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PTA 175 Tests and Measures > MMT Hand Placements and VC (UE) > Flashcards

MMT Hand Placements and VC (UE) Flashcards

1
Q

Scapular Abduction and Upward Rotation (Grade 4-5)

A

“hold your arm here, don’t let me move it”
Stabilization: stabilize trunk below scapula on same side
Resistance: just above elbow in a backward direction

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2
Q

Scapular Abduction and Upward Rotation (Grade 2)

A

“hold your am, relax, now hold your arm up”
Stabilization: cupping inferior angle
Other hand: support at elbow

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3
Q

Scapular Abduction and Upward Rotation (Grade 0-1)

A

“try to hold your arm in this position”
One hand: support at elbow
Other hand: palpate serratus anterior along axillary border of scapula

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4
Q

Scapular Elevation (Grade 4-5)

A

“shrug your shoulders, hold it, don’t let me push them down”

Resistance: both hands over top of shoulders in downward direction

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5
Q

Scapular Elevation (Grades 0-2)

A

“Raise your shoulder toward your ear (shrug)”
One hand: support test shoulder in palm of hand
Other hand: palpate upper trap above the clavicle

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6
Q

Scapular Adduction (Retraction) (Grade 4-5)

A

“lift elbow toward ceiling, hold it, don’t let me push it down”
Stabilization: the contralateral scapular area to prevent trunk rotation
Resistance: at distal humerus in a downward direction

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7
Q

Scapular Adduction (Retraction) (Grade 0-2)

A

“try to lift your elbow toward the ceiling”
One hand: cradle patient’s shoulder and arm
Other hand: palpate middle trapezius fiber

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8
Q

Scapular Depression and Adduction (Grade 5)

A

“hold your arm, don’t let me push it down”
Resistance: over distal forearm just above wrist in a straight downward direction
Stabilization: at inferior angle of scapula (palpate middle trap fibers)

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9
Q

Scapular Depression and Adduction (Grade 4)

A

“hold your arm, don’t let me push it down”
Resistance: over distal humerus just above elbow in a straight downward direction
Stabilization: at inferior angle of scapula (palpate middle trap fibers)

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10
Q

Scapula Depression and Adduction (Grades 0-2)

A

“try to lift your arm from the table past your ear”
One hand: support patient’s arm under the elbow
Other hand: palpate middle/lower trap

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11
Q

Scapular Adduction (Retraction) and Downward Rotation (Grade 4-5)

A

“lift your hand, hold it, don’t let me push it down”
Resistance: on humerus just above elbow in an outward/downward direction
Other hand: palpate rhomboids

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12
Q

Scapular Adduction (Retraction) and Downward Rotation (Grade 0-2)

A

“try to move your hand away from your back”
One hand: support arm by grasping wrist
Other hand: palpate rhomboids under the vertebral border of scapula

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13
Q

Latissimus Dorsi (Grades 4-5)

A

“hold your arm, don’t let me move it”
Resistance hand: over medial forearm above patient’s wrist in an outwards/downward direction
Other hand: palpate latissimus dorsi

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14
Q

Latissimus Dorsi (Grades 0-2)

A

“try to lift your arm up”

One hand: palpate latissmus dorsi

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15
Q

Shoulder Flexion (Grade 4-5)

A

“raise arm to 90*, hold it, don’t let me push it down”
Stabilization: the shoulder
Resistance: over distal humerus just above the elbow in a downward direction

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16
Q

Shoulder Flexion (Grade 0-2)

A

“try to raise your arm”
One hand: cradle test arm at elbow
Other hand: palpate anterior deltoid

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17
Q

Shoulder Extension (Grade 4-5)

A

“lift your arm as high as you can, hold it, don’t let me push it down”

Resistance hand: over posterior arm just above the elbow in a downward direction

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18
Q

Shoulder Extension (Grade 0-1)

A

“try to lift your arm as high as you can”

One hand: palpate posterior deltoid/teres minor

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19
Q

Shoulder Extension (Grade 2-3)

A

Grade 2- partial ROM with no resistance

Grade 3- full ROM with no resistance

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20
Q

Shoulder Abduction (Grade 4-5)

A

“lift your arm out to the side to shoulder level, hold it, don’t let me push it down”
Resistance: contoured over arm just above the elbow in a downward direction
Stabilization: over shoulder

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21
Q

Shoulder Abduction (Grade 2)

A

“take your arm out to the side”

One hand: palpate middle deltoid

22
Q

Shoulder Abduction (Grade 0-1)

A

“take your arm out to the side”
One hand: palpate middle deltoid
Other hand: on forearm

23
Q

Shoulder Horizontal Abduction (Grade 4-5)

A

“lift your arm up toward the ceiling, hold it, don’t let me push it down”
Resistance hand: over posterior arm just above elbow in downward direction
Other hand: palpate posterior deltoid

24
Q

Shoulder Horizontal Abduction (Grade 0-2)

A

“try to move your arm backward”
One hand: support forearm under volar aspect
Other hand: palpate posterior deltoid

25
Q

Shoulder Horizontal Adduction (Both heads) (Grade 4-5)

A

“move your arm across your chest, hold it, don’t let me pull it back”
One hand: palpate pectoralis major
Other hand: just proximal to the elbow or wrist in opposite direction

26
Q

Shoulder Horizontal Adduction (Clavicular) (Grade 4-5)

