OCC 501 Occupational Therapy Practical 2: ROM & MMT Clinical Skills Mastery – Goniometry, Manual Muscle Testing, Step-by-Step Guides, and Documentation

elbow extension-flexion patient position

sitting with arm against side and FA supinated

elbow extension-flexion where to assist for PROM

posterior FA

elbow extension-flexion axis

lateral epicondyle

elbow extension-flexion stationary arm

lateral midline of humerus

elbow extension-flexion moveable arm

lateral midline of radius

forearm pronation patient position

sitting with elbow at 90 and stabilized against trunk

FA neural - thumb up

forearm pronation where to assist for PROM

back of hand

"handshake position:

forearm pronation axis

adjacent to distal dorsal ulna - slightly proximal to ulnar styloid

forearm pronation stationary arm

perpendicular to floor

forearm pronation moveable arm

lying against dorsal aspect of distal radius/ulna

forearm supination patient position

sitting with elbow at 90 and stabilized against trunk

FA neutral - thumb up

forearm supination where to assist for PROM

palm of hand

"handshake position"

forearm supination axis

adjacent to distal medial ulna - proximal to ulnar styloid

forearm supination stationary arm

perpendicular to floor

forearm supination moveable arm

lying against volar aspect of distal radius/ulna

wrist flexion patient position

sitting with FA resting in pronation on table, hand elevated, fingers relaxed

wrist flexion where to assist for PROM

back of hand

wrist flexion axis

adjacent to dorsal wrist over capitate

wrist flexion stationary arm

directly against midline of dorsal FA

wrist flexion moveable arm

directly against dorsal 3rd metacarpal

wrist extension patient position

sitting with FA resting in supination on table, hand elevated, fingers relaxed

wrist extension where to assist for PROM

palm of hand

wrist extension axis

adjacent to volar wrist

wrist extension stationary arm

directly against midline of volar FA

wrist extension moveable arm

adjacent to volar 3rd metacarpal through web space between ring and middle finger

wrist radial deviation patient position

sitting with FA resting pronation on table, wrist neutral, hand elevated, fingers neutral

wrist radial deviation where to assist for PROM

ulnar side of hand

wrist radial deviation axis

capitate bone

wrist radial deviation stationary arm

midline of dorsal FA

wrist radial deviation moveable arm

3rd metacarpal

wrist ulnar deviation patient position

sitting with FA resting in pronation on table, wrist neutral, hand elevated, fingers neutral

wrist ulnar deviation where to assist for PROM

radial side of hand

wrist ulnar deviation axis

capitate bone

wrist ulnar deviation stationary arm

midline of dorsal FA

wrist ulnar deviation moveable arm

3rd metacarpal

elbow extension against gravity position

supine with shoulder flexion to 90, internally rotated, elbow flexed to 90

elbow extension mmt where to stabilize

distal humerus supporting shoulder in flexed position

elbow extension mmt where to apply pressure

distal ulnar FA - agaginst extension

elbow extension gravity minimized position

sitting with arm supported on table in 90 should abduction, elbow flexed

elbow extension where to palpate

triceps at posterior elbow

elbow extension substitutions

shoulder extension

lateral trunk flexion

elbow flexion against gravity position

sitting with elbow flexed to 90 and FA supinated

elbow flexion mmt where to stabilize

superior aspect of shoulder girdle

elbow flexion mmt where to apply pressure

distal forearm - against flexion

elbow flexion gravity minimized position

sitting with arm supported on table in 90 shoulder abduction, elbow straight

elbow flexion where to palpate

brachialis and biceps brachii at anterior elbow

elbow flexion substitutions

scapular elevation

contralateral trunk flexion

forearm pronation against gravity position

sitting with elbow flexed to 90 and stabilized against lateral trunk, FA neutral with thumb up

forearm pronation mmt where to stabilize

lateral humerus against trunk

forearm pronation mmt where to apply pressure

medial distal FA and fingers grasp ulna with base of palm resisting anterior aspect of radius - against pronation

forearm pronation gravity minimized position

supine with elbow flexed to 90

forearm pronation where to palpate

pronator teres at proximal aspect of radial FA

forearm pronation substitutions

shoulder abduction

shoulder internal rotation

contralateral trunk flexion

forearm supination against gravity position

sitting with elbow flexed to 90 and stabilized against lateral trunk, FA neutral with thumb up

