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Mo PT Assessment > Shoulder/Elbow/Wrist > Flashcards

Shoulder/Elbow/Wrist Flashcards

1
Q

List all bones involved in shoulder movement

A

scapula, ribs, clavicle, humerus, sternum

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2
Q

GH joint is what joint type

A

ball and socket

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3
Q

motions involved at GH joint

A

flex, extend, rotation, ab, add

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4
Q

AC joint is mainly for

A

stability

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5
Q

AC joint is what joint type

A

synovial gliding

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6
Q

SC joint is what joint type

A

saddle

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7
Q

ST joint is what joint type

A

plane or synovial gliding

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8
Q

motions of ST joint

A

elevation and depression, protraction and retraction, UR and DR

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9
Q

xipho-sternal and costo-chondral are what joint types

A

cartilage

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10
Q

Coracoacriomial joint is what type

A

fibrous, or ligamentous

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11
Q

CA joint is mainly for

A

stability

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12
Q

SC joint motions

A

allows for protraction and retraction, UR, DR, allows for some side motion too (he says elevation and depression are same as UR and DR

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13
Q

muscles involved in shoulder motion are divided into 3 areas

A
  1. Muscles that connect the axial skeleton (ribs and vertebrae as o) with the scapula (as insertion)
  2. Muscles that connect the skeleton and the humerus (as insertion)
  3. Muscles that connect scapula and humerus (as insertion)
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14
Q

main job of the muscles that connect the axial skeleton with the scapula

A

(main job of these is to move the scapula: protraction, retraction, elevation depression, UR, DR)

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15
Q

as a whole (all parts of) the trapezius does what motion

A

UR scapula

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16
Q

Upper traps motion

A

elevate and UR scapula

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17
Q

mid traps motion

A

retract scapula and UR scapula (adduction same as retraction)

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18
Q

lower traps motion

A

depress and UR scapula

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19
Q

nerve of trapezius

A

spinal accessory nerve XI

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20
Q

levator scapulae motion

A

elevates scapula

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21
Q

nerve to levator scapulae

A

dorsal scapular nerve

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22
Q

primary protractor of scapula

A

serratus anterior

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23
Q

the force couple that produces upward rotation exists bc of what two muscles

A

serratus anterior and trapezius

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24
Q

Main UR due to the force coupling action

A

serratus anterior and trapezius

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25
Q

nerve to serratus anterior

A

long thoracic nerve

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26
Q

action of pec minor

A

depresses scapula

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27
Q

nerve to pec minor

A

medial pectoral nerve

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28
Q

main muscle involved in swimming

A

lats

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29
Q

motion of lats

A

Adduction shoulder, extension shoulder, IR shoulder, depress scapula

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30
Q

nerve to lats

A

thoracodorsal nerve

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31
Q

this muscle creates the anterior portion of the axillary fold

A

pec major

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32
Q

actions of pec major

A

flexion, add, medial rotation (primary motion is to horizontal adduct-this happens both in the shoulder and the scapula) this is the primary horizontal adductor

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33
Q

primary horizontal adductor of shoulder

A

pec major

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34
Q

nerve to pec major

A

medial and lateral pectoral nerve

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35
Q

action of subscapularis

A

IR shoulder

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36
Q

action of teres minor

A

ER shoulder

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37
Q

action of infraspinatus

A

ER shoulder

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38
Q

actions of supraspinatus

A

abduct shoulder

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39
Q

actions of teres major

A

extend, abd, and IR shoulder (no scapular mvmt)

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40
Q

nerve to subscapularis

A

upper and lower subscapular nerve

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41
Q

nerve to teres minor

A

axillary nerve

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42
Q

nerve to supra and infraspinatus

A

suprascapular nerve

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43
Q

nerve to teres major

A

lower subscapular nerve

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44
Q

all together, the delts do what

A

abduct shoulder (no scapula mvmt)

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45
Q

anterior delt action

A

flexes shoulder

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46
Q

middle delt is the primary___ of shoulder

A

abductor

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47
Q

primary flexor of shoulder

A

anterior delt

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48
Q

posterior delt is the primary ___ of shoulder

A

extensor

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49
Q

nerve to deltoids

A

axillary

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50
Q

actions of coracobrachialis

A

flexes and adducts shoulder (no scapula mvmt)

