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Assessment II > Upper Extremity MMT > Flashcards

Upper Extremity MMT Flashcards

1
Q

Shoulder Flexion

A

MUSCLE: Anterior Deltoid
POSITION: Sitting
STABILIZE: Superior aspect of ipsilateral shoulder
PALPATION: Anterior aspect of shoulder joint distal to lateral 1/3 of clavicle
RESISTANCE: Proximal to elbow in direction of extension

GRAVITY ELIMINATED: Side lying (slide across documentation table)

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2
Q

Shoulder Flexion & ADduction

A

MUSCLE: Coracobrachialis
POSITION: Sitting
STABILIZE: Superior aspect of ipsilateral shoulder
PALPATION: Proximal 1/3 of anteromedial arm, anterior to brachial pulse
RESISTANCE: Anteromedial aspect of distal humerus in the direction of shoulder extension (and abduction)

GRAVITY ELIMINATED: None

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3
Q

Shoulder Extension

A

MUSCLE: Latissimus Dorsi, Teres Major, Posterior Deltoid
POSITION: Prone
STABILIZE: Thorax or Scapula
PALPATION: Lateral to inferior angle of scapula
RESISTANCE: Proximal to elbow on posteromeial aspect of arm in the direction of shoulder flexion (wrist sup or pro not important

GRAVITY ELIMINATED: Side Lying

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4
Q

Shoulder ABduction

A

MUSCLE: Middle Deltoid, Supraspinatus
POSITION: Sitting
STABILIZE: Superior aspect of ipsilateral shoulder
PALPATION: Inferior to tip of acromion process
RESISTANCE: Proximal to elbow on lateral aspect of arm in the direction of shoulder ADduction (patient palm face floor - thumb forward)

GRAVITY ELIMINATED: Supine

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5
Q

Shoulder Horizontal ABduction

A

MUSCLE: Posterior Deltoid
POSITION: Prone
STABILIZE: Ipsilateral scapula
PALPATION: Inferior to lateral aspect of spine of scapula
RESISTANCE: Distal end of the humerus in the direction of horizontal ADduction

GRAVITY ELIMINATED: Sitting

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6
Q

Shoulder Horizontal ADduction

A

MUSCLE: Upper & Lower Pectoralis Major
POSITION: Supine
STABILIZE: Ipsilateral shoulder/ upper thorax
PALPATION: Sternal head - anterior border of axilla, Clavicular head - inferior to middle of anterior border
RESISTANCE:Proximal to elbow in the direction of horizontal

GRAVITY ELIMINATED: Sitting or supine

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7
Q

Shoulder External Rotation

A

MUSCLE: Infraspinatus & Teres Minor
POSITION: Prone (w/towel)
STABILIZE: Ipsilateral thorax or scapula if scapular stabilizers are weak
PALPATION: Inferior to spine of scapula (infraspinatus) & axillary border of scapula (teres major)
RESISTANCE: Proximal to wrist in direction of internal rotation

GRAVITY ELIMINATED: Prone (arm straight down)

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8
Q

Shoulder Internal Rotation

A

MUSCLE: Subscapularis, Pectoralis major, latissimus dorsi, teres major
POSITION: Prone (w/towel)
STABILIZE: Ipsilateral thorax or scapula if scapular stabilizers are weak
PALPATION: Deep in the axilla along anterior surface of scapula with patient in prone
RESISTANCE: Proximal to wrist in the direction of external rotation

GRAVITY ELIMINATED: Prone (arm straight down)

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9
Q

Scapular Elevation

A

MUSCLE: Upper trapezius, levator scapulae
POSITION: Sitting
STABILIZE: None, bilateral test
PALPATION: Lateral to cervical spinous processes
RESISTANCE: Superior aspect of shoulders, towards depression (test bilaterally at same time)

GRAVITY ELIMINATED: Prone

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10
Q

Scapula ABduction & Upward (Lateral) Rotation

A

MUSCLE: Serratus anterior
POSITION: Supine or sitting
STABILIZE: Ipsilateral thorax
PALPATION: Lateral aspect of upper ribs 8-9 ribs just anterior to lateral border of scapula
RESISTANCE: Grasp above & below elbow, push downward toward scapular adduction (can stand for more leverage)

GRAVITY ELIMINATED: sitting (arm retracts over table)

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11
Q

Scapula ADduction

A

MUSCLE: Middle trapezius
POSITION: Prone
STABILIZE:Opposite thorax
PALPATION: Between the vertebral border of the scapula and the spinous process of lower cervical and upper thoracic vertebrae of side being tested
RESISTANCE: Lateral aspect of scapula in the direction of scapular abduction (middle of scapula - push with heel of hand)

GRAVITY ELIMINATED: Sitting

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12
Q

Scapular ADduction & Depression

A

MUSCLE: Lower trapezius
POSITION: Prone
STABILIZE: Posterior aspect of opposite thorax
PALPATION: Between the root of scapular spine and the spinous process of lower thoracic vertebrae
RESISTANCE: Lateral aspect of scapula in the direction of scapular abduction and elevation (push against medial border)

