UE RISOM and MMT

Question 1

RISOM scapula elevation, depression, protraction, retraction

Answer 1

• pt side-lying

Question 2

RISOM shoulder horizontal abduction

Answer 2

pt supine, sh & elb flexed 90° with sh IR and forearm neutral (can also be done sitting with same arm position)

Question 3

RISOM shoulder horizontal adduction

Answer 3

pt supine, sh & elb flexed 90° with sh IR and forearm neutral (can also be done sitting with same arm position)

Question 4

RISOM shoulder flexion

Answer 4

pt supine shoulder 0° ( i.e. next to the trunk) elb flex 90°, forearm neutral (can also be done sitting with same arm position)

Question 5

RISOM shoulder extension

Answer 5

pt supine shoulder 0° ( i.e. next to the trunk) elb flex 90°, forearm neutral (can also be done sitting with same arm position)

Question 6

RISOM shoulder abduction

Answer 6

pt supine shoulder 0° ( i.e. next to the trunk) elb flex 90°, forearm neutral (can also be done sitting with same arm position)

Question 7

RISOM shoulder adduction

Answer 7

pt supine shoulder 0° ( i.e. next to the trunk) elb flex 90°, forearm neutral (can also be done sitting with same arm position)

Question 8

RISOM shouder IR

Answer 8

pt supine shoulder 0° ( i.e. next to the trunk) elb flex 90°, forearm neutral (can also be done sitting with same arm position)

Question 9

RISOM shoulder ER

Answer 9

pt supine shoulder 0° ( i.e. next to the trunk) elb flex 90°, forearm neutral (can also be done sitting with same arm position)

Question 10

MMT scapular elevation

Answer 10

http://youtu.be/PNIIyjAHBOA

Question 11

MMT serratus anterior

Answer 11

http://youtu.be/wFDzvP-sVxw

Question 12

MMT Rhomboids

Answer 12

http://youtu.be/dvTLy5bWO4U

Question 13

MMT Trapezius

Answer 13

http://youtu.be/uKyOqBPDDNA

Question 14

MMT shoulder flexion

Answer 14

Palpate Ant fibers of deltoid

http://youtu.be/RPrWAKWyXrY

Question 15

MMT shoulder ext

Answer 15

Palpate Latissimus dorsi & teres major

http://youtu.be/5MQ4AWe7Vtk

Question 16

MMT shoulder abduction

Answer 16

Palpate Middle deltoid and supraspinatus

http://youtu.be/tvykAQ0MCf8

Question 17

MMT shoulder adduction

Answer 17

• Tested supine as a group (pect major, lat dorsi, teres major)
• Use gravity negligeable grid

http://youtu.be/Lx57ByGqYo0

Question 18

MMT shoulder horizontal abduction

Answer 18

Palpate Posterior deltoid

http://youtu.be/PM0sOdH3eQk

Question 19

MMT shoulder horizontal adduction

Answer 19

*clav & sternal heads differential test

• this vid is not specific to pec major sternal head!
• Palpate Pectoralis major sternal head
• Palpate Pectoralis major clavicular head

http://youtu.be/5McMkhw1S4g

Question 20

MMT shoulder IR

Answer 20

Palpate Subscapularis

http://youtu.be/VVbzKZWYpmo

Question 21

MMT shoulder ER

Answer 21

Palpate Infraspinatus & teres minor

http://youtu.be/QUL6LQx5GI4

Question 22

MMT coracobrachialis

Answer 22

Shoulder flexion and adduction

http://youtu.be/wTpraIm2Egg

Question 23

MMT pec major sternal head

Answer 23

http://youtu.be/3HOHBDl1rlg

Question 24

RISOM - Elbow Flexion and extension

Answer 24

pt sitting, elbow 90° flexed, F/A in full supination

Question 25

RISOM - forearm supination

Answer 25

pt sitting elbow 90° flexed, F/A half range of pronation

Question 26

RISOM - forearm pronation

Answer 26

pt sitting elbow 90° flexed, F/A half range of supination

Question 27

MMT - elbow flexion

Answer 27

• Palpate Biceps brachii
• Palpate Brachialis & Brachioradialis

http://youtu.be/SiBgHXH8aWw

Question 28

MMT elbow extension

Answer 28

Palpate Triceps

http://youtu.be/hfg-jwkC0u8

Question 29

MMT - forearm supination and pronation

Answer 29

Forearm supinators

Palpate Supinator and biceps

Gravity negligible grading system*

Forearm pronators

Palpate Pronator teres & pronator quadrates

Gravity negligible grading system*

http://youtu.be/wrC6OVQPzAI

Question 30

RISOM - wrist

Answer 30

All wrist mvts: pt sitting F/A pronated, wrist in neutral position (0 degree)

Question 31

RISOM - fingers

Answer 31

Finger mvts: pt sitting, fingers in neutral position (as for MMT)

Question 32

MMT - wrist (flexion, extension, radial deviation, ulnar deviation)

Answer 32

http://youtu.be/pSy0Ks6DjME

Wrist flexion: FCR + FCU

Wrist extension: ECRL + ECRB + ECU

Wrist RD: FCR & ECRL & ECRB

Wrist UD: FCU & ECU

Question 33

MMT - wrist (flexor carpi ulnaris, flexor carpi radialis, extensor carpi ulnaris, and extensor carpi radialis longus/brevis)

Answer 33

3:30 - http://youtu.be/pSy0Ks6DjME

Flexor carpi radialis (FCR): Wrist flexion and radial deviation
Flexor carpi ulnaris (FCU): Wrist flexion and ulnar deviation

Extensor carpi ulnaris (ECU): Wrist ext & UD
Extensor carpi radialis longus and brevis (ECRL and ECRB): Wrist extension & radial dev

Question 34

MMT - thumb (flex and ext - MCP & IP, ABD, ABD radially, ADD, and opp)

Answer 34

http://youtu.be/EGRSt8h79y4

*gravity negligible grid

Thumb MCP flex: Flexor pollicis brevis

Thumb IP flexion: Flexor pollicis longus

Thumb MCP ext: Extensor pollicis brevis

Thumb IP ext: Extensor pollicis longus

Thumb abd: Abductor pollicis brevis

Thumb abd in a radial direction: Abductor pollicis longus

Thumb add: Adductor pollicis

Opposition of thumb and 5th finger: Opponens pollicis and opponens digiti minimi

Question 35

MMT fingers - ext (MCP and IP), abd (MCP), add (MCP), flex (MCP, 5th MCP, PIP, DIP)

Answer 35

http://youtu.be/QVaHyCUNJ9E

*gravity negligible grid

MCP extension: Extensor digitorum communis, extensor indicis, extensor digiti minimi

MCP abd: Dorsal interossei and abductor digiti minimi

MCP add: Palmar interossei

MCP flex & IP ext: Lumbricals

5th MCP flex: Flexor digiti minimi

Finger PIP flex: Flexor digitorum superficialis

Finger DIP flex: Flexor digitorum profundus