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51
Q

nerve to coracobrachialis

A

musculocutaneous nerve

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52
Q

action of long head of biceps

A

main action is to flex elbow, for the shoulder it mainly stabilize the shoulder and strengthen the ant capsule, assist in flexion of shoulder (but minimally)

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53
Q

nerve to biceps brachi

A

musculocutaneous

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54
Q

actions of long head of triceps

A

main action is to extend elbow, for the shoulder it mainly stabilizes the shoulder and strengthen the post capsule, assists is shoulder ext but minimally

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55
Q

nerve to triceps

A

radial nerve

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56
Q

when palpating, how to find the coracoid process

A

find where AC joint and go down ½ inch and in ½ inch

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57
Q

which vertebrae (spinous process) is most prominent when head is flexed

A

C7 most prominent when head isn’t flexed, when head is flexed T1 is most prom

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58
Q

what vertebrae (spinous process) can be found by drawing a line between the inferior angles of the scapula

A

T-8

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59
Q

normal GH flexion ROM

A

Flexion (0-165)

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60
Q

normal GH extension ROM

A

Extension (0-60)

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61
Q

normal GH ER

A

0-90

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62
Q

normal GH IR

A

0-70

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63
Q

normal GH abd

A

0-165

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64
Q

normal GH add

A

0-40

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65
Q

normal GH hor abd

A

0-45

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66
Q

normal GH hor add

A

0-135

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67
Q

scapular abd is same as

A

protraction

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68
Q

scapular add is same as

A

retraction

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69
Q

main muscles that elevate scapula

A

upper trap levator scap

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70
Q

MB joint

A

manibriosternal

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71
Q

MB joint type

A

cart

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72
Q

Testing ROM for upper trap, levator scap basics

A

prone, use one had on scapula to guide and one hand on bicepital area to move into scapular elevation

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73
Q

when doing MMT, you always do what first

A

PROM, then AROM

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74
Q

explain diff between ROM and MMT in regards to positioning the pt for testing elevation of scapula

A

elevation of scapula is upper traps and levator scap: for ROM they are prone and you place one hand on biceps to elevate the scap and one hand on scap itself to guide, for MMT they are seated in chair

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75
Q

Where do you palpate for testing elevation of scapula

A

lateral to cervical spinous processes

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76
Q

gravity eliminated for MMT testing upper traps and levator scap (position of pt)

A

prone

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77
Q

In gravity lessened, if pt can perform the motion fully it is a grade

A

2

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78
Q

in gravity lessened, if pt can perform the motion partially it is a grade

A

2 -

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79
Q

in gravity lessened, if pt cannot perform the motion but you feel the muscle contract it is grade

A

1

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80
Q

main motion of middle trap

A

adduction scapula

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81
Q

again, scapula adduction is aka

A

retraction (middle trap) scapula

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82
Q

position to test ROM and MMT middle trap

A

prone, 90/90, palm down, as they lift their arm straight up from the table

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83
Q

Where do you stand when MMT middle trap

A

opp side of arm you are testing

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84
Q

GL position for middle trap (for pt)

A

seated, arm on table (with cloth under), arm bent at 90, knuckles forward

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85
Q

muscle that does depression and adduction of scapula

A

lower trap

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86
Q

Describe position and motion of testing the lower trap

A

prone, superman arm as they protract up and retract down

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87
Q

where to apply resistance when testing lower trap

A

lateral aspect of scapula

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88
Q

where do you stand when MMT lower trap

A

opp side of arm testing

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89
Q

2 muscles that don’t really have a GL position (they are modified positions so GL is same as regular)

A

lower trap and coracobrachialis

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90
Q

Where do you palpate with lower trap

A

btwn the lower scapular spine and the spinous process of vertebrae

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91
Q

Rhomboids do what motions

A

adduction and DR

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92
Q

what position should you think of when testing rhomboids

A

prone handcuff

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93
Q

again, lower trap does what

A

depress and adduct

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94
Q

GL position for testing rhomboids

A

they are seated doing same motion as the regular

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95
Q

when testing rhomboids (MMT) your resisting hand is doing what motion, your stabalizing hand is where