forearm supination mmt where to stabilize

lateral humerus stabilizing against trunk

forearm supination mmt where to apply pressure

lateral dorsal FA, fingers grasp ulna with base of palm resisting against posterior aspect of radius - against supination

forearm supination gravity minimized position

supine with elbow flexed to 90

forearm supination where to palpate

biceps brachii at anterior elbow

forearm supination substitutions

shoulder adduction

shoulder external rotation

ipsilateral trunk flexion

wrist extension against gravity position

sitting with FA resting in pronation on table/FA support, wrist in midrange extension, fingers relaxed

wrist extension mmt where to stabilize

mid-dorsal FA stabilizing against table/support

wrist extension mmt where to apply pressure

dorsal metacarpals - against extension

wrist extension gravity minimized position

sitting with FA neutral, thumb up, ulnar FA and hand resting on table

wrist extension where to palpate

ECU, ECRL, ECRB all at dorsal wrist

wrist extension substitutions

elbow flexion

finger extension

wrist flexion against gravity position

sitting with FA resting in supination on table/FA support, wrist in midrange flexion, fingers relaxed

wrist flexion mmt where to stabilize

mid volar FA stabilizing against table/FA support

wrist flexion mmt where to apply pressure

mid volar palm - against flexion

wrist flexion gravity minimized position

sitting with FA neutral (thumb up) and ulnar FA and hand resting on table

wrist flexion where to palpate

FCR and FCU at volar wrist

wrist flexion substitutions

elbow flexion

finger flexion

ulnar deviation against gravity position

sitting with FA resting in pronation on table/FA support, wrist in midrange ulnar deviation, hand elevated or off table, fingers and thumb relaxed

ulnar deviation mmt where to stabilize

dorsal FA stabilizing against table/FA support

ulnar deviation mmt where to apply pressure

ulnar aspect of 5th metacarpal - against ulnar deviation

ulnar deviation gravity minimized position

sitting with FA pronated and hand resting on table

ulnar deviation where to palpate

ECU at dorsal wrist

FCU at volar wrist

ulnar deviation substitutions

elbow extension

finger abduction

radial deviation against gravity position

sitting with FA resting in neutral (thumb up) on table/FA support, wrist in midrange radial deviation, hand elevated off table, fingers and thumb relaxed

radial deviation mmt where to stabilize

radial FA stabilizing against table/FA support

radial deviation mmt where to apply pressure

radial aspect of 2nd metacarpal in web space of thumb - against radial deviation

radial deviation gravity minimized position

sitting with FA pronated and hand resting on table

radial deviation where to palpate

ECRL and ECRB at dorsal wrist

FCR at volar wrist

radial deviation substitutions

elbow flexion

finger/thumb abduction

finger MCP flexion patient position

sitting with hand elevated and FA supported in pronation OR propped on elbow with wrist neutral and fingers in fist position

finger MCP flexion where to assist for PROM

dorsal proximal phalanx

finger MCP flexion axis

adjacent to dorsal MCP joint (goni upright)

finger MCP flexion stationary arm

adjacent midline of dorsal metacarpal

finger MCP flexion moveable arm

against midline of phalanx

finger MCP extension patient position

sitting with hand elevated and FA supinated in supination OR propped on elbow with wrist neutral

finger MCP extension where to assist for PROM

volar distal and proximal phalanx

finger MCP extension axis

adjacent to volar MCP joint (goni upright)

finger MCP extension stationary arm

against midline of volar metacarpal

finger MCP extension moveable arm

against midline of volar proximal phalanx

finger PIP extension-flexion patient position

sitting with hand elevated and FA supported in pronation OR propped on elbow with wrist neutral and fingers in fist position

finger PIP extension-flexion where to assist for PROM

dorsal proximal phalanx

finger PIP extension-flexion axis

adjacent to dorsal PIP joint (goni upright)

finger PIP extension-flexion stationary arm

against midline of dorsal proximal phalanx

finger PIP extension-flexion moveable arm

against midline of dorsal middle phalanx

finger DIP extension-flexion patient position

sitting with hand elevated and FA supported in pronation OR propped on elbow, wrist neutral, fingers flexed into fist

finger DIP extension-flexion where to assist for PROM

dorsal distal phalanx