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Clinical Practice Goniometry > Wrist and Hand Goniometry > Flashcards

Wrist and Hand Goniometry Flashcards

(104 cards)

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1
Q

WRIST FLEXION

A

WRIST FLEXION

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2
Q

What is the testing position for wrist flexion?

A
  • Shoulder abducted 90°
  • Elbow flexed 90°
  • Rest forearm on supporting surface
  • Avoid radial or ulnar deviation and finger flexion
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3
Q

What is the mean ROM for wrist flexion?

A

80°

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4
Q

When testing for wrist flexion, where do we stabilize and why?

A

Stabilize the radius and ulna to prevent supination or pronation.

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5
Q

What is the end feel for wrist flexion?

A

Firm

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6
Q

Alignment (wrist flexion):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • Lateral midline of ulna
  • Lateral midline of 5th metacarpal
  • Lateral aspect of triquetrum
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7
Q

WRIST EXTENSION

A

WRIST EXTENSION

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8
Q

What is the testing position for wrist extension?

A

SAME AS WRIST FLEXION

  • Shoulder abducted 90°
  • Elbow flexed 90°
  • Rest forearm on supporting surface
  • Avoid radial or ulnar deviation and finger flexion
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9
Q

What is the mean ROM for wrist extension?

A

70°

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10
Q

When testing for wrist extension, where do we stabilize and why?

A

SAME AS WRIST FLEXION

Stabilize radius and ulna to prevent supination or pronation.

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11
Q

What is the end feel for wrist extension?

A

Firm

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12
Q

Alignment (wrist extension):

  • What is the stationary arm?
  • What is the movement arm?
  • What is the fulcrum?
A

SAME AS WRIST FLEXION

  • lateral midline of ulna
  • lateral midline of 5th metacarpal
  • lateral aspect of triquetrum
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13
Q

WRIST RADIAL DEVIATION

A

WRIST RADIAL DEVIATION

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14
Q

What is the testing position for radial deviation?

A
  • Shoulder abducted 90°
  • Elbow flexed 90°
  • Rest forearm on supporting surface
  • Third metacarpal parallel to dorsal midline of the forearm
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15
Q

What is the mean ROM for radial deviation?

A

20°

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16
Q

When testing radial deviation, where do we stabilize and why?

A

Stabilize the radius and ulna to prevent supination or pronation.

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17
Q

What is the end feel for radial deviation?

A

Hard

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18
Q

Alignment (radial deviation):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • dorsal midline of forearm
  • dorsal midline of third metacarpal
  • dorsal aspect of capitate
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19
Q

WRIST ULNAR DEVIATION

A

WRIST ULNAR DEVIATION

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20
Q

What is the testing position for ulnar deviation?

A

SAME AS RADIAL DEVIATION

  • Shoulder abducted 90°
  • Elbow flexed 90°
  • Rest forearm on supporting surface
  • Third metacarpal parallel to dorsal midline of the forearm
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21
Q

What is the mean ROM for ulnar deviation?

A

30°

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22
Q

When testing ulnar deviation, where do we stabilize and why?

A

Stabilize at the radius and ulna to prevent supination or pronation.

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23
Q

What is the end feel for ulnar deviation?

