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Clinical Practice Test 2 > Wrist and Hand MMT > Flashcards

Wrist and Hand MMT Flashcards

1
Q

what are the primary muscle(s) tested during forearm supination MMT?

A
  1. Biceps brachii
  2. Supinator
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2
Q

for grades 3 and up, how should the pt be positioned during forearm supination MMT?

A
  1. seated w/elbow at 90
  2. forearm fully pronated
  3. Instruct the pt to “turn palm up, don’t let me push you back”
  4. PT applies resistance to dorsum of forearm
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3
Q

for grades 0,1,2 how should the pt be positioned during forearm supination MMT?

A
  1. seated with shoulder and elbow at 90
    • elbow is supported by hand or table
  2. forearm is in neutral
  3. instruct the pt to “turn palm towards face”
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4
Q

where should the PT stabilize when performing forearm supination MMT?

A

at elbow

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5
Q

where is resistance applied when performing forearm supination MMT?

A

dorsal aspect of forearm

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6
Q

what are some common substitutions observed during forearm supination MMT?

A

shouler ER combined with horizontal ADD can indirectly cause the forearm to supinate

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7
Q

what muscle(s) are primarily tested during forearm pronation MMT?

A
  1. pronator teres
  2. pronator quadratus
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8
Q

for grades 3 and up, how should the pt be positioned during forearm pronation MMT?

A
  1. seated with elbow flexed to 90
  2. forearm fully supinated
  3. Instruct the pt to “turn palm down and don’t let me push it back”
  4. PT applies resistance to anterior forearm
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9
Q

for grades 0,1,2 how should the pt be positioned during forearm pronation MMT?

A
  1. seated with shoulder and elbow flexed to 90
    • elbow supported by PT hands or by table
  2. forearm in neutral rotation
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10
Q

where should the PT stabilize when performing forearm pronation MMT?

A

at elbow

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11
Q

where is resistance applied when performing forearm pronation MMT?

A

anterior forearm

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12
Q

what muscle(s) are primarily tested during wrist flexion MMT?

A
  1. Flexor carpi ulnaris
  2. Flexor carpi radialis
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13
Q

what muscle(s) are secondary/assit with wrist flexion?

A
  1. palmaris longus
  2. flexor digitorum profundus
  3. flexor digitorum superficialis
  4. flexor pollicis
  5. Abductor pollicis
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14
Q

for grades 3 and up, how should the pt be positioned during wrist flexion MMT?

A
  1. seated with forearm supinated on table
  2. wrist in neutral for group flexion testing
    • for FCU = flex + ulnar deviation (PT pulls into radial deviation)
    • for FCR = flex + radial deviation (PT pulls into ulnar deviation)
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15
Q

T/F: when trying to isolate the flexor carpi ulnaris, instruct the pt to flex their wrist as well as radially deviate?

A

FALSE

flex + ulnar deviation

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16
Q

for grades 0,1,2 how should the pt be positioned during wrist flexion MMT?

A
  1. seated with forearm in neutral pro/supination resting on table
    • can use towel under arm
  2. to target FCU or FCR, palpate accordingly
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17
Q

where should the PT stabilize when performing wrist flexion MMT?

A
  1. group testing = forearm and wrist
  2. FCU = hold under wrist so that your fingers wrap around to palpate the 5th metacarpal
  3. FCR = hold the wrist so that your finger wrap around to palpate the 2nd and 3rd metacarpals
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18
Q

where is resistance applied when performing wrist flexion MMT?

A
  1. group test = resistance applied to pt palm towards PT
  2. FCU = pull into radial side
  3. FCR = pull into ulnaris side

*use 4 fingers on the palm

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19
Q

what muscle(s) are primarily testing during wrist extension MMT?

A
  1. Extensor capri radialis longus
  2. Extensor carpi radialis brevis
  3. Extensor carpi ulnaris
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20
Q

for grades 3 and up, how should the pt be positioned during wrist extension MMT?

A
  1. short sitting
  2. forearm pronated and resting on table
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21
Q

for grades 0,1,2 how should the pt be positioned for wrist extension MMT?

A
  1. short sitting
  2. forearm in neutral rotation and resting on table
  3. palpate for contraction
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22
Q

where should the PT stabilize when performing wrist extension MMT?

A

pt forearm

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23
Q

where is resistance applied during wrist extenstion MMT?

A

downward force applied to back of hand

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24
Q

to isolate the ECRL where shoul the PT palpate?

A

dorsum of 2nd MC

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25
Q

to isolate the ECRB where should the PT palpate?

A

dorsum of 3rd MC

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26
Q

to isolate the ECU where should the PT palpate?

