Flashcards Week 8: Hand anatomy and ROM

forearm pronation range

0 to 80

forearm pronation end feel

hard

forearm pronation goniometer position

Axis

Stationary

Moveable

A: ulnar border of dorsal aspect of wrist, proximal to ulnar syloid

S: perpendicular to the floor

M: across dorsum of distal end of forearm betwwen styloid

when do you move the zxis

forearm pronation and supination

forearm supination range

0 to 80

forearm supination end feel

firm

forearm goniometer placement

a;

s;

m;

a: ulnar border of the volar aspect of the wrist, proximal to ulnar sstyloid

S: perpendicular to the floor

M: across dorsum of distal end of forearm betwwen styloid

wrist flexion range

0 to 80

wrist flexion end feel

firm

wrist extension range

0 to 70

wrist extension end feel

firm

wrist ulnar deviation range

0 to 30

wrist ulnar deviation end feel

frim

wrist ulnar deviation goniometer placement

a

s

m

Axis: base of 3rd metacarpal

Stationary bar: Midline of dorsal aspect of forearm

Moveable bar: Parallel to 3rd metacarpal and aligned with 3rd MCP joint

wrist radial deviation range

0 to 20

wrist radial end feel

hard

wrist radial deviation

a

s

m

Axis: base of 3rd metacarpal

Stationary bar: Midline of dorsal aspect of forearm

Moveable bar: Parallel to 3rd metacarpal and aligned with 3rd MCP joint

MCP Flexion range

0 to 90

MCP Flexion end feel

firm

MCP Flexion goniometer placement

a

s

m

Axis: adjacent to dorsal MCP joint (goniometer upright)

Stationary arm: against midline of dorsal metacarpal

Moving arm: against midline of dorsal proximal phalanx

MCP HyperExtension range

0 - 45

MCP HyperExtension end feel

firm

MCP HyperExtension goniometer placement

a

s

m

Axis: adjacent to volar MCP joint (goniometer upright)*

Stationary arm: against midline of volar metacarpal

Moving arm: against midline of volar proximal phalanx

MCP Abduction/Adduction range

0 to 20

MCP Abduction/Adduction end feel

firm

MCP Abduction/Adduction

goniometer placemnt

a

s

m

Axis: dorsal metacarpal head

Stationary arm: midline of dorsal metacarpal

Moving arm: midline of dorsal proximal phalanx

PIP Extension / Flexion range

0 to 100

PIP Extension end feel

firm

PIP Flexion end feel

soft

PIP Extension / Flexion goniometer placement

a

s

m

Goniometer axis: adjacent to dorsal PIP joint (goniometer upright)

Stationary arm: against midline of dorsal proximal phalanx

Moving arm: against midline of dorsal middle phalanx

DIP Extension / Flexion range

0 - 80

DIP Extension end feel

firm

DIP Flexion end feel

soft

DIP Extension / Flexion

goniometer placment

a

s

m

Axis: Dorsal surface of DIP joint

Stationary bar: over middle phalanx

Moveable bar: over distal phalanx

Thumb (CMC) Palmar Abduction range

0 to 50

Thumb (CMC) Palmar Abduction end feel

firm

Thumb (CMC) Palmar Abduction goniometer placement

a

s

m

Axis: dorsal surface of CMC joint at snuffbox

Stationary bar: parallel to the index finger

Moveable bar: aligned with thumb metacarpal

Thumb CMC Radial Abduction range

0 to 50

Thumb CMC Radial Abduction end feel

firm

Thumb CMC Radial Abduction goniometer placement

a

s

m

Goniometer:

Axis: dorsal surface of CMC joint at snuffbox

Stationary bar: parallel to index

Moveable bar: aligned with thumb metacarpal

Thumb MCP Extension / Flexion range

0 to 50

Thumb MCP Extension end feel

firm

Thumb MCP Flexion end feel

soft

Thumb MCP Extension / Flexion goniometer placement

a

s

m

Axis: adjacent to dorsal MCP joint (goniometer upright)

Stationary arm: against midline of dorsal aspect of 1st metacarpal

Moving arm: against midline of dorsal aspect of proximal phalanx

Thumb IP extension / flexion range

0 to 90

Thumb IP extension end feel

firm

Thumb IP flexion end feel

soft

Thumb IP extension / flexion goniometer placement

Axis: dorsal surface of IP joint

Stationary bar: over proximal phalanx

Moveable bar: over distal phalanx