A

Firm

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24
Q

Alignment (ulnar deviation):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • dorsal midline of forearm
  • dorsal midline of third metacarpal
  • dorsal aspect of capitate
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25
MCP FLEXION
MCP FLEXION
26
What is the testing position for MCP flexion?
- Patient sitting, forearm and hand resting on surface - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral pronation/supination
27
What is the mean ROM for MCP flexion?
90°
28
When testing MCP flexion, where do we stabilize and why?
Stabilize metacarpal to prevent wrist motion without holding other MCP joints in full extension.
29
What is the end feel for MCP flexion?
Hard or firm
30
Alignment (MCP flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of metacarpal - dorsal line of proximal phalanx - dorsal aspect of MCP joint
31
MCP EXTENSION
MCP EXTENSION
32
What is the testing position for MCP extension?
- Patient sitting, forearm and hand resting on surface - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral pronation/supination - Avoid full flexion or extension of PIP and DIP joints
33
What is the mean ROM for MCP extension?
45°
34
When testing MCP extension, where do we stabilize and why?
Stabilize metacarpal to prevent wrist motion without holding other MCP joints in full flexion.
35
What is the end feel for MCP extension?
Firm
36
Alignment (MCP extension): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of metacarpal - dorsal midline of proximal phalanx - dorsal aspect of the MCP joint
37
MCP ABDUCTION
MCP ABDUCTION
38
What is the testing position for MCP abduction?
- Patient sitting, forearm and hand resting on a supporting surface - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral pronation/supination - Neutral MCP flexion/extension
39
What is the mean ROM for MCP abduction?
20°
40
When testing for MCP abduction, where do we stabilize and why?
Stabilize metacarpal to prevent wrist motion.
41
What is the end feel for MCP abduction?
Firm
42
Alignment (MCP abduction): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of metacarpal - dorsal midline of proximal phalanx - dorsal aspect of MCP joint
43
PROXIMAL INTERPHALANGEAL FLEXION
PROXIMAL INTERPHALANGEAL FLEXION
44
What is the testing position for proximal IP flexion?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral pronation/supination - Neutral MCP flexion/extension
45
What is the mean ROM for proximal IP flexion?
100°
46
When testing proximal IP flexion, where do we stabilize and why?
Stabilize proximal phalanx to prevent motion of the MCP joint.
47
What is the end feel for proximal IP flexion?
Hard, sometimes soft or firm
48
Alignment (proximal IP flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of proximal phalanx - dorsal midline of middle phalanx - dorsal aspect of PIP joint
49
PROXIMAL INTERPHALANGEAL EXTENSION
PROXIMAL INTERPHALANGEAL EXTENSION
50
What is the testing position for proximal IP extension?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral pronation/supination - Neutral MCP flexion/extension
51
What is the mean ROM for proximal IP extension?
0°
52
When testing for proximal IP extension, where do we stabilize and why?
Stabilize proximal phalanx to prevent motion of the MCP joint.
53
What is the end feel for proximal IP extension?
Firm
54
Alignment (proximal IP extension): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of proximal phalanx - dorsal midline of middle phalanx - dorsal aspect of PIP joint
55
DISTAL INTERPHALANGEAL FLEXION
DISTAL INTERPHALANGEAL FLEXION
56
What is the testing position for distal IP flexion?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral pronation/supination - Neutral MCP flexion/extension - PIP in 70°-90° of flexion
57
What s the mean ROM for distal IP flexion?
90°
58
When testing for distal IP flexion, where do we stabilize and why?
Stabilize middle and proximal phalanx to prevent motion of the PIP joint.
59
What is the end feel of distal IP flexion?
Firm
60
Alignment (distal IP flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of middle phalanx - dorsal midline of distal phalanx - dorsal aspect of DIP joint
61
1st CARPOMETACARPAL FLEXION
1st CARPOMETACARPAL FLEXION
62
What is the testing position for 1st CMC flexion?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in full supination - CMC joint in 0° of abduction - 1st MCP and IP joints in slight flexion
63
What is the mean ROM for 1st CMC flexion?
15°
64
When testing for 1st CMC flexion, where do we stabilize and why?
Stabilize the carpals, radius, and ulna to prevent wrist motions
65
What is the end feel for 1st CMC flexion?
Soft or firm
66
