Secondary M: abductor pollicis brevis
Grade 5: “make an O w tip of thumb and pinky” resistance applied to opponent pollicis
Grade 2: partial ROM
Comp patterns: wrist flexion

35
Q

Thumb adduction

A

Primary M: adductor pollicis
Secondary M: flexor pollicis brevis
Grade 5: forearm pronated with thumb out, try to push it out
Grade 2: full ROM with forearm side lying
Comp patterns: wrist extension

Clinical Practice (8 decks)

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