A

as you resist, with your hand on the vert border, you do a scoop motion, stabalizing hand is on opp side of thorax

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96
Q

How much resistance do you apply with any GL position

A

NONE, never apply resistance with GL

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97
Q

Serr Ant motion

A

protraction and UR

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98
Q

nerve to Serr ant

A

long thoracic nerve

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99
Q

what position should you think of when you test the serr ant

A

supine, ceiling punches

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100
Q

where to palpate serr ant

A

around ribs 8-9 close to lateral scapula

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101
Q

GL position for Serr ant

A

they are seated facing table with arm straight out on table as they protract

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102
Q

break time

A

ok

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103
Q

to test shoulder flexion ROM, where do you stabalize during movement

A

almost making a “c” at top of shoulder, stabalize at clavicle

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104
Q

boney landmarks for shoulder flexion and ext

A

thorax, acromion and lat epicondyle

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105
Q

axis landmark for shoulder flexion and ext

A

acromion

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106
Q

stationary landmark for shoulder flexion and ext

A

midline of trunk

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107
Q

movable landmark for shoulder flexion and ext

A

lat epicondyle

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108
Q

shoulder ext goni measurement, pt is

A

prone

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109
Q

when doing goni for shoulder flexion, remember that pt thumb should be pointed

A

up

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110
Q

when you think of hor. adduction, what muscle should you think of

A

pec major

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111
Q

boney landmarks for measuring shoulder ab and add

A

acromion, parallel to sternum, medial epicondyle

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112
Q

When measuring goni for abd of shoulder, pt should be

A

side lying, watch for rotation

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113
Q

measuring goni for shoulder adduction, pt is

A

supine

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114
Q

explain basics for measuring goni for IR and ER of shoulder

A

pt is supine with arm at 90/90, place towel under elbow, position goni with arms straight up and down (both perp to floor)

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115
Q

normal ER of shoulder

A

0-90

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116
Q

normal IR of shoulder

A

0-70

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117
Q

boney landmarks for shoulder ER and IR

A

olecranon, perp to floor, ulnar styloid process

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118
Q

With goni measurments for shoulder adduction, what must you do before you begin to actually adduct the limb

A

raise arm up approx 50 degrees (clear it) to get proper adduction

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119
Q

when doing goni for shoulder adduction, the stationary arm (that is parallel with the sternum) goes

A

outside of the arm, not inside.

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120
Q

lollipop goni position (sorry Michelle this makes sense in my head :)

A

shoulder flexion and extension, GH adduction and abduction

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121
Q

For hor abd and add goni, how is goni placed

A

zero it out first with the goni all in a straight line (then line the axis with the acromion, stationary towards C7 and movable with lateral epicondyle) after they hor add

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122
Q

explain motion of arm when testing coracobrachialis

A

supinated and externally rotated as the shoulder flexes

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123
Q

for shoulder extension, where do you palpate during AROM

A

post axillary fold

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124
Q

what 3 muscles are you testing in shoulder extension

A

post delt, lats, teres major

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125
Q

When testing abduction, what 2 muscles are you testing (one is the main one, other is accessory abductor)

A

main one- mid delts, accessory-supraspinatus

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126
Q

What muscle are you testing with hor. abduction

A

post delt

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127
Q

differences btwn pt position in testing ROM vs MMT with hor abduction and adduction

A

ROM - pt is seated, MMT - pt is prone for hor abd and supine for hor add

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128
Q

the 2 muscles you are testing when you perform shoulder ER

A

teres minor, infraspinatus

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129
Q

The 4 muscles you are testing when you perform shoulder IR

A

subscap, teres major, pec major, lats

130
Q

Only muscle tested with hor abduction

A

post delt

131
Q

When doing gravity lessened for med and lat rotation of shoulder, what must you keep in mind

A

they will be prone with their arm dangling off the table (straight arm) but you must lift up their shoulder joint to get good mvmt

