7 terms

Digit and Thumb Goniometry

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Terms in this set (...)

MCP Flexion
0-90
client: seated with elbow flexed, forearm in neutral, wrist in neutral with forearm and hand supported on firm surface on the ulnar border
axis: center of the dorsum aspect of MCP joint
stationary: top of metacarpal
moveable: top of proximal phalanx
PIP Flexion
0-100
client: seated with elbow flexed, forearm in neutral, wrist in neutral with forearm and hand supported on firm surface on the ulnar border
axis: center of the dorsum surface of PIP joint
stationary: over proximal phalanx
moveable: over middle phalanx
DIP Flexion
0-90
client: seated with elbow flexed, forearm in neutral, wrist in neutral with forearm and hand supported on firm surface on the ulnar border
axis: dorsal surface of the DIP joint
stationary: over middle phalanx phalanx
moveable: over distal phalanx

Note: Have client maintain MCP joints at 0 degrees of extension while client flexes the PIP and DIP joint toward the palm to make a hook fist. Then measure the DIP joint
Thumb MCP Flexion
0-50
client: seated with elbow flexed, forearm in 45 degrees of supination wrist in neutral, MCP and IP joints in extension with hand and forearm supported on firm surface
axis: dorsal surface of MCP joint
stationary: over thumb metacarpal
moveable: proximal phalanx
Thumb PIP flexion
0-90
client:seated with elbow flexed, forearm in 45 degrees of supination wrist in neutral, MCP and IP joints in extension with hand and forearm supported on firm surface
axis: dorsal surface of PIP joint
stationary: proximal phalanx
moveable: over distal phalanx
Palmar Abduction
40-60
axis: CM joint
stationary 2nd metacarpal
moveable 1st metacarpal
Thumb extension
30
Axis: posterior or lateral aspect of the MCP joint
Stationary: parallel to proximal phallanx
moveable: parallel to distal phallanx