Thumb Range of Motion Grading Quiz
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Questions and Answers

Which muscle is difficult to palpate and may require the patient to perform a palmar pinch for its location?

  • Flexor pollicis longus
  • Adductor pollicis (correct)
  • Extensor pollicis longus
  • Flexor pollicis brevis

What muscle may attempt to substitute for the thumb adductor, resulting in extension of the CM C joint?

  • Extensor pollicis longus (correct)
  • Abductor pollicis brevis
  • Flexor pollicis brevis
  • Flexor pollicis longus

Which muscle is located between the first dorsal interosseus and the first metacarpal bone?

  • Opponens pollicis
  • Abductor pollicis brevis
  • Opponens digiti minimi
  • Adductor pollicis (correct)

In opposition (thumb to little finger) range of motion, which muscle is responsible for flattening the palm during medial rotation?

<p>Opponens digiti minimi (D)</p> Signup and view all the answers

Where should the therapist apply resistance for the opponens pollicis during the examination of opposition range of motion?

<p>At the head of the 1st metacarpal (C)</p> Signup and view all the answers

In which grade would a patient be if they were able to move their thumb towards their body with no resistance?

<p>Grade 3 (Fair) (A)</p> Signup and view all the answers

If a patient tolerates moderate resistance while moving their thumb vertically until it points to the ceiling, what grade would they be assigned?

<p>Grade 4 (Good) (A)</p> Signup and view all the answers

What is the grade assigned to a patient who completes partial range of motion when asked to move their thumb towards their index finger?

<p>Grade 2 (Poor) (A)</p> Signup and view all the answers

If a patient exhibits no contractile activity when asked to move their thumb towards their index finger, what grade would be assigned to them?

<p>Grade 0 (Zero) (D)</p> Signup and view all the answers

Which grade would be assigned if a patient completes the full range of thumb adduction motion with maximal finger resistance?

<p>Grade 5 (Normal) (B)</p> Signup and view all the answers

What is the prime mover for finger metacarpophalangeal (MP) flexion?

<p>Lumbricales (A)</p> Signup and view all the answers

For finger MP flexion, which muscle may attempt to substitute for the lumbricales, resulting in a pattern to be avoided?

<p>Flexor digitorum superficialis (D)</p> Signup and view all the answers

Which muscle is responsible for flattening the palm during medial rotation in thumb opposition (thumb to little finger) range of motion?

<p>Opponens digiti minimi (B)</p> Signup and view all the answers

Where should the therapist apply resistance for the examination of thumb opposition range of motion?

<p>Thumb base (A)</p> Signup and view all the answers

Which muscle is located between the first dorsal interosseus and the first metacarpal bone?

<p>Opponens digiti minimi (D)</p> Signup and view all the answers

Which muscle is primarily responsible for flexion of the proximal interphalangeal (PIP) joint of the fingers?

<p>Flexor digitorum superficialis (A)</p> Signup and view all the answers

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?

<p>Flexor digitorum profundus (D)</p> Signup and view all the answers

What is the position of the forearm during the DIP test for the flexor digitorum profundus to eliminate the influence of gravity?

<p>In neutral (B)</p> Signup and view all the answers

Which muscle is a prime mover for finger abduction range of motion?

<p>Dorsal interossei (D)</p> Signup and view all the answers

Where should the resistance be applied while testing the extensor indicis during finger metacarpophalangeal (MP) extension range of motion?

<p>Across the dorsum of all proximal phalanges just distal to the MP joints (D)</p> Signup and view all the answers

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