A

dorsum of 5th MC and styolid process

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27
Q

what muscle(s) are primarily tested during MCP flexion +IP extension MMT?

A
  1. palmar interossei (PADs and DABs)
  2. Lumbricals
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28
Q

for grades 3 and up, how should the pt be positioned for MCP flexion + IP extension?

A
  1. short sitting
  2. forearm supinated and resting on table
  3. Don’t let IPs curls, should remain extended
  4. Instruct the pt to “curl your hand towards your body while keeping your fingers as straight as you can”
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29
Q

for grades 0,1,2 how should the pt be positioned during MCP flexion + IP extension MMT?

A
  1. short sitting
  2. forearm in neutral rotation and resting on table
    • thumb pointing up
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30
Q

where should the PT stabilize when performing MCP flexion + IP extension MMT?

A

stabilize with one hand gripping the metacarpals

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31
Q

where is resistance applied during MCP flexion + IP extension MMT?

A

proximal phalanx, down and out force

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32
Q

what muscle(s) are primarily tested during finger PIP and DIP flexion MMT?

A
  1. PIP = flexor digitorum superficialis
  2. DIP = flexor digitorum profundus
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33
Q

for grades 3 and up, how should the pt be positioned when performing finger PIP and DIP flexion MMT?

A
  1. short sitting
  2. forearm supinated and resting on table
  3. isolate each finger to test IPs
    • PIP = “bend middle joint of your finger”
    • DIP = “bend tip of your finger”
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34
Q

for grades 0,1,2 how should the pt be positioned when performing finger PIP and DIP flexion MMT?

A
  1. short sitting
  2. fowarm in neutral and resting on table
  3. palpate targeted muscle
35
Q

T/F: this image depicts PIP flexion MMT?

A

FALSE, it depicts DIP flexion MMT

36
Q

where should the PT stabilize when performing finger PIP and DIP flexion MMT?

A
  1. PIP = stabilize other finger to keep them from flexion
  2. DIP = stabilize at middle phalanx to prevent PIP flexion
37
Q

where is resitance applied during finger PIP and DIP flexion MMT?

A
  1. PIP = resistance is applied to middle phalanx
  2. DIP = resistance is applied to distal phalanx
38
Q

what muscle(s) are primarily tested during MCP extension?

A
  1. Extensor digitorum
39
Q

what muscle(s) assit in MCP extension?

A
  1. extensor indicis
  2. extensor digiti minimi
40
Q

for grades 3 and up, how should the pt be positioned for MCP extension MMT?

A
  1. short sitting
  2. forearm pronated and resting on table
  3. PT supporting wrist to keep this position
  4. instruct the pt to “bend your knuckles as far back as you can”
41
Q

for grades 0,1,2 how should the pt be positioned for MCP extension MMT?

A
  1. short sitting
  2. forearm in neutral
  3. PT supporting wrist
42
Q

where should the PT stabilize when performing MCP extension MMT?

A

at the wrist

43
Q

where is resistance applied during MCP extension MMT?

A

applied to the back of proximal phalanx

44
Q

what muscle(s) are primarily tested during finger ABDuction MMT?

A

Dorsal interossei (DABs)

45
Q

how should the pt be positioned for finger ABDuction MMT?

A
  1. short sitting
  2. forearm in pronation and resting on table
  3. fingers spread
  4. Instruct the pt to “not let me push your fingers together”
46
Q

T/F: finger abduction MMT can also be done in isolation?

A

TRUE

  1. Abduction of ring finger toward little finger
  2. Abduction of middle finger toward ring finger
  3. Abduction of middle finger toward index finger
  4. Abduction of index finger toward thumb
47
Q

T/F: There is no specific gravity minized test for finger ABD?

48
Q

where should the PT stabilize when preforming finger ABD MMT?

A

at the wrist to keep it neutral

49
Q

where is resistance applied during finger ABD MMT?

A

fingers pushed toward one another

50
Q

what muscle(s) are primarily tested during finger ADD MMT?

A

Palmar Interossei (PADs)

51
Q

how should the pt be positioned for finger ADD MMT?

A
  1. short sitting
  2. forearm in pronation and resting on table
  3. finger together
  4. Instruct pt to “not let me pull your fingers apart”
52
Q

T/F: finger ADD MMT can also be done in isolation?

A

TRUE

  1. Adduction of little finger toward ring finger,
  2. Adduction of ring finger toward long finger,
  3. Adduction of index finger toward long finger,
  4. Adduction of thumb toward index finger
53
Q

T/F: There is not specific gravity minimized test for finger ADD MMT?

54
Q

where should the PT stabilize when performing finger ADD MMT?

A

both hands used to pull fingers apart

if done in isolation, can stabilize the wrist

55
Q

where is resistance applied during finger ADD MMT?

