Manual Muscle Test the Hand

What muscles are being tested when testing MCP flexion?

Lumbricales and Interossei

When a patient is sitting, forearm supported in supination what position is this used to test and what grades?

MCP flexion grades 5/5,4/5,3/5

When a patient forearm and wrist in mid position, MCP joints fully extended, IP joints flexed what position is this used to test and what grade?

MCP flexion grades 2/5,1/5,0/5

What muscle is being tested with PIP flexors?

Flexor digitorum superficialis

When a patient is sitting, forearm supinated, finger to be tested in slight MCP flexion what is this position used to test and what grade?

PIP flexors grade 5/5, 4/5, 3/5

When a patient forearm is in mid position what is this position used to test and what grade?

PIP flexors grade 2/5, 1/5, 0/5

How can you prevent tenodesis?

by maintaining wrist in neutral flexion

What muscles are the DIP flexor?

flexor digitorum profundus

What position is the patient in for DIP flexor grades 5/5- 0/5?

forearm in supination, wrist neutral, PIP in extension

What muscle is the MCP extensor?

extensor digitorum, extensor indicis, extensor digiti minimi

When the patient forearm is in pronation, wrist neutral, MCP and IP joints in related flexion and what position is this testing and what grade?

MCP extensors grade 5/5, 4/5, 3/5

When the patient forearm is in mid position, wrist neutral, MCP and IP joints in related flexion and what position is this testing and what grade?

MCP extensors grade 2/5,1/5, 0/5

What muscle is being test with finger abduction?

dorsal interrosei

When a patient position is forearm pronated , wrist neutral , fingers in extension and adduction what position does this test and what grade?

Finger abduction all grades

which muscles do not tolerate much resistance?

dorsal interrosei

When the patient position is forearm pronated, wrist neutral, fingers extended what does this test and what grades?

Finger Adduction all grades

What muscle is tested with thumb MCP flexors?

Flexor Pollicis brevis

When a patient forearm supinated, wrist neutral. CMC at 0 degrees what position is this testing and what grade?

Thumb MCP flexors all grades

What muscle is thumb IP flexors?

flexor pollicis longus

When a patient forearm supinated, wrist neutral, MCP extended what is this position testing and what grades?

Thumb IP flexors all grades

What muscle is the thumb MCP extensors?

Extensor pollicis brevis

When a patient forearm in midposition, wrist neutral. CMC and IP joints of thumb in relaxed flexion. MCP joint in thumb abduction and flexion what position is this a test for and what grades?

Thumb MCP extensors

What muscle is thumb IP extensors?

Extensor pollicis longus

When a patient forearm in supine, wrist neutral, thumb in relaxed
flexion what position is this a test for and what grade?

Thumb IP Extensors

When testing grade 5/5, 4/5 for thumb IP extensors what is something to keep in mind when doing max/moderate resistance?

not a strong muscle

What muscle is thumb abductors?

abductor pollicis longus

When a patient forearm supinated, wrist neutral what position is this for testing and what grade?

Thumb abductors all grades

When testing grade 1/5 where do you want to palpate?

tendon of abductor pollicis longus at the base of the 1st MC on the radial side of the extensor pollics brevis

what muscle is the thumb adductors?

adductor pollicis brevis

When a patient is pronated , and elevated what position is that a test for and what grade?

Thumb adductors

What muscles is oppositon?

opponens pollicis, opponens digiti minimi

When a patient forearm supinated, wrist neutral what position and what grades?

Opposition all grades

When testing grade 1/5 of opposition what do you want to palpate?

opponens pollicis on thenar eminence, digiti minimi on hypothenar eminence