Upper Extremity - ROM, End Feel, Muscle Action & Innervations Flashcards
Forearm Pronation
ROM: 0-80
END FEEL: Hard
Thumb CMC Flexion
ROM: 0-20
END FEEL: Soft or Firm
Wrist Extension
ROM: 0-70
END FEEL: Firm
Middle Trapezius
Action: retract scapula
N: Spinal Accessory N
Extensor Pollicis Brevis
Action: Ext of CMC & MCP of thumb
N: Deep Radial N
Finger ADduction
ROM: 0-20
END FEEL: Firm
Supinator
Action: Forearm supination
N: radial N
Shoulder Horizontal ABduction
ROM: 0-45
END FEEL: Firm
Wrist ADduction: Ulnar Deviation
ROM: 0-30
END FEEL: Firm
Shoulder Internal Rotation
ROM: 0-70
END FEEL: Firm
Levator Scapulae
Action: elevate scapula
N: Dorsal Scapular N
Teres Major
Action: Shoulder IR, ext, add
N: Lower subscapular
ABductor Pollicis Brevis
Action: ABduction of CMC & MCP
N: Median N
Extensor Digiti Minimi
Action: Ext MCP of 5th/little finger
N: Deep Radial N
Opponens Digiti MInimi
Action: Oppose little finger (occurs at CMC & MCP) N: Ulnar N
Infraspinatus
Action: shoulder ER
N: suprascapular N
Forearm Supination
ROM: 0-80
END FEEL: Firm
Thumb MCP Extension
ROM: 0
END FEEL: Hard
Biceps Brachii
Action: Elbow Flexion (best from supination) & powerful supinator
- Long head: strengthen anterior shoulder capsule & assist minimally with shoulder flexion
N: musculocutaneous N
Extensor Digitorum Communis
Action: Ext MCP - assist: wrist ext; DIP and PIP ext indirectly through extensor expansion
N: Deep Radial N
DIP Extension
ROM: 0-20
END FEEL: Firm
Extensor Carpi Ulnaris
Action: ext and ulnar deviation of wrist
N: radial N
Shoulder ABduction
ROM: 0-165
END FEEL: Firm
Latissimus Dorsi
Action: ext, IR & ADD shoulder
- assist: scapular depression
N: Thoracodorsal N
Pronator Quadratus
Action: Pronates Forearm
N: Median N
Rhomboids
Action: Retract scapula, downward rotation
N: Dorsal Scapular N
Pronator Teres
Action: Pronates forearm
N: Median N
Flexor Carpi Radialis
Action: Flex and Radial deviate wrist
N: Median N
Flexor Digitorum Profundus
Action: DIP Flexion
- assist: PIP, MCP and wrist flex
N: Median AND Ulnar N
What is Intrinsic Inn
When lumricals and interossei work together - Flex MCP & extend IP
Finger ABduction
ROM: 0-20
END FEEL: Firm
PIP Flexion
ROM: 0-100
END FEEL: Soft
Extensor Indicis
Action: Ext MCP of index finger
N: Deep Radial N
Thumb IP Flexion
ROM: 0-65
END FEEL: Soft
Subscapularis
Action: Shoulder IR
N: upper and lower subscapular N
Serratus Anterior
Action: protract scapula
- assist: upward rotation
N: Long Thoracic N
Wrist Flexion
ROM: 0-80
END FEEL: Firm
MCP Extension
ROM: 0-40
END FEEL: Firm
Lower Trapezius
Action: depression
- assist: upward rotation
N: Spinal Accessory N
Anconeus
Action: Part of triceps
N: radial N
MCP Flexion
ROM: 0-90
END FEEL: Firm or Hard
Upper Trapezius
Action: elevation of scapula
- assists: upward rotation
N: Spinal Accessory N
ADductor Pollicis
Action: ADduct CMC of thumb
N: Ulnar N
Opponens Poillicis
Action: Oppose thumb
N: Median N
Shoulder Flexion
ROM: 0-165
END FEEL: Firm
Palmar Interossei
Action: ADduction of MCP (PAD)
N: Ulnar N
Wrist ABduction: Radial Deviation
ROM: 0-20
END FEEL: Hard
Flexor Digiti Minimi
Action: Flex MCP of little finger
N: Ulnar N
Thumb MCP Flexion
ROM: 0-50
END FEEL: Firm of Hard
Pectoralis Major
Action: Horizontal Adduction
- assist: flexion, ADD, IR
N: Medial and Lateral Pectoral N
Coracobrachialis
Action: Shoulder flex & ADD
N: musculocutaneous N
Elbow Flexion
ROM: 0-140
END FEEL: Soft (muscle) / Hard (very skinny - bone)
Thumb CMC Extension
ROM: 0-20
END FEEL: Firm
Thumb Opposition
ROM: measure in cm or inches (ony used for follow up and progress)
END FEEL: Soft
Flexor Pollicis Brevis
Action: Flex CMC & MCP
N: Median N
Thumb IP Extension
ROM: 0-20
END FEEL: Firm
Supraspinatus
Action: ABD shoulder
N: suprascapular N
Shoulder Horizontal ADduction
ROM: 0-135
END FEEL: Firm
DIP Flexion
ROM: 0-70
END FEEL: Firm
Triceps Brachii
Action: Elbow Extensor
- long head: strengthen posterior capsule of shoulder & assist minimally with shoulder ext
N: radial N
Dorsal Interossei
Action: ABduction at MCP (DAB)
N: Ulnar N
Deltoids
Action: all together: ABD only
- Anterior: Flexion
- Middle: ABD
- Posterior: Ext, Horiz ABD
N: Axillary N
Shoulder External Rotation
ROM: 0-90
END FEEL: Firm
Shoulder ADduction
ROM: 0-40
END FEEL: Firm
Brachioradialis
Action: Elbow Flexion (best from neutral)
N: radial N
Brachialis
Action: Elbow Flexion (best from prone)
N: musculocutaneous N
Flexor Pollicis Longus
Action: Flex thumb IP
- flex CMC and MCP of thumb
N: Median N
ABductor Digiti Minimi
Action: ABduct MCP of little finger
N: Ulnar N
Extensor Carpi Radialis Longus & Brevis
Action: ext and radial deviation wrist
N: radial N
Shoulder Extension
ROM: 0-60
END FEEL: Firm
What is Abe’s Hand Injury or Ulnar Nerve Injury
4th and 5th finger paralyzed (MCP ext & IP flex)
Elbow Extension
ROM: 140-0
END FEEL:
Hard (bone) or
Firm (muscular - passive insufficiency of biceps)
Lumbricals
Action: FLex MCP
N: Median N (1&2) & Ulnar N (3&4)
Flexor Carpi Ulnaris
Action: Flex and Ulnar deviate wrist
N: Ulnar N
Thumb ABduction
ROM: 0-50
END FEEL: Firm
Pectoralis Minor
Action: Depress scapula
N: Medial Pectoral N
PIP Extension
ROM: 100-0
END FEEL: Firm
ABductor Pollicis Longus
Action: ABD CMC of thumb
N: Deep Radial N
Teres Minor
Action: Shoulder ER
N: Axillary N
Extensor Pollicis Longus
Action: Ext of thumb IP
- assist: Ext of MCP & CMC of thumb
N: Deep Radial N
Flexor Digitorum Superficialis
Action: Flex PIP
- assist: MCP and wrist flex
N: Median N