A

fingers pulled away from one another

56
Q

what muscle(s) are primarily tested in thumb MCP and IP flexion?

A

flexor pollicis brevis

57
Q

how should the pt be positioned when assessing thumb MCP and IP flexion MMT?

A
  1. short sitting
  2. forearm in supination and resting on table
58
Q

how should you instruct a pt to move when assessing thumb MCP flexion MMT?

A

“Bring your thumb across your hand, touching your hand the whole time, don’t let me push it back”

59
Q

how should you instruct a pt to move their thumb when assess thumb IP flexion MMT?

A

“flex just your thumb joint, don’t let me push it back”

60
Q

where should the PT stabilize when performing thumb MCP and IP flexion MMT?

A
  1. MCP = stabilize at the wrist
  2. IP = stabilize at the MCP (proximal phalanx)
61
Q

where is resistance applied when assessing thumb MCP and IP flexion MMT?

A

apply resistance into extension

62
Q

what muscle(s) are primarily tested when performing thumb MCP and IP extension MMT?

A

extensor pollicis brevis

63
Q

how should the pt be positioned when assessing thumb MCP and IP extension?

A
  1. short sitting
  2. forearm and wrist in neutral position and resting on table
64
Q

how should you instruct a pt to move their thumb when assessing thumb MCP extension?

A

“lift your thumb to the ceiling, don’t let me push it down”

65
Q

how should you instruct a pt to move their thumb when assessing thumb IP extension?

A

“dont let me push the end of your thumb down”

66
Q

where should the PT stabilize when performing thumb MCP and IP extension MMT?

A
  1. MCP = stabilize at the wrist
  2. IP = stabilize at the MCP (proximal phalanx)
67
Q

where is resistance applied when assessing thumb MCP and IP extension?

A
  1. MCP = resistance applied to back of proximal phalanx
  2. IP = resistance applied to back of distal phalanx
68
Q

what muscle(s) are primarily assessed during thumb abduction MMT?

A
  1. abductor pollicis longus
  2. abductor pollicis brevis
69
Q

for grades 3 and up, how should the pt be positioned when assessing thumb abduction with MMT?

A
  1. short sitting
  2. forearm in supination and resting on the table
  3. wrist in neutral
  4. “move your thumb to the ceiling, don’t let me push it down”
70
Q

for grades 0,1,2 how should the pt be positioned when assessing thumb abduction with MMT?

A
  1. short sitting
  2. forearm in neutral (thumb pointed up) and resting on the table
  3. instruct the pt to “move your thumb to the side”
71
Q

where should the PT stabilize when performing thumb abduction MMT?

A

stabilize at the wrist

72
Q

where is resistance applied when assessing thumb abduction with MMT?

A

downward force applied to lateral thumb

73
Q

what muscle(s) is primarily assessed during thumb adduction MMT?

A

adductor pollicis

74
Q

for grades 3 and up, how should the pt be positioned for thumb adduction MMT?

A
  1. short sitting
  2. forearm in pronation and resting on table
  3. wrist in neutral
  4. Instruct the pt to “move your thumb towards your other fingers, don’t let me push it back down”
75
Q

for grades 0,1,2 how should the pt be positioned when assessing thumb adduction with MMT?

A
  1. short sitting
  2. forearm in neutral (thumb up) and resting on table
  3. Instruct the pt to “move your thumb back towards your fingers”
76
Q

where should the PT stabilize when assessing thumb adduction with MMT?

A

stabilize at the wrist

77
Q

where should resistance be applied when assessing thumb adduction with MMT?

A

downward force applied to medial thumb

78
Q

what muscle(s) are primarily assessed when performing thumb opposition MMT?

A
  1. Opponens pollicis
  2. Opponens digiti minimi
79
Q

how should the pt be positioned when assessing thumb opposition with MMT?

A
  1. short sitting
  2. forearm supinated and resting on table
  3. Instruct the pt to “make an O with your fingers by toughing th tips of your thumb and pinky”
80
Q

where should the PT stabilize during thumb opposition MMT?

A

no stabilization because you are using both hands

81
Q

where should resistance be applied when assessing thumb opposition with MMT?

A

resistance applied to the thenar portion of the hand in an effort to pull the thumb and 5th digit apart

82
Q

which MMT tests for the UE do not have a gravitiy minized position?

A
  1. Thumb MCP flexion and extension
  2. Thumb IP flexion and extension
  3. Finger ADD
  4. Finger ABD
  5. Thumb opposition
83
Q

how do differeniate between a 0,1,2 for tests that do not have a gravity minimized position?

A

check for full or partial ROM

Clinical Practice Test 2 (7 decks)

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