132
Q

What muscle should you think of when you think scapular abduction

A

serratus anterior

133
Q

Where is your stabalizing hand when you do middle and lower trap

A

opposing side of thorax

134
Q

Motions you do goni for, for the shoulder

A

flexion, extension, abduction, adduction, IR, ER, hor abd, hor add

135
Q

scapula adduction with DR is what muscles

A

rhomboids

136
Q

T or F, Teres major has no scapular movement influence

A

T

137
Q

min, mod, max represent what numbers of meaurement for MMT

A

if they can only do min its 3+
if they can only do mod its 4
if they can resist max its 5

138
Q

Where is your resisting hand placed when testing middle trap

A

on the middle of the lateral scapula

139
Q

Testing ant delt is essentially testing shoulder flexion (which is done with the pt seated in chair or on table) however, when you meausure goni for shoulder flexion, pt should be how

A

supine on table

140
Q

explain the basics of shoulder flexion goni measurements

A

pt is supine, you introduce, instruct, and demo. you stabalize and do PROM, you palpate boney land marks (lat epicondyle, acromion), align like loli, perform motion to end, repalpate, get measurement ( do 3 times for effected and 1 for non)

141
Q

List main steps involved in Goni (after intro and demo)

A

passive, palpate, zero, passive, palpate, measure

142
Q

what are the goni landmarks for shoulder flexion and extension

A

acromion, lateral epicondyle, midline of trunk

143
Q

what are goni landmarks for shoulder abd and add

A

ant acromion, parallel to sternum, medial epicondyle

144
Q

What are goni landmarks for IR/ER of shoulder

A

ulnar styloid process, acromion, perp to ground

145
Q

What are goni landmarks for hor abd/add of shoulder

A

superior to mid acromion, line up with C7, lateral epicondyle

146
Q

list main steps in MMT (after intro and demo)

A

PROM x 3, AROM while you feel muscle x 3, then min mod max x 3

147
Q

when palpating rhomboids, where is your hand

A

medial border side of scapula

148
Q

When resisting for rhomboids, describe your hand position

A

you are standing on opp side of the arm that is moving, your heel of your hand is placed at the lower border of the scapula as you scoop out and up

149
Q

When palpating for serr ant motion, what is a good marker to know you are in the right spot

A

slightly sup to nipple line, btwn the lateral ribs

150
Q

how to apply resistance for serr ant

A

one hand below their elbow joint and one on forearm

151
Q

What muscles are you MMT when you MMT shoulder extension

A

lats, teres major, post delt

152
Q

What muscle are you testing when you are MMT hor. abduction

A

post delt only

153
Q

What position is pt in for MMT of hor abd

A

prone

154
Q

muscle you are mmt with hor add

A

pec major

155
Q

2 muscles you are mmt when you test ER

A

teres minor, infraspinatus

156
Q

muscles you are mmt when you test IR

A

subscap, teres major, pec major, lats

157
Q

Where do you palpate for IR

A

in the axilla itself (feel deep for subscap)

158
Q

Normal ROM for elbow flexion

A

0-140

159
Q

Normal ROM for elbow extension

A

140-0

160
Q

Normal ROM for supination and pronation

A

0-80

161
Q

When MMT biceps, you must make sure the arm is

A

fully supinated

162
Q

Explain the very similiar gravity lessened positions when testing the elbow flexor muscles

A

all are seated, elbow bent to 90, arm resting on table to side of pt, to test biceps the thumb is up as they flex elbow, to test brachioradialis the palm is down, brachialis their hand is like they are looking at a watch

163
Q

Normal elbow flexion range

A

0-140

164
Q

Normal elbow extension range

A

140-0

165
Q

Normal elbow supination/pronation range

A

0-80

166
Q

Boney landmarks for elbow flexion/extension goni

A

mobile arm is radial styloid process, axis is lateral epicondyle, stationary arm is in line with humerus

167
Q

Boney landmarks for elbow sup/pron goni

A

axis is ulnar styloid process, stationary is in line with humerus, moveable goes with the surface of wrist (depending on motion)

168
Q

Explain the difference in hand position when testing biceps, vs brachialis, vs brachioradialis

A

biceps, they are fully supinated (palm up)
brachialis, they are palm down (fully pronated)
brachioradialis (RAD= thumbs up)

