MMT Fingers

Question 1

Finger MCP Flexion MMT

Answer 1

Muscle: Lumbricals (c8-t1)

Position: Sitting; palm up

Palpate: Palm, in between metacarpals on radial side, fingers extended

Movement: Flex then go to 90; pull proximal phalynx all together

Stabilize: Wrist

GR Position: Sitting w/ arm on table, neutral forearm; allow MCP flx

Question 2

Finger PIP Flexion MMT

Answer 2

Muscle: FDS (c8-t1)

Position: Sitting; palm up

Palpate: Middle forearm

Movement: Flex then go to 90; hold proximal phalynx, and resist middle phalynx 1 finger at a time

Stabilize: Proximal phalynx

GR Position: Sitting w/ arm on table, neutral forearm; allow MCP flx

Question 3

Finger DIP Flexion MMT

Answer 3

Muscle: FDP (c8-t1)

Position: Sitting; palm up

Palpate: Middle forearm over ulna

Movement: Flex then go to 90; hold middle phalynx, and resist distal phalynx 1 finger at a time

Stabilize: Middle phalynx

GR Position: Sitting w/ arm on table, neutral forearm

Question 4

Finger MCP Extension MMT

Answer 4

Muscle: Extensor Digitorum (c6-c8)

Position: Sitting; palm down, wrist over edge

Palpate: Middle forearm

Movement: Extend MCPs, and resist proximal phalynx 1 at a time

Stabilize: Metacarpals

GR Position: Sitting w/ arm on table, neutral forearm;

Question 5

Finger Abduction MMT

Answer 5

Muscle: DABS (c8-t1)

Position: Sitting; palm down, wrist over edge

Palpate: Dorsal side of hand between metacarpals

Movement: Splay finger and use 1 finger to apply resistance

Stabilize: Wrist

GR Position: N/a

Question 6

Thumb MCP Flexion MMT

Answer 6

Muscle: Flexor Pollicis Brevis (c8-t1)

Position: Sitting; palm up

Palpate: Thenar pad

Movement: Flex; resist at proximal phalanx ; IP stays extended

Stabilize: 1st metacarpal

GR Position: N/a

Question 7

Thumb IP Flexion MMT

Answer 7

Muscle: FPL (c8-t1)

Position: Sitting; palm up

Palpate: 2 inch above wrist on radius

Movement: Flex IP; hold proximal phalynx, and resist Distal phalynx

Stabilize: Proximal phalynx

GR Position: N/a

Question 8

Thumb MCP Extension MMT (EPB)

Answer 8

Muscle: EPB (c7 -c8)

Position: Sitting; palm up

Palpate: dorsal didtal wrist

Movement: Extend MCP; hold metacarpal, and resist proximal phalynx

Stabilize: 1st metacarpal

GR Position: N/a

Question 9

Thumb IP Extension MMT

Answer 9

Muscle: EPL (c7-c8)

Position: Sitting; palm up

Palpate: 2 inch above dorsal wrist midline

Movement: Extension IP; hold proximal phalynx, and resist Distal phalynx

Stabilize: MCP joint

GR Position: N/a

Question 10

Thumb Abduction MMT (APL)

Answer 10

Muscle: APL (c6-c7)

Position: Sitting; palm up

Palpate: base of the 1st metacarpal

Movement: Abduction; and resist metacarpal

Stabilize: n/a

GR Position: Pronation

Question 11

Thumb Abduction MMT (APB)

Answer 11

Muscle: APB (c8-ti)

Position: Sitting; palm up

Palpate: base of the 1st metacarpal

Movement: Abduction; and resist prox phalynx

Stabilize: n/a

GR Position: Neutral

Question 12

Finger Adduction MMT

Answer 12

Muscle: PADS (c8-t1)

Position: Sitting; palm down, wrist over edge

Palpate: Dorsal side of hand between metacarpals 4 and 5

Movement: Bring fingers together and use 1 finger to apply resistance

Stabilize: Wrist

GR Position: N/a

Question 13

Thumb Adduction MMT

Answer 13

Muscle: Adductor Pollicis (c8-t1)

Position: Sitting; palm down

Palpate: Thenar webspace

Movement: Adduction; and resist medial proximal phalynx

Stabilize: Metacarpals

GR Position: Neutral

Question 14

Opposition MMT

Answer 14

Muscle: Opponens Pollicis and Opponens digiti minimi (c8-ti)

Position: Sitting; palm up

Palpate: Lateral 1st and 5th metacarpal

Movement: Opposition; and resist 1st and 5th metacarpal

Stabilize: n/a

GR Position: N/a