Upper Body Rom And Mmt

Front 1

Position for cervical ROM measurements

Back 1

Sitting in a chair, feet flat on ground, back supported

Front 2

Thoracolumbar extension

Back 2

Think about that neck

Front 3

Thoracolumbar flexion via tape and Shober: what should you expect?

Back 3

10 cm for the tape
6-7 cm for Shober

Front 4

MMT: Combined cervical Flexion

Muscles of combined cervical flexion

Back 4

Laying on the back.

Substitution: Platysma

Rectus capitis anterior & lateral Longus capitis Scalenes SCM

Front 5

Trunk Extension

Muscles:

Back 5

DON'T PUSH DOWN
Hold the feet
Chest slightly off table

Errector Spinae
Multifidus & Rotatores

Front 6

Trunk Flexion

Back 6

2: raise head
1: cough or can palpate muscle as you raise them.

Front 7

Trunk Rotation

Back 7

2: Can't clear the inferior angle of scapula.
1: Palpation as you pull them up

Front 8

Capsular pattern for adhesive capsulitis

Back 8

ER, Abd, IR

Front 9

Infraspinatus/teres minor

Back 9

Sitting down, thoughtful position, Elbow bent
It's going to be below the intersection of the spine and the acromion.

Front 10

Shoulder flexion ROM & MMT

Back 10

ROM
Lying on the back
150-180 degrees

MMT
2: Partial ROM
1: Palpation
PALM DOWN

Front 11

Shoulder Extension

Back 11

SAME POSITION IN PRONE

ROM
50-60 degrees

MMT
2: Partial ROM

Front 12

Shoulder Abduction

Back 12

ROM:
Acromion-// Sternum-midline of arm
Bend head if need be
180

MMT:
THUMB UP
Sitting position
2: put in ROM position

Front 13

Shoulder internal/external rotation

Back 13

ROM
On their back
70-90; 90

MMT
On stomach
2: let hand drop
Palpate underneath posterior axilla for internal rotation

Front 14

Shoulder Horizontal Abudction

Back 14

ROM
Sitting position
Palms down
30-45

MMT:
On stomach
2: arm sliding on table

Front 15

Shoulder Horizontal Adduction

Back 15

ROM
Sitting position
Palms down
130-140

MMT:
On back
2: Arm sliding on table

Front 16

Scapular abduction and upward rotation MMT only

Back 16

Essentially Scaption
Sitting position
Palpating hand is underneath the inferior angle
Arm is raised, and then pt tries to pull their hand down
2: Add support by lifting the hand (to create a gravity minimized position). Does it then move into that abduction and upward rotation motion?

Front 17

Scapular Adduction MMT

Back 17

Same as horizontal abduction
Lying on stomach
Towel
2: Shoulder blades can come together in straight adduction as you support the weight of the arm.


Substitutions: Downward rotation of the rhomboids

Front 18

Scapular Depression and Adduction MMT

Back 18

THUMB UP
Lower trap
2: Hold up hand

Front 19

Scapular Adduction and Downward Rotation MMT

Back 19

Lying down
Arm behind the back
Rhomboids
2: Switch positions

Front 20

Flexor Carpi Ulnaris

Back 20

Make a fist and squeeze real tight

Front 21

Elbow Flexion

Back 21

ROM
Back
140-150

MMT:
Sitting
2: Internally rotate arm so elbow is in transverse plane

Front 22

Elbow Extension

Back 22

ROM:
Back
0 degrees

MMT:
Stomach
2: Sitting with elbow in transverse plane

Front 23

Forearm pronation & supination ROM averages and goni positions

Back 23

80
Parallel to the medial & lateral borders of humerus

Front 24

Wrist Flexion

Back 24

ROM:
Hand off side of table.
Triquetrium
60-80
TABLE RAISED SO THAT ARM IS IN NEUTRAL

MMT:
Fingers relaxed
Make it easy: dorsal side on table.
2: Switch to where the lateral side of the palm is on the table (grav. min)

Front 25

Wrist Extension

Back 25

Hand off side of table.
Triquetrium
60-70
TABLE RAISED SO THAT ARM IS IN NEUTRAL

MMT:
Feel underneath
Fingers relaxed
Make it easy: dorsal side on table.
2: Switch to where the lateral side of the palm is on the table (grav. min)

Front 26

Radial & Ulnar Deviation ROM only

Back 26

RAISED TABLE
MIDLINE OF FOREARM...LATERAL EPI
Ulnar: 30
Radial: 20

Front 27

MCP Flex/Ext for 2-5
What's the muscles involved?

Back 27

Lumbricals for flexion

ROM
flex 90, ext 20-45

MMT:
Flexion: Flex MCP Extend IP
Extension: Extend MCPs

Front 28

MCP Abd/Add

What's the muscles?

Back 28

Proximal Phalanx
MC

Palmer Interosseous: Add
Dorsal Interosseous: Abd

Front 29

PIP/ DIP (2-5) FLEX /EXT

Back 29

ROM
PIP: 100 flex, 0 ext
DIP: 70-90 flex, 0 ext

MMT:
FEEL TENDON AT THE WRIST

Front 30

MCP/IP FLEXION THUMB ROM only

Back 30

MCP: 50-60˚ flex, 0˚ ext
IP: 80˚ flex, 20˚ ext

Front 31

CMC Flexion of the thumb ROM only

THIS IS INVOLVED

CMC Extension:

Back 31

MEASURE 2 POSITIONS
MEASURE WITH PALM FACING UP
STOP WHEN THUMB STARTS OPPOSING
Goni: Base of CMC-ARM-MIDLINE OF RADIUS
15 degrees

Extension is the same except the measurements vary (20-80)

Front 32

CMC ABDUCTION

Back 32

Axis: lateral aspect of the radial styloid
70 degrees