169
Q

Which is the only shoulders/scap muscle that you do your resistance on the vertebral border of the scap

A

rhomboids, do an “up and out” resistance motion, middle and lower trap you are on the scap itself

170
Q

Muscle that primarily does scap adduction

A

middle trap

171
Q

muscle that does scap depression

A

lower trap

172
Q

you don’t resist with GL position, but you still always

A

palpate the movement

173
Q

lower trap and coracobrachialis have no

A

GL position

174
Q

actions of rhomboids

A

DR ADD

175
Q

when would you try GL position

A

if they can’t perform a grade 3 in regular

176
Q

what are your landmarks for measuring shoulder flexion and ext

A

acromion, lat epicondyle, midline

177
Q

landmarks for goni measurment shoulder abd/add

A

acromion, medial epicondyle, sternum

178
Q

3 main muscles involved in shoulder extension

A

lat, post delt, teres major

179
Q

for middle delt (abd of shoulder) what is GL position

A

supine, simply have them do abd supine

180
Q

to MMT shoulder IR/ER, what position is pt in

A

prone, with towel under biceps area

181
Q

For MMT of elbow flextion pt is positioned ____, but for goni of elbow flexion, pt is positioned____

A

MMT - they are seated on table

GONI- they are supine with towel at post upper arm

182
Q

IR’s of shoulder

A

subscap, pec major, teres major (sub major major)

183
Q

elbow rom range (flexion)

A

0-140

184
Q

ROM elbow ext

A

140-0

185
Q

For measuring elbow extension, you start them how (positioning)

A

in full flexion

186
Q

boney landmarks for forearm sup/pro goni

A

start with their hand/wrist in neutral, use ulnar styloid process and line up with humerus (and depending on whether you are measuring sup or pro is how to know which side axis goes on)

187
Q

Remember, when MMT biceps, pt has to be in

A

FULL SUPINATION

188
Q

For GL position for biceps (explain position of thumb)

A

thumbs up on table

189
Q

Where to palpate the supinator muscle during AROM

A

just distal to the radial head

190
Q

To MMT supination or pronation, explain starting position for pt

A

eventhough for goni of sup and pro, pt starts in neutral, for MMT they start in the full opposing position. Meaning, if you are testing MMT of supinator you start in full pronation.

191
Q

Describe GL for supinator

A

they are seated with elbow bent and elbow on table in front (fingers to the sky)

192
Q

describe pt position for MMT elbow extension

A

they are supine, FULLY SUPINATED, with elbow flexed at 90 (towel?)

193
Q

Normal wrist flexion

A

0-80

194
Q

Normal wrist extension

A

0-70

195
Q

NOrmal wrist rad dev

A

0-20

196
Q

NOrmal wrist ulnar dev

A

0-30

197
Q

Normal MCP flexion

A

0-90

198
Q

Normal MCP ext

A

0-40

199
Q

Normal MCP add

A

0-20

200
Q

Normal MCP abd

A

0-20

201
Q

Normal PIP flexion and ext

A

0-100

202
Q

Normal DIP flexion

A

0-70

203
Q

NOrmal DIP ext

A

0-20

204
Q

Normal thumb flex/ext

A

both are 0-50

205
Q

MCP of fingers is what joint type

A

condyloid (2 df)

206
Q

MCP of thumb s what type

A

hinge

207
Q

Which CMC has more motion the thumb or fingers

A

thumb has more at CMC

208
Q

Which MCP has more motion, the thumb or fingers

A

fingers have more at MCP

209
Q

Axn of FDP

A

flex the DIP

210
Q

N of FDP

A

median and ulnar

211
Q

FDS axn

A

flex PIP

212
Q

N to FDS

A

median

213
Q

EDM action

A

extends MCP of 5

214
Q

Nerve to EDM

A

radial

215
Q

Axn of ext digatorum

A

extend MCP

216
Q

N of ED

A

radial N

217
Q

Axn of ext indicis

A

extend MCP

218
Q

Nerve of ext indicis

A

radial

219
Q

Axn abd polli longus

A

abd CMC

220
Q

N to abd polli longus

A

radial

221
Q

Ext polli longus axn

A

extend IP of thumb

222
Q

N to ext polli longus

A

radial

223
Q

axn ext polli brevis

A

extend cmc and mcp of thumb

224
Q

N to ext polli brevis

A

radial

225
Q

flexor polli longus axn

A

flexes IP of thumb

226
Q

N to flexor polli longus

A

median

227
Q

All thenar muscles (under thumb) are what nerve

A

median

228
Q

List the thenar muscles

A

flexor pollicus brevis, abd pollicis, opponens poll

229
Q

All thenar muscles act on what joint (as their primary axn)

