MOVEMENTS, NORMS & PRIME MOVERS

Shoulder Flexion

■ Norm: 0-170
■ Deltoid (anterior fibers)- Axillary N.
■ Pectoralis major (clavicular fibers)- medial and lateral pectoral N.
■ Biceps Brachii-musculocutaneous N.

Shoulder Extension

■ Norm: 0-60
■ Deltoid (posterior fibers)- Axillary N.

■ Latissimus dorsi- Thoracodorsal N.

Shoulder Horizontal Abduction

■ Norm: 0-45
■ Deltoid (posterior fibers)- Axillary N.

Shoulder Horizontal Adduction

■ Norm: 0-135
■ Deltoid (anterior fibers)- Axillary N.
■ Pectoralis major (upper fibers)- Medial and Lateral pectoral N.

Shoulder Abduction

■ Norm: 0-170
■ Deltoid (all fibers)- Axillary N.
■ Supraspinatus- Suprascapular N.

Shoulder Internal Rotation

■ Norm: 0-70
■ Subscapularis- Upper and lower subscapular N.
■ Teres major- Lower subscapular N.
■ Deltoid (anterior fibers)- Axillary N

Shoulder External Rotation

■ Norm: 0-90
■ Deltoid (posterior fibers)- Axillary N.
■ Infraspinatus- Suprascapular N.
■ Teres minor- Axillary N.

Elbow Flexion

■ Norm: 150
■ Brachialis- Musculocutaneous N.
■ Biceps brachii- Musculocutaneous N.
■ Brachioradialis- Radial N.

Elbow Extension

■ Norm: 0
■ Triceps brachii (all heads)- Radial N.
■ Anconeus- Radial N

Forearm Supination

■ Norm: 0-80
■ Biceps brachii- Musculocutaneous N.
■ Supinator- Radial N

Forearm Pronation

■ Norm: 0-80
■ Pronator teres- Median N.
■ Pronator quadratus- Median N

Wrist Flexion

■ Norm: 0-80
■ Flexor carpi radialis- Median N.
■ Flexor carpi ulnaris- Ulnar N.

Wrist Extension

■ Norm: 0-70
■ Extensor carpi radialis longus- Radial N.
■ Extensor carpi radialis brevis- Radial N.
■ Extensor carpi ulnaris-Radial N.

Ulnar Deviation

■ Norm: 0-30
■ Extensor carpi ulnaris- Radial N.
■ Flexor carpi ulnaris- Ulnar N.

Radial Deviation

■ Norm: 0-20
■ Extensor carpi radialis longus- Radial N.
■ Extensor carpi radialis brevis- Radial N.
■ Flexor carpi radialis- Median N.

Metacarpophalangeal (MCP) Flexion

■ Norm: 0-90
■ Interossei- Ulnar N.
■ Lumbricals- Median N. and Ulnar N.
■ Flexor digitorum superficialis (FDS)- Medial N.
■ Flexor digitorum profundus (FDP)- Medial N. for D2 and D3, Ulnar N. for D4 and D5

Metacarpophalangeal (MCP) Extension

■ Norm: 45
■ Extensor digitorum- Radial N.
■ Extensor indicis- Radial N.
■ Extensor digiti minimi- Radial N.

Metacarpophalangeal (MCP) abduction and adduction

■ Norm: 0-20
■ Dorsal interossei (abduction)- Ulnar N.
■ Palmar interossei (adduction)- Ulnar N.

Proximal Interphalangeal (PIP) Flexion

■ Norm: 0-100
■ Flexor digitorum superficialis (FDS)- Medial N.
■ Flexor digitorum profondus (FDP)- Medial N. for D2 and D3, Ulnar N. for D4 and D5

Proximal Interphalangeal (PIP) Extension

■ Norm: 0
■ Interossei- Ulnar N.
■ Lumbricals- Median N. for D2 and D3, Ulnar N. for D4 and D5
■ Extensor digitorum (central slip)- Radial N

Distal Interphalangeal (DIP) Flexion

■ Norm: 0-90
■ Flexor digitorum profundus (FDP)- Medial N. for D2 and D3, Ulnar N. for D4 and D5

Distal Interphalangeal (DIP) Extension

■ Norm: 0
■ Interossei- Ulnar N.
■ Lumbricals- Median N. for D2 and D3, Ulnar N. for D4 and D5
■ Extensor digitorum (terminal tendon)- Radial N.

Thumb Carpometacarpal (CMC) Palmar Abduction

■ Norm: 0-70
■ Abductor pollicis longus- Radial N.
■ Abductor pollicis brevis- Median N.

Thumb Carpometacarpal (CMC) Radial Abduction

■ Norm: 0-70
■ Abductor pollicis longus- Radial N.
■ Extensor pollicis brevis- Radial N.
■ Abductor pollicis brevis- Median N.
■ Extensor pollicis longus- Radial N.

Thumb Metacarpophalangeal (MCP) Flexion

■ Norm: 0-50
■ Flexor pollicis longus- Median N.
■ Flexor pollicis brevis- Median N. and Ulnar N.

Thumb Metacarpophalangeal (MCP) Extension

■ Norm: 0
■ Extensor pollicis brevis- Radial N.
■ Extensor pollicis longus- Radial N

thumb Interphalangeal (IP) Flexion

■ Norm: 0-80
■ Flexor pollicis longus- Median N.

Thumb Interphalangeal (IP) Extension

■ Norm: 0
■ Extensor pollicis longus- Radial N.

Hip Flexion

■ Norm: 0-120
■ Psoas major- Lumbar plexus, iliacus- Femoral N. (as per text)

Knee Flexion

■ Norm: 0-135
■ Semimembranosus, Semitendinosus, Biceps Femoris- all Sciatic N.

Ankle Dorsiflexion

■ Norm 0-20
■ Tibialis anterior, Extensor Hallucis Longus, Extensor Digitorum Longus- all Deep Fibular N.