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52 Cards in this Set
- Front
- Back
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The Shoulder:
Flexion |
P: Sagittal A: M-L D: 0-180
Position: knees flexed, arm neutral Fulcrum: Acromion Process Stationary: mid-axillary of trunk Moving: lateral midline of humerus |
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The Shoulder:
Flexion (End Feel) |
GH: firm (post band coracohumeral lig & jt cap, teres m&m & infraspin)
SC: firm (latissimus) |
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The Shoulder:
Extension |
P: Sagittal A: M-L D: 0-60
Position: prone, arm neutral, elbow flexed Fulcrum: Acromion Stationary: Mid-axillary line of trunk Moving: lateral midline of humerus |
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The Shoulder:
Extension (End Feel) |
GH: firm (ant band carcohum lig and ant jt cap)
SC: firm (Pectoralis m&m, Serratus Ant) |
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The Shoulder:
Abd/Adduction |
P: Frontal A: A-P D: 0-180
Position: supine, palm forward, elbow extended Fulcrum: anterior aspect of acromion Stationary: parralel to anterior sternum midline Moving: medial midline of humerus |
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The Shoulder:
Abd/Adduction (End Feel) |
GH: firm (inf jt capsule; lats and pec major)
SC: firm (rhomboids, m&m, lower trap) |
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The Shoulder:
Medial Rotation |
P: Transverse A: Long D: 0-70
Position: supine, abd and elbow flex 90d, palm facing feet, towel Fulcrum: olecranon process Stationary: perp or parallel to floor Moving: ulnar styloid process |
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The Shoulder:
Medial Rotation (End Feel) |
GH: firm (post jt cap, teres minor, infraspinatus)
SC: firm (rhomboid and M&M) |
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The Shoulder:
Lateral Rotation |
P: transverse A: long D: 0-90
Position: supine, abd and elbow flex to 90d, palm facing feet, towel Fulcrum: olecranon Stationary: perp or parallel to floor Moving: ulnar styloid process |
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The Shoulder:
Lateral Rotation (End Feel) |
GH: firm (pec major, olecranon, lat, teres major)
SC: firm (pec minor) |
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The Shoulder:
Horizontal Abduction |
P:Transverse A:Long D:0-45
Postn:sitting, abd to 90, elbow flex, forearm neutral Fulcrum: superior acromion Stationary: perpendicular to trunk Moving: lateral midline of humerus |
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The Shoulder:
Horizontal Abduction (end feel) |
Firm (ant jt cap, glenohumeral lig, pec major)
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The Shoulder:
Horizontal Adduction |
P: transverse A: long D: 0-135
Postn: sitting, abd to 90, elbow flex, forearm neutral Fulcrum: superior acromion Stationary: perp to trunk Moving: lateral epicondyle |
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The Shoulder:
Horizontal Adduction (End Feel) |
Firm/Soft: (post jt cap, soft tissue apposition)
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The Elbow:
Flexion/Extension |
P: Sagittal A: M-L D: 0-150
Postn: supine, palm to ceiling, towel Fulcrum: lateral epicondyle Stationary: lateral humeral midline Moving: lateral midline radius |
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The Elbow:
Flexion/Extension (End Feel) |
Flexion: Soft (mm bulk) -or- Hard (coronoid process and fossa) -or- Firm (post jt cap, triceps)
Extension: Hard (olecranon and fossa) -or- Firm (tension of ant mm) |
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The Forearm:
Pronation |
P: Transverse A: Long D: 0-80
Postn: sitting, elbow flex 90, forearm supported, thumb to ceiling Fulcrum: lateral to ulnar styloid proc Stationary: par to ant hum midline Moving: across dorsal forearm |
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The Forearm:
Pronation (End Feel) |
Hard (ulna and radius) -or- Firm (supinator and biceps)
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The Forearm:
Supination |
P: transverse A: long D: 0-80
Postn: sitting, elbow flex to 90, forearm supp, thumb to ceiling Fulcrum: medial to ulnar styloid Stationary: par to ant hum midline Moving: across ventral forearm |
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The Forearm:
Supination (End Feel) |
Firm (pronator teres and quadratus)
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The Wrist:
Flexion |
P: sagittal A: M-L D: 0-80
Postn: sitting, forearm on table, hand off, palm down, fingers ext Fulcrum: lateral wrist at triquetrum Stationary: lateral ulnar midline Moving: lateral midline of 5th metacarpal |
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The Wrist:
Flexion (End Feel) |
Firm (dorsal radiocarpal lig and jt cap)
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The Wrist:
Extension |
P: sagittal A: M-L D: 0-70
Postn: sitting, forearm on table, hand off, palm down, fingers flex Fulcrum: lateral wrist at triquetrum Stationary: lateral ulnar midline Moving: lateral mid of 5th metacarpal |
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The Wrist:
Extension (End Feel) |
Firm (palmar lig & jt cap) -or- Hard (radius and carpal bones)
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The Wrist:
Radial Deviation |
P: frontal A:a-p D: 0-20
Postn: sitting, forearm on table, hand on, palm down, fingers ext Fulcrum: mid wrist at capitate Stationary: dorsal midline of forearm Moving: dorsal mid of 3rd metacarpal |
