20 Questions
Which muscle is difficult to palpate and may require the patient to perform a palmar pinch for its location?
Adductor pollicis
What muscle may attempt to substitute for the thumb adductor, resulting in extension of the CM C joint?
Extensor pollicis longus
Which muscle is located between the first dorsal interosseus and the first metacarpal bone?
Adductor pollicis
In opposition (thumb to little finger) range of motion, which muscle is responsible for flattening the palm during medial rotation?
Opponens digiti minimi
Where should the therapist apply resistance for the opponens pollicis during the examination of opposition range of motion?
At the head of the 1st metacarpal
In which grade would a patient be if they were able to move their thumb towards their body with no resistance?
Grade 3 (Fair)
If a patient tolerates moderate resistance while moving their thumb vertically until it points to the ceiling, what grade would they be assigned?
Grade 4 (Good)
What is the grade assigned to a patient who completes partial range of motion when asked to move their thumb towards their index finger?
Grade 2 (Poor)
If a patient exhibits no contractile activity when asked to move their thumb towards their index finger, what grade would be assigned to them?
Grade 0 (Zero)
Which grade would be assigned if a patient completes the full range of thumb adduction motion with maximal finger resistance?
Grade 5 (Normal)
What is the prime mover for finger metacarpophalangeal (MP) flexion?
Lumbricales
For finger MP flexion, which muscle may attempt to substitute for the lumbricales, resulting in a pattern to be avoided?
Flexor digitorum superficialis
Which muscle is responsible for flattening the palm during medial rotation in thumb opposition (thumb to little finger) range of motion?
Opponens digiti minimi
Where should the therapist apply resistance for the examination of thumb opposition range of motion?
Thumb base
Which muscle is located between the first dorsal interosseus and the first metacarpal bone?
Opponens digiti minimi
Which muscle is primarily responsible for flexion of the proximal interphalangeal (PIP) joint of the fingers?
Flexor digitorum superficialis
During the PIP test for the flexor digitorum superficialis, what is the major substitution for this motion if the distal interphalangeal (DIP) joint is allowed to flex?
Flexor digitorum profundus
What is the position of the forearm during the DIP test for the flexor digitorum profundus to eliminate the influence of gravity?
In neutral
Which muscle is a prime mover for finger abduction range of motion?
Dorsal interossei
Where should the resistance be applied while testing the extensor indicis during finger metacarpophalangeal (MP) extension range of motion?
Across the dorsum of all proximal phalanges just distal to the MP joints
Test your knowledge on grading the range of motion of the thumb. Learn to assess the patient's thumb movement and resistance levels according to the specified grading system.
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