Alignment (1st CMC flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- anterior midline of radius - anterior midline of 1st metacarpal - palmar aspect of CMC joint
67
1st CARPOMETACARPAL EXTENSION
1st CARPOMETACARPAL EXTENSION
68
What is the testing position for 1st CMC extension?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in full supination - CMC joint in 0° of abduction - 1st MCP and IP joints in slight flexion
69
What is the mean ROM for 1st CMC extension?
35°
70
When testing for 1st CMC extension, where should we stabilize and why?
Stabilize the carpals, radius, and ulna to prevent wrist motions.
71
What is the end feel for 1st CMC extension?
Firm
72
Alignment (1st CMC extension): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- anterior midline of radius - anterior midline of first metacarpal - palmar aspect of CMC joint
73
1st CARPOMETACARPAL ABDUCTION
1st CARPOMETACARPAL ABDUCTION
74
What is the testing position for 1st CMC abduction?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in neutral supination/pronation - 1st CMC, MCP, and IP joints at 0 degrees of flexion
75
What is the mean ROM for 1st CMC abduction?
70°
76
When testing for 1st CMC abduction, where do we stabilize and why
Stabilize the carpals and 2nd metacarpal to prevent wrist motions.
77
What is the end feel for 1st CMC abduction?
Firm
78
Alignment (1st CMC abduction): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- lateral midline of the 2nd metacarpal - lateral midline of 1st metacarpal - lateral aspect of radial styloid process
79
1st CARPOMETACARPAL OPPOSITION
1st CARPOMETACARPAL OPPOSITION
80
How is opposition of the 1st CMC measured differently?
Measure the difference between the tip of the thumb and the center of the proximal crease of the little finger.
81
1st METACARPOPHALANGEAL FLEXION
1st METACARPOPHALANGEAL FLEXION
82
What is the testing position for 1st MCP flexion?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in full supination - 1st CMC in 0° of flexion, abduction - 1st IP joint in 0° of flexion
83
What is the mean ROM for 1st MCP flexion?
50°
84
When testing for 1st MCP flexion, where do we stabilize and why?
Stabilize the 1st metacarpal to prevent wrist motion and flexion of the CMC joint.
85
What is the end feel of 1st MCP flexion?
Hard or firm
86
Alignment (1st MCP flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of the metacarpal - dorsal midline of the proximal phalanx - dorsal aspect of the MCP joint
87
1st METACARPOPHALANGEAL EXTENSION
1st METACARPOPHALANGEAL EXTENSION
88
What is the testing position for 1st MCP extension?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in full supination - 1st CMC joint in 0° of flexion, abduction - 1st IP joint in 0° of flexion
89
What is the mean ROM for 1st MCP extension?
0°
90
When testing for 1st MCP extension, where do we stabilize and why?
Stabilize the 1st metacarpal to prevent wrist motion and flexion of the CMC joint.
91
What is the end feel for 1st MCP extension?
Firm
92
Alignment (1st MCP extension): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of the metacarpal - dorsal midline of the proximal phalanx - dorsal aspect of the MCP joint
93
1st INTERPHALANGEAL FLEXION
1st INTERPHALANGEAL FLEXION
94
What is the testing position for 1st IP flexion?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in full supination - 1st CMC joint in 0° of flexion, abduction - 1st MCP joint in 0° of flexion
95
What is the mean ROM for 1st IP flexion?
80°
96
When testing for 1st IP flexion, where do we stabilize and why?
Stabilize the 1st proximal phalanx to prevent motion of the MCP joint.
97
What is the end feel for 1st IP flexion?
Firm, sometimes hard
98
Alignment (1st IP flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of the proximal phalanx - dorsal midline of the distal phalanx - dorsal aspect of the IP joint
99
1st INTERPHALANGEAL EXTENSION
1st INTERPHALANGEAL EXTENSION
100
What is the testing position for 1st IP extension?
- Patient sitting, forearm and hand supported - Wrist in neutral flexion/extension and radial/ulnar deviation - Radioulnar joints in full supination - 1st CMC joint in 0° of flexion, abduction - 1st MCP joint in 0° of flexion
101
What is the mean ROM for 1st IP extension?
0°
102
When testing for 1st IP extension, where do we stabilize and why?
Stabilize the 1st proximal phalanx to prevent motion of the MCP joint.
103
What is the end feel for 1st IP extension?
Firm
104
Alignment (1st IP extension): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- dorsal midline of the proximal phalanx - dorsal midline of the distal phalanx - dorsal aspect of the IP joint

Clinical Practice Goniometry (3 decks)

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