A

CMC

230
Q

All hypothenar muscles act on what joint (primary)

A

MCP

231
Q

All hypo thenar muscles have what nerve

A

ulnar

232
Q

List the hypothenar muscles

A

abd digiti minimi, flexor digiti minimi, opp dig min

233
Q

Alone, the lumbricals do what

A

just flex MCP of fingers

234
Q

Alone, interossei do what

A

PAD

DAB

235
Q

All interossei are what nerve

A

ulnar

236
Q

What nerves to what lumbricals

A

fingers 1-2 are median, fingers 3-4 are ulnar

237
Q

Ulnar nerve injury where fingers 4 and 5 stay flexed is called

A

ape hand

238
Q

other than main elbow joint, what are the other 2 joints he focuses on

A

superior radio-ulnar and inferior radio ulnar

239
Q

The SRU and IRU joints in the elbow are what type

A

pivot

240
Q

true wrist joint is what type of joint

A

ellipsoidal

241
Q

main elbow joint is what type

A

hinge

242
Q

Nerve to both pronators

A

median

243
Q

FCR nerve

A

median

244
Q

FCU nerve

A

ulnar

245
Q

all forearm extensors have what nerve

A

radial n (extensor carp rad long, ext carp rad brev)

246
Q

wrist flexion ROM

A

0-80

247
Q

Wrist ext ROM

A

0-70

248
Q

List the main forearm muscles he focuses on

A

flexors- flexor carpi radialis, flexor carpi ulnaris
Extensors- ECRL, ECRB

they do their descriptor action with their descriptor deviation

249
Q

Normal end feel elbow flexion

A

soft

250
Q

normal end feel elbow extension

A

hard

251
Q

Supination end feel

A

firm

252
Q

pronation end feel

A

hard/firm

253
Q

Any goni of elbow flexion/ext pt is positioned

A

supine

254
Q

modified MMT means what

A

there is no GL position

255
Q

If pt is performing MMT for a motion that does not have a GL position and they cannot fully do the range, it is grade

A

2

256
Q

If pt is performing MMT for a motion that does not have a GL position and they can fully do the range, but no resistance its

A

3

257
Q

What is 3+ in modified scale (no GL position)

A

means they can withstand min resistance

258
Q

What is 4 in modified grading scale

A

they can withstand mod resistance

259
Q

5 in modified is

A

they can resist max resistance

260
Q

If pt cannot do full range of motion during the AROM part of MMT, what do you do

A

take them to the full end to feel end range and see if PROM can get to end

261
Q

N t rhomboids

A

dorsal scapular N

262
Q

There are only 4 ROM/goni measurements for the elbow what are they

A

flex/ext, sup/pro

263
Q

Where do you palpate (during AROM) brachialis

A

medial distal humerus, inferior to biceps

264
Q

For all elbow flexors (for MMT) you stabalize where, for elbow flexion goni where do you stabalize

A

above shoulder joint, on humerus

265
Q

Where to stabalize for sup/pro ROM and MMT

A

distal humerus above elbow joint

266
Q

Where to palpate for supinator

A

just distal to radial head

267
Q

volar means

A

palmar

268
Q

dorsal means

A

back of hand

269
Q

when doing ROM/goni for supination, the goni is placed where

A

volar/palmer side

270
Q

landmarks for supination ROM

A

ulnar styloid, volar surface of hand, line up with humerus (paralled)