GRAVITY ELIMINATED: None

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13
Q

Scapula ADduction & Downward (Medial) Rotation

A

MUSCLE: Rhomboids (Major & Minor)
POSITION: Prone
STABILIZE:Contralateral thorax
PALPATION: Between vertebral border of scapula & spinous process of C7 to T5
RESISTANCE: Vertebral border of scapula in the direction of scapular abduction

GRAVITY ELIMINATED: Sitting

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14
Q

Elbow Flexion (Bicep Brachii - Long & Short head)

A

MUSCLE: Biceps Brachii (Long & Short head)
POSITION: Sitting
STABILIZE: Ipsilateral Humerus
PALPATION: Bicepital tendon on anterior aspect of humerus
RESISTANCE: Proximal to wrist in the direction of elbow extension

GRAVITY ELIMINATED: Sitting

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15
Q

Elbow Flexion (Brachialis)

A

MUSCLE: Brachialis
POSITION: Sitting
STABILIZE: Ipsilateral humerus
PALPATION: Medial to distal attachment of biceps brachii
RESISTANCE: Proximal to wrist in the directin of elbow extension

GRAVITY ELIMINATED: Sitting

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16
Q

Elbow Flexion (Brachioradialis)

A

MUSCLE: Brachioradialis
POSITION: Sitting
STABILIZE: Ipsilateral humerus
PALPATION: ANterolateral aspect of forearm, just distal to lateral epicondyle
RESISTANCE: Proximal to wrist in the direction of elbow extension

GRAVITY ELIMINATED: Sitting

17
Q

Elbow Extension

A 
MUSCLE:Triceps Brachii, Anconeus
POSITION: Supine
STABILIZE: Ipsilateral Shoulder
PALPATION: Proximal to olecranon
RESISTANCE: Proximal to wrist in the direction of elbow flexion

GRAVITY ELIMINATED: Sitting

18
Q

Forearm Supination

A

MUSCLE: Supinator, biceps brachii
POSITION: Sitting (forearm pronated)
STABILIZE: Inferolateral aspect of humerus
PALPATION: (Supinator) posterior-superior aspect of radius, just distal to radial head, (Biceps brachii) bicepital tendon on anterior aspect of humerus
RESISTANCE: Volar surface of the ulna and the dorsal surface of the radius in the direction of pronation

GRAVITY ELIMINATED: sitting (elbow propped on table, fingers pointing up, sup/pro like waving

19
Q

Forearm Pronation

A

MUSCLE: pronator quadratus, pronator teres
POSITION: sitting (forearm supinated)
STABILIZE: Inferolateral aspect of humerus
PALPATION: (pronator quadratus) too deep to palpate, (pronator teres) anterior surface of proximal 1/3 of forearm
RESISTANCE: volar surface of the radius and the dorsal surface of the ulna in the direction of supination

GRAVITY ELIMINATED: sitting

20
Q

Wrist Flexion (Ulnar Deviation)

A

MUSCLE: flexor carpi ulnaris
POSITION: sitting (forearm supinated)
STABILIZE: posterior aspect of distal forearm
PALPATION: anteromedial aspect of wrist proximal to pisiform
RESISTANCE: volar aspect of 5th MC bone in the direction of wrist extension and radial deviation

GRAVITY ELIMINATED: sitting

21
Q

Wrist Flexion (Radial Deviation)

A

MUSCLE: flexor carpi radialis
POSITION: sitting (forearm supinated)
STABILIZE: posterior aspect of distal forearm
PALPATION: base of the second MC lateral to midline of the forearm
RESISTANCE: volar aspect of MC 1 & 2 in the direction of wrist extension and ulnar deviation

GRAVITY ELIMINATED: sitting

22
Q

Wrist Extension (Ulnar Deviation)

A

MUSCLE: Extensor carpi ulnaris
POSITION: sitting (forearm pronated)
STABILIZE: anterior aspect of distal forearm
PALPATION: ulnar side of wrist just distal to ulnar styloid process
RESISTANCE: dorsal aspect of 5th MC in the direction of wrist flexion and radial deviation

GRAVITY ELIMINATED: sitting

23
Q

Wrist Extension (Radial Deviation)

A

MUSCLE: Extensor carpi radialis longus & brevis
POSITION: sitting (forearm pronated)
STABILIZE: Anterior aspect of distal forearm
PALPATION: (longus) dorsal aspect of wrist at base of 2nd metacarpal (brevis) base of 3rd metacarpal
RESISTANCE: dorsal aspect of 1st & 2nd metacarpals in the direction of wrist flexion and ulnar deviation

GRAVITY ELIMINATED: sitting

24
Q

MCP Flexion & IP Extension

A

MUSCLE: Lumbricals, palmares, and dorsal interossei
POSITION: sitting (forearm supinated)
STABILIZE: distal dorsal surface of MC 2-5
PALPATION: NONE (too deep)
RESISTANCE: volar surface of proximal phalanx of digits 2-5 in direction of MCP extension

