Goniometry (Metacarpophalangeal) Flashcards
1
Q
Metacarpal Phalangeal Flexion Plane
A
Sagittal
2
Q
Metacarpal Phalangeal Flexion Position
A
Sitting, forearm and hand resting on surface
3
Q
Metacarpal Phalangeal Flexion limb position
A
- Forearm midway between pronation and supination,
- wrist in 0° of flexion/extension/radial +ulnar deviation,
- MCP joint in neutral position relative to abd/add
4
Q
Metacarpal Phalangeal Flexion Goniometer positioning
A
- Fulcrum: Dorsal aspect of MCP joint
- Proximal Arm: Dorsal midline of metacarpal
- Distal Arm: Dorsal midline of proximal phalanx
5
Q
Where do you stabilize for Metacarpal Phalangeal Flexion
A
At metacarpal to prevent wrist motion, do not hold MCP of other fingers in extension
6
Q
Metacarpal Phalangeal Flexion End Feel
A
Hard or firm
7
Q
Metacarpal Phalangeal Flexion ROM
A
90-100º
8
Q
Metacarpal Phalangeal Extension Plane
A
Sagittal
9
Q
Metacarpal Phalangeal Extension Position
A
Sitting, forearm and hand resting on surface
10
Q
Metacarpal Phalangeal Extension Limb Position
A
- Forearm midway between pronation and supination,
- wrist in 0º of flexion/extension/radial +ulnar deviation,
- MCP joint in neutral position relative to abd/add
11
Q
Metacarpal Phalangeal Extension Goniometer positioning
A
- Fulcrum: Dorsal aspect of MCP joint
- Proximal Arm: Dorsal midline of metacarpal
- Distal Arm: Dorsal midline of proximal phalanx
12
Q
Metacarpal Phalangeal Extension Stabilization
A
At metacarpal to prevent wrist motion, do not hold MCP of other fingers in flexion
13
Q
Metacarpal Phalangeal Extension End feel
A
Firm
14
Q
Metacarpal Phalangeal Extension ROM
A
20-45º
15
Q
Metacarpal Phalangeal Abduction Plane
A
Frontal
16
Q
Metacarpal Phalangeal Abduction Position
A
Sitting, forearm and hand resting on surface
17
Q
Metacarpal Phalangeal Abduction Limb Position
A
- Place the wrist in 0º of flexion, extension, and radial and ulnar deviation;
- The forearm in full pronation so that the palm of the hand faces the ground;
- The MCP joint in 0º of flexion and extension.
18
Q
Metacarpal Phalangeal Abduction Goniometer positioning
A
- Fulcrum: Dorsal aspect of MCP joint
- Proximal Arm: Dorsal midline of metacarpal
- Distal Arm: Dorsal midline of proximal phalanx
19
Q
Metacarpal Phalangeal Abduction Stabilization
A
At metacarpal to prevent wrist motion
20
Q
Metacarpal Phalangeal Abduction End Feel
A
Firm
21
Q
Metacarpal Phalangeal Abduction ROM
A
No normal measure, but max is 25º
22
Q
Metacarpal Phalangeal Adduction Plane
A
Frontal
23
Q
Metacarpal Phalangeal Adduction Position
A
Sitting, forearm and hand resting on surface
24
Q
Metacarpal Phalangeal Adduction Limb Position
A
- Place the wrist in 0 degrees of flexion, extension, and radial and ulnar deviation
- The forearm in full pronation so that the palm of the hand faces the ground
- The MCP joint in 0 degrees of flexion and extension.