271
Q

Where to palpate for pronation, during AROM

A

anterior forearm, under elbow joint

272
Q

Where to place goni for forearm pronation

A

dorsal side of hand

273
Q

for positioning, any Goni measurements you do, you should be

A

eye level

274
Q

For MMT, you should be positioned

A

where you have an advantage to apply resistance from above

275
Q

positioning of hand for sup/pro for ROM vs MMT

A

for ROM, you start in neutral, for MMT you start opp of the motion you are testing

276
Q

For sup/pro MMT or goni, do they have to have a table to rest their arm

A

no

277
Q

for shoulder ext goni and MMT they are

A

prone

278
Q

explain Goni of wrist flexion/ext

A

lateral: their hand is off the table, your markers are triquetrium (radial dev and you will feel), 5th mc, and towards olecranon, for the dorsal way your landmarks are lunate, towards lat epi, and 3rd mc

279
Q

wrist extension landmarks for both position (goni)

A

volar: (palmar) lunate, towards biceps tendon, 3rd meta
lateral: same as flexion

280
Q

nerve to brachioradialis

A

radial

281
Q

nerve to pronators

A

median

282
Q

action of coracobrachialis

A

flex and adduct shoulder

283
Q

nerve to coracobrachialis

A

mc

284
Q

sup/pro occurs at what joint

A

ru

285
Q

elbow joint is called

A

humeroulnar

286
Q

wrist joint is called

A

radiocarpal

287
Q

explain position of triceps mmt

A

they are supine, you stabalize at their shoulder

288
Q

explain position of triceps goni

A

they are supine

289
Q

for dorsal wrist flexion (goni) what are your markers

A

lunate, towards lateral epicondyle, 3rd mc

290
Q

for lateral wrist flexion (goni) what are your markers

A

TOF (triquetrium, olecranon, fifth mc)

291
Q

wrist flexion rom, hand is

A

palm down

292
Q

wrist ext rom, hand is

A

palm up

293
Q

with wrist ext, what to keep in mind

A

dont let them extend their fingers

294
Q

for wrist flexion MMT, their hand is

A

palm up

295
Q

for wrist ext mmt their hand is

A

palm down

296
Q

explain the process of goni

A

passive, palpate, zero, passive, palpate, measure, (do this once for good side) for bad side do this entire progression once, then repeat from zero on

297
Q

boney landmarks for wrist radial/ulnar deviation

A

both are capitate, 3rd meta and lateral epicondyle

298
Q

normal rom for radial and ulnar deviation

A

radial 20, ulnar 30

299
Q

end feel for radial deviation

A

hard

300
Q

end feel for ulnar deviation

A

firm

301
Q

gravity lessened for radial and ulnar dev

A

neutral forearm (thumb up)

302
Q

when mmt wrist flexion and extension, you also include

A

deviation

303
Q

which goni do you use for MCP ext

A

small plastic one (like mine) but it’s cut

304
Q

Which goni do you use for MCP flexion

A

metal one

305
Q

pip extension end feel

A

hard

306
Q

pip flexion end feel

A

soft

307
Q

what goni to use for pip flexion/ext

A

metal, there really is no ext should be zero or document as hyper

308
Q

What goni to use for dip flexion

A

small metal one

309
Q

what goni to use for dip ext

A

cut small plastic one

310
Q

Which goni to use for MCP flexion

A

small metal one

311
Q

normal rom for mcp thumb flexion

A

0-50

312
Q

normal rom for thumb ip flexion

A

0-65

313
Q

normal rom for thumb ip ext

A

0-20

314
Q

normal rom for thumb cmc flex/ext

A

20

315
Q

what muscles correspond with the cmc of thumb

A

abd polli longus and brevis, extensor polli brevis, flexor polli brevis

316
Q

explain positioning of testing wrist flexion ext goni

A

they are palm down for both and you use lateral aspect of hand

317
Q

what are markers for goni for CMC of thumb flex/ext

A

they are palm up, your markers are towards the radial head, the cmc joint, and the 1st mc

318
Q

Normal hor abd rom

A

0-45

319
Q

normal hor add rom

A

0-135

320
Q

normal hor add rom

A

0-135

321
Q

WHat motion should you think of with middle trap

A

retraction of scap

Mo PT Assessment (4 decks)

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