A

“move your arm up and in”
One hand: palpate clavicular pectoralis major
Other hand: just proximal to elbow or wrist in a up and inward motion

27
Q

Shoulder Horizontal Adduction (Sternal) (Grade 4-5)

A

“move your arm down and in”
One hand: palpate sternal pectoralis major
Other hand: just proximal to elbow or wrist in an up and outward motion

28
Q

Shoulder Horizontal Adduction (Grade 0-2)

A

“try to move your arm across your chest”
One hand: support length of forearm and hold limb at wrist
Other hand: palpate pectoralis major

29
Q

Shoulder External Rotation (Grade 4-5)

A

“push your forearm away from your stomach, hold it, don’t let me move it”
Stabilization: medial aspect of elbow
Resistance: at dorsal surface of forearm proximal to wrist toward the trunk

30
Q

Shoulder External Rotation (Grade 0-2)

A

“try to push your forearm away from your stomach”
One hand: stabilizes outside of flexed elbow
Other hand: palpates the infraspinatus/teres minor

31
Q

Shoulder Internal Rotation (Grade 4-5)

A

“pull your forearm toward your stomach, hold it, don’t let me pull it out”
Stabilization: outside of elbow
Resistance: volar surface of forearm just proximal to the wrist away from the trunk

32
Q

Shoulder Internal Rotation (Grade 0-2)

A

“try to pull your forearm away from your stomach”
One hand: stabilizes forearm
Other hand: palpate subscapularis tendon deep in tendon

33
Q

Elbow Flexion (Grade 4-5)

A

“bend your elbow, hold it, don’t let me pull it down”
Stabilization: place over anterior surface of shoulder and applies counterforce by resisting upper arm movement
Resistance: contoured over flexor surface of forearm just proximal to wrist

34
Q

Elbow Flexion (Grade 0-2)

A

“try to bend your elbow”
One hand: support test arm at elbow
Other hand: palpate elbow flexor tendons

35
Q

Elbow Extension (Grade 4-5)

A

“straighten the elbow, hold it, don’t let me bend it”
One hand: underneath arm just above elbow to support
Other hand: downward resistance on distal dorsal surface of extended forearm just proximal to wrist

36
Q

Elbow Extension (Grade 2)

A

“try to straighten your elbow”
One hand: support limb at elbow
Other hand: palpate the triceps on posterior surface just proximal to olecranon process

37
Q

Elbow Extension (Grade 0-1)

A

“try to straighten your elbow”
One hand: support limb under forearm
Other hand: palpate the triceps on posterior surface just proximal to olecranon process

38
Q

Forearm Supination (Grade 4-5)

A

“turn your palm up, hold it, don’t let me turn it down”
One hand: supports elbow
Resistance: apply with heel of hand over dorsal surface at wrist

39
Q

Forearm Supination (Grade 2-3)

A

“turn your palm up”
Grade 2: completes partial ROM
Grade 3: completes full ROM without resistance

40
Q

Forearm Supination (Grade 0-1)

A

“try to turn your palm up so it faces the ceiling”
One hand: support forearm just distal to elbow
Other hand: palpate supinator distal to head of radius on dorsal aspect of forearm

41
Q

Forearm Pronation (Grade 4-5)

A

“turn your palm down, hold it, don’t let me turn it up”
One hand: support elbow
Resistance: applied with hypothenar eminence over radius on the volar surface of the forearm at the wrist

42
Q

Forearm Pronation (Grade 2-3)

A

“turn your palm down”
Grade 2: completes partial ROM
Grade 3: completes full ROM without resistance

43
Q

Forearm Pronation (Grade 0-1)

A

“try to turn your palm down”
One hand: support forearm just distal to the elbow
Other hand: palpate pronator teres over upper third of volar surface of forearm

44
Q

Wrist Flexion (All) (Grades 4-5)

A

“bend wrist, hold it, don’t let me pull it down”
Stabilize: support forearm under wrist
Resistance: on volar (palmar) surface of hand using four fingers in a straight down direction

45
Q

Wrist Flexion (Flexor Carpi Radialis) (Grade 4-5)

A

“bend your wrist, hold it, don’t let me pull it down”
Stabilize: support forearm under wrist
Resistance: applied on volar surface of hand using four fingers in the direction of extension and ulnar deviation

46
Q

Wrist Flexion (Flexor Carpi Ulnaris) (Grade 4-5)

A

“bend your wrist, hold it, don’t let me pull it down”
Stabilize: support forearm under wrist
Resistance: applied on volar surface of hand using four fingers in direction of extension and radial deviation

47
Q

Wrist Flexion (Grade 2)

A

“bend your wrist, keeping your fingers relaxed”

One hand: support forearm proximal to wrist

48
Q

Wrist Flexion (Grade 0-1)

A

“try to bend your wrist, relax, bend it again”
One hand: support wrist in flexion
Other hand: palpate wrist flexor tendons with index finger

49
Q

Wrist Extension (Grades 4-5)

A

“extend your wrist, hold it, don’t let me push it down”

Resistance: on dorsal side using four fingers in direction in a downward direction

50
Q

Wrist Extension (Grade 2)

A

“bend your hand back”

One hand: support patient’s wrist

51
Q

Wrist Extension (Grade 0-1)

A

“try to lift your hand”
One hand: support wrist in extension
Other hand: palpate wrist extensors on dorsal side

PTA 175 Tests and Measures (24 decks)

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