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The Wrist:
Radial Deviation (End Feel) |
Hard (radial styloid process & scaphoid) -or- Firm (ulnar collateral lig)
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The Wrist:
Ulnar Deviation |
P: frontal A: a-p D: 0-30
Postn: sitting, forearm and hand on table, palm down, fingers ext Fulcrum: dorsal mid wrist at capitat Stationary: dorsal midline of forearm Moving: dorsal midline of 3d metacarpal |
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The Thumb:
Flexion |
P: frontal A: a-p D: 0-15
Postn: sitting,forearm full supin, wrist neutral, fingers relax, thumb at arbitrary zero Fulcrum: palmar aspect of 1st CMC Stationary: palmar radial midline Moving: palmar midline of 1st MCP |
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The Thumb:
Flexion (End Feel) |
Soft (mm bulk) -or- firm (EPB and APB)
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The Wrist:
Ulnar Deviation (End Feel) |
Firm (radial collateral lig & jt cap)
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The Thumb:
Extension |
P: frontal A: a-p D: 0-20
Postn: sitting, forearm full supin, wrist neutral, fingers relax, thumb arbitrary zero Fulcrum: palmar aspect of 1st CMC Stationary: palmar midline of radius Moving: palmar midline of 1st MCP |
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The Thumb:
Extension (End Feel) |
Firm (FPB, AP, OP)
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The Thumb:
Palmar A/Adduction |
P: sagittal A: m-l D: 0-70
Postn: sitting, forearm/wrist neutral, supp on table Fulcrum: b/w dorsal 1st/2d metacarpal Stationary: lateral mid 2nd mcp Moving: lateral midline 1st metacarp |
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The Thumb:
Palmar Ab/Adduction (End Feel) |
Firm (web space skin and fascia, Addp)
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The Thumb:
Opposition |
P: multi A: multi D: varies
Postn: sitting, forearm full supin, wrist neutral fingers relax Measurement: with ruler, measure distance b/w thumb tip to tip of 5th digit |
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The Thumb:
Opposition (End Feel) |
Soft (mm bulk) -or- firm (EPB)
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The Thumb:
MCP Flex/Extension |
P: frontal A: a-p D: 0-50
Postn: sitting, forearm full supin, wrist neutral, fingers relax Fulcrum: dorsal MCP joint Stationary: dorsal midlin metacarpal Moving: dorsal prox phalanx |
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The Thumb:
MCP Flex/Extension (End Feel) |
Flex: Hard or Firm
Ext: Firm (palmar jt cap, FPB, intersesamoid lig) |
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The Thumb:
IP Flex/Extension |
P: frontal A: a-p D: 0-80
Postn: sitting, forearm full supin, wrist neutral, fingers relax Fulcrum: dorsal IP joint Stationary: dorsal midprox phalanx Moving: dors mid distal phalanx |
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The Thumb:
IP Flex/Extension (End Feel) |
Both: Firm
Flex: (dorsal jt cap and lig) Ext: Firm (palmar jt cap, lig) |
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The Fingers:
Flexion |
P: sagittal A: m-l D: 0-90
Postn: sitting, forearm wrist neutral, fingers relax Fulcrum: dorsal MCP joint Stationary: dors midl of metacarpal Moving: dors mid prox phalanx |
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The Fingers:
Flexion (End Feel) |
Hard -or- Firm (dorsal jt cap and collateral lig)
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The Fingers:
Extension |
P: sagittal A: m-l D: 0-45
Postn: sitting, wrist/forearm neutral, fingers relax Fulcrum: dorsal MCP joint Stationary: dorsal mid metacarpal Moving: dors mid prox phalanx |
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The Fingers:
Extension (End Feel) |
Firm (palmar jt cap & lig)
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The Fingers:
Abduction |
P: frontal A: a-p D: 0-20 (45)
Postn: sitting, hand on table, palm down, wrist neutral Fulcrum: dorsal MCP joint Stationary: dorsal mid metacarpal Moving: dors mid prox phalanx |
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The Fingers:
Abduction (End Feel) |
Firm (collateral lig, web fascia, palmar interossei mm)
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The Fingers:
Adduction |
P: Frontal A: a-p D: 0
Postn: sitting, hand on table, palm down, wrist neutral Fulcrum: dorsal MCP joint Stationary: dorsal mid metacarpal Moving: dorsal mid prox phalanx |
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The Fingers:
Adduction (End Feel) |
Soft (soft tissue application)
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The Fingers:
PIP Flex/Extension |
P: sagittal A: m-l D: 0-100
Postn: sitting, forearm/hand supported on table neutral Fulcrum: dorsal PIP jt Stationary:dors mid prox phalanx Moving: dors mid middle phalanx |
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The Fingers:
PIP Flex/Extension (End Feel) |
Hard (phalanges against one another) -or- Firm (dorsal capsule, ext tendons) -or- soft (soft tissue)
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The Fingers:
DIP Flex/Extension |
P: sagittal A: m-l D:10-0-90
Postn: sitting, forearm/hand supported and neutral, PIP flex 80d Fulcrum: dorsal DIP joint Stationary: dors mid middle phalanx Moving: dors midl distal phalanx |
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The Fingers:
DIP Flex/Extension |
Flex: Firm (dorsal jt cap and collateral lig)
Ext: Firm (palmar jt cap, palmar lig) |
