MMT - Distal Measures

forearm pronation against gravity position, instructions

elbow flexed to 90 degrees, forearm neutral, relaxed wrist/fingers. put your palms at their wrist/distal forearm

“don’t let me turn your hand faced up”

forearm pronation gravity-eliminated position, instructions

sat, humerus flexed 90 degrees, supported. elbow flexed 90 degrees, forearm is supinated.

‘“try to turn your palm away from your face”

forearm pronation movers, cranial nerve level

pronator teres, C6

supination against gravity position, instructions

elbow flexed to 90 degrees, forearm neutral, relaxed wrist/fingers. put your palms at their wrist/distal forearm

“don’t let me turn your hand faced down”

supination gravity elimination-position, instructions

humerus flexed to 90 degrees, elbow flexed to 90 degrees, supported. forearm is pronated

“try to turn your palm toward your face”

supination mover, spinal cord level

supinator, C6

wrist extension against gravity position, instructions

forearm supported on table in pronation, fingers relaxed or slightly flexed. hang hand over edge of table. put one hand on forearm to stabilize, other hand on back of hand @ metacarpal heads

“lift your wrist as far as you can, keep your fingers relaxed. don’t let me push it down”

wrist extension gravity-eliminated position, instructions

forearm is supported on table in a neutral position, wrist slightly flexed

“try to bend your wrist backward”

wrist extension mover, spinal cord level

extensor carpi radialis longus, C6

wrist flexion against gravity position, instruction

forearm is supinated, supported. wrist is extended, fingers relaxed. one hand on forearm, other hand pull against distal metacarpals

“bend your wrist all the way forward. don’t let me push it back”

wrist flexion gravity-eliminated position, instruction

forearm in neutral, supported position. wrist extended, fingers relaxed.

“try to bend your wrist forward”

wrist flexion main mover, spinal cord level

flexor carpi radialis, C6

finger MCP extension position, instruction

forearm is pronated, supported. wrist in neutral position, fingers relaxed flexed. put one hand on the wrist/metacarpals, other hand (FINGER) on the head of the proximal carpal to push down

“lift this knuckle (touch knuckle) up as far as it will go. keep the rest of your fingers bent. do not let me push your knuckle down”

finger MCP extension main mover, spinal cord level

extensor digitorum, C8

finger abduction against gravity position, instructions

pronated forearm supported, wrist neutral. extended fingers + MCP. add resistance to the head of the proximal carpal (either side of 2 fingers)

“spread your fingers apart. don’t let me push them back together”

finger abduction primary mover, spinal cord level

dorsal interossei, C8

finger adduction against gravity position, instructions

forearm pronated, fingers extended and adducted. put hands (thumbs + forefinger) on the heads of 2 proximal phalanx to provide resistance

“don’t let me pull your fingers apart”

finger adduction primary mover, spinal cord level

palmar interossei, C8

thumb IP extension against gravity position, instruction

forearm neutral, wrist slightly flexed, supported. thumb flexed (MP and IP). put one hand around proximal phalanx of thumb to maintain MP flexion, other hand presses down on thumbnail with one finger.

“straighten the end of your thumb”

thump IP extension main mover, spinal cord level

extensor pollicis longus, C8

thumb IP flexion against gravity position, instruction

elbow flexed and supported on table, forearm supinated (PICTURE IS DUMB!! JUST HAVE HAND SUPINATED AND THUMB ABDUCTED) thumb extended. put one hand around thumb to keep MCP in extension, use other hand to push on thumb pad

“bend the tip of your thumb as far as you can, and do not let me straighten it”

thumb IP flexion main mover, spinal cord level

flexor pollicis longus, C8

thumb abduction against-gravity position, instruction

forearm supinated, wrist neutral, thumb adducted. put one hand under back of hand to keep wrist neutral, other against head of metacarpal

“lift your thumb directly out of the palm of the hand. don’t let me push it in.”

thumb abduction gravity-eliminated position, instruction

forearm and wrist are neutral and supported, thumb adducted

“try to move your thumb away from the palm of your hand”

thumb abduction primary mover, spinal cord level

abductor pollicis longus, C8

opposition against-gravity position, instruction

forearm supinated and supported, wrist neutral, thumb adducted + extended. use both hands (2 fingers each) on thenar/hypothenar eminence/metacarpal to add resistance, can be at same time

“touch the pad of your thumb to the pad of your little finger. do not let me pull them apart”

opposition gravity-eliminated position, instruction

humerus on table, elbow bent at 90 degrees. wrist in neutral position, thumb adducted and extended

“try to touch the pad of your thumb to the pad of your little finger”

opposition main movers, spinal cord level

opponens pollicis/digiti minimi, C8