25
Metacarpal Phalangeal Adduction **Goniometer positioning**
1. **Fulcrum:** Dorsal aspect of MCP joint
2. **Proximal Arm:** Dorsal midline of metacarpal
3. **Distal Arm:** Dorsal midline of proximal phalanx
26
Metacarpal Phalangeal Adduction **Stabilization**
At metacarpal to prevent wrist motion
27
Metacarpal Phalangeal Adduction **End feel**
Firm
28
Metacarpal Phalangeal Adduction **ROM**
Not usually recorded separately from abduction, it is the return from full abduction to the starting 0º point
29
Proximal Interphalangeal Flexion **Plane**
Sagittal
30
Proximal Interphalangeal Flexion **Position**
Sitting, forearm and hand resting on surface
31
Proximal Interphalangeal Flexion **Limb Position**
1. Forearm in 0º of supination and pronation,
2. wrist in 0ºof flexion/extension/radial + ulnar deviation,
3. Mcp joint in 0º of flexion/extension/abd/add
32
Proximal Interphalangeal Flexion **Goniometer positioning**
1. **Fulcrum:** Dorsal aspect of PIP joint
2. **Proximal Arm:** Dorsal midline of proximal phalanx
3. **Distal Arm:** Dorsal midline of middle phalanx
33
Proximal Interphalangeal Flexion **Stabilization**
Proximal phalanx to prevent motion of the MCP joint
34
Proximal Interphalangeal Flexion **End Feel**
Usually hard, soft, or firm in others
35
Proximal Interphalangeal Flexion **ROM**
100-110 º
36
Proximal Interphalangeal Extension **Plane**
Sagittal
37
Proximal Interphalangeal Extension **Position**
Sitting, forearm and hand resting on surface
38
Proximal Interphalangeal Extension **Limb Position**
1. Forearm in 0º of supination and pronation,
2. Wrist in 0º of flexion/extension/radial + ulnar deviation,
3. Mcp joint in 0º of flexion/extension/abd/add
39
Proximal Interphalangeal Extension **Goniometer positioning**
1. **Fulcrum:** Dorsal aspect of PIP joint
2. **Proximal Arm:** Dorsal midline of proximal phalanx
3. **Distal Arm:** Dorsal midline of middle phalanx
40
Proximal Interphalangeal Extension **Stabilization**
Proximal phalanx to prevent motion of MCP joint
41
Proximal Interphalangeal Extension **End Feel**
Firm
42
Proximal Interphalangeal Extension **ROM**
Normal is 0º, up to 7º for active and 16º for passive
43
Distal Interphalangeal Flexion **Plane**
Sagittal
44
Distal Interphalangeal Flexion **position**
Sitting, forearm and hand resting on surface
45
Distal Interphalangeal Flexion **Limb Position**
1. Forearm in 0º of supination and pronation, wrist in 0º of flexion/extension/radial + ulnar deviation
2. Mcp joint in 0º of flexion/extension/abd/add.
3. Place PIP joint in approximately 70-90º of flexion
46
Distal Interphalangeal Flexion **Goniometer positioning**
1. **Fulcrum:** Dorsal aspect of DIP joint
2. **Proximal Arm:** Dorsal midline of the middle phalanx
3. **Distal Arm:** Dorsal midline of the distal phalanx
47
Distal Interphalangeal Flexion **Stabilization**
Middle and proximal phalanx to prevent further flexion of PIP
48
Distal Interphalangeal Flexion **End Feel**
Firm
49
Distal Interphalangeal Flexion **ROM**
70-90º
50
Distal Interphalangeal Extension **Plane**
Sagittal
51
Distal Interphalangeal Extension **Position**
Sitting, forearm and hand resting on surface
52
Distal Interphalangeal Extension **Limb Position**
1. Forearm in 0º of supination and pronation,
2. wrist in 0º of flexion/extension/radial + ulnar deviation, mcp joint in 0º of flexion/extension/abd/add.
3. Place PIP joint in approximately 70-90º of flexion
53
Distal Interphalangeal Extension **Goniometer Positioning**
1. **Fulcrum:** Dorsal aspect of DIP joint
2. **Proximal Arm:** Dorsal midline of the middle phalanx
3. **Distal Arm:** Dorsal midline of the distal phalanx
54
Distal Interphalangeal Extension **Stabilization**
Middle and proximal phalanx to prevent extension of PIP
55
Distal Interphalangeal Extension **End Feel**
Firm
56
Distal Interphalangeal Extension **ROM**
Normal is 0º, up to 8º for active and 20º for passive
57
Composite Flexion of the MCP, PIP, and DIP joints **Plane**
Sagittal
58
Composite Flexion of the MCP, PIP, and DIP Joints **Position**
Sitting, forearm and hand resting on surface
59
Composite Flexion of the MCP, PIP, and DIP Joints **Limb Position**
1. Forearm in neutral supination and pronation and the wrist in 0º of flexion/extension/ and radial + ulnar deviation
60
Composite Flexion of the MCP, PIP, and DIP Joints **Stabilization**
Metacarpals to prevent motion of the wrist
61
Composite Flexion of the MCP, PIP, and DIP Joints **End Feel**
Usually soft, may be firm
62
Composite Flexion of the MCP, PIP, and DIP Joints **ROM**
When MCP, PIP, and Dip are max flexed, the distance between fingertip and distal palmar crease of hand is zero, within 5 to 6 mm from the same tester and 7 to 9 mm from different testers