GRAVITY ELIMINATED: sitting

25
Q

MCP Extension

A

MUSCLE: Extensor digitorum, extensor indicis, extensor digiti minimi
POSITION: sitting (forearm pronated)
STABILIZE:palmar surface of metacarpals 2-5
PALPATION: (digitorum) dorsal surface corresponding MC, (indicis) ulnar side of ext. digitorum for 2nd digit, (digiti) ulnar side of ext. digitorum for 5th digit
RESISTANCE: dorsal aspect of proximal phalanx 2-5

GRAVITY ELIMINATED: sitting

26
Q

PIP Flexion

A

MUSCLE: Flexor digitorum superficialis
POSITION: sitting (forearm supinated)
STABILIZE: palmar surface of proximal phalanx of digits 2-5
PALPATION: volar surface of wrist between palmaris longus & flexor carpi ulnaris tendons or on proximal phalanx of digits 2-5
RESISTANCE: palmar surface of middle phalanges 2-5

GRAVITY ELIMINATED: None

27
Q

DIP Flexion

A

MUSCLE: flexor digitorum profundus
POSITION: sitting (forearm supinated)
STABILIZE: palmar surface middle phalanges 2-5
PALPATION: palmar surface of middle phalanx digits 2-5
RESISTANCE: palmar surface of distal phalanges 2-5

GRAVITY ELIMINATED: None

28
Q

Thumb MCP Flexion

A

MUSCLE: Flexor pollicis brevis
POSITION: sitting (forearm supinated)
STABILIZE: sides of MC 1
PALPATION: Proximal to MCP joint on middle of thenar eminence, medial to abductor pollicis brevis
RESISTANCE: volar aspect of proximal phalanx of thumb in direction of MCP extension

GRAVITY ELIMINATED: None

29
Q

Thumb MCP Extension

A

MUSCLE: Extensor pollicis brevis
POSITION: sitting
STABILIZE: MC 1
PALPATION: dorsoradial aspect of wrist at base of shaft of thumb MC (radial border of anatomical snuff box, medial to tendon of abd pollicis longus
RESISTANCE: dorsal aspect of proximal phalanx of thumb in direction of MCP flexion

GRAVITY ELIMINATED: None

30
Q

Thumb IP Flexion

A

MUSCLE: flexor pollicis longus
POSITION: sitting (forearm supinated
STABILIZE: sides of prox phalanx of thumb
PALPATION: volar aspect of proximal phalanx of the thumb
RESISTANCE: volar aspect of distal phalanx of thumb in direction of IP extension

GRAVITY ELIMINATED: None

31
Q

Thumb IP Extension

A

MUSCLE: extensor pollicis longus
POSITION: sitting
STABILIZE: sides of prox phalanx of thumb
PALPATION: dorsoradial aspect of MC 1 and the prox phalanx of thumb, just to ulnar side of ext pollicis brevis
RESISTANCE: dorsal aspect of distal phalanx of thumb in direction of IP flexion

GRAVITY ELIMINATED:

32
Q

Opposition

A

MUSCLE: oppones pollicis & opponens digiti minimi
POSITION: sitting (forearm supinated)
STABILIZE: none
PALPATION: (pollicis) radial border of MC 1 & (minimi) ulnar border of MC 5
RESISTANCE: volar shaft of MC 1 & 5 bone - pull apart

GRAVITY ELIMINATED: None

33
Q

Thumb ADduction

A

MUSCLE: adductor pollicis
POSITION: sitting (forearm pronated)
STABILIZE: dorsum of wrist & MC 2-5
PALPATION: Palmar surface of hand between MC 1 & 2
RESISTANCE: Medial aspect of proximal phalanx of the thumb in the direction of CMC abduction

GRAVITY ELIMINATED: none

34
Q

Thumb ABduction

A

MUSCLE: abductor pollicis longus
POSITION: sitting (forearm supinated)
STABILIZE: volar surface of wrist & MC 2-5
PALPATION: Base of thumb MC & on radial side of extensor pollicis brevis
RESISTANCE: lateral aspect of thumb MC in direction of CMC adduction

GRAVITY ELIMINATED: None

35
Q

Finger ABduction

A

MUSCLE: dorsal interossei, abductor digiti minimi
POSITION: sitting (forearm pronated)
STABILIZE: dorsal surface of MC 2-5
PALPATION: (1st dorsal interossei) radial side of MC 2, (ADM) ulnar aspect of MC 5
RESISTANCE: proximal phalanx in direction of adduction
- radial side of MC 2&3
- ulnar side of MC 3,4&5
middle finger does ulnar and radial abduction

GRAVITY ELIMINATED: None

36
Q

Finger ADduction

A 
MUSCLE: Palmar interossei
POSITION: Sitting (forearm pronated)
STABILIZE:dorsal surface of MC 2-5
PALPATION: NONE (too deep)
RESISTANCE: Proximal phalanx in direction of abduction
- ulnar side of MC 2
- radial side of MC 4&5
**middle finger does not adduct**

GRAVITY ELIMINATED: None

Assessment II (6 decks)

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