Goniometry: Thumb Metacarpophalangeal Joint Flexion and Extension: Difference between revisions

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'''Original Editor '''- [[User:User Name|User Name]]
'''Original Editor '''- [[Joseph Ayotunde Aderonmu|User Name]]


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp;   
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp;   
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== Introduction ==
== Anatomical Movement ==
Thumb metacarpophalangeal (MCP) joint flexion and extension


== Sub Heading 2 ==
== Testing Position ==


== Sub Heading 3 ==
=== Thumb Metacarpophalangeal Joint Flexion ===


== Resources  ==
==== Starting Position ====
*bulleted list
Patient is seated with arm rested on a table and elbow flexed. The forearm is positioned in the mid-position and the wrist is slightly positioned in extension. The MCP joint being measured is at 0° of extension.
*x
 
or
==== Ending Position ====
The thumb MCP joint is flexed to the limit of motion.
 
==== Stabilization ====
The clinician stabilizes the metacarpal.
 
=== Thumb Metacarpophalangeal Joint Extension ===
 
==== Starting Position ====
Patient is seated with arm rested on a table and elbow flexed. The forearm is positioned in the mid-position and the wrist is slightly positioned in extension. The MCP joint being measured is at 0° of flexion.
 
==== Ending Position ====
The thumb MCP joint is extended to the limit of motion.
 
==== Stabilization ====
The clinician stabilizes the metacarpal.
 
* Clinical Tip: The interphalangeal (IP )joint is allowed to flex/extend during flexion and extension measurements respectively.
 
== Goniometer Placement ==
{| class="wikitable"
!AXIS LOCATION
!STATIONARY ARM
!MOVEMENT ARM
|-
|Over the dorsal aspect of the MCP joint
|Parallel to the longitudinal axis of the shaft of the metacarpal
|Parallel to the longitudinal axis of the proximal phalanx
|}
 
== Expected Findings ==
 
=== Thumb MCP Joint Flexion ===
0-55°<ref name=":0">Ngeo JG, Tamei T, Shibata T. Continuous and simultaneous estimation of finger kinematics using inputs from an EMG-to-muscle activation model. Journal of neuroengineering and rehabilitation. 2014 Dec;11(1):1-4.</ref>
 
=== Thumb MCP Joint Extension ===
0-10°(Hyperflexion)<ref name=":0" />


#numbered list
{{#ev:youtube|D9UYmxbMtWI}}
#x


== Resources  ==
*[https://booksite.elsevier.com/samplechapters/9780443067839/9780443067839.pdf The Hand]
== References  ==
== References  ==


<references />
<references />
[[Category:Goniometry]]

Revision as of 16:53, 14 October 2020

Original Editor - User Name

Top Contributors - Joseph Ayotunde Aderonmu and Kim Jackson  

Anatomical Movement[edit | edit source]

Thumb metacarpophalangeal (MCP) joint flexion and extension

Testing Position[edit | edit source]

Thumb Metacarpophalangeal Joint Flexion[edit | edit source]

Starting Position[edit | edit source]

Patient is seated with arm rested on a table and elbow flexed. The forearm is positioned in the mid-position and the wrist is slightly positioned in extension. The MCP joint being measured is at 0° of extension.

Ending Position[edit | edit source]

The thumb MCP joint is flexed to the limit of motion.

Stabilization[edit | edit source]

The clinician stabilizes the metacarpal.

Thumb Metacarpophalangeal Joint Extension[edit | edit source]

Starting Position[edit | edit source]

Patient is seated with arm rested on a table and elbow flexed. The forearm is positioned in the mid-position and the wrist is slightly positioned in extension. The MCP joint being measured is at 0° of flexion.

Ending Position[edit | edit source]

The thumb MCP joint is extended to the limit of motion.

Stabilization[edit | edit source]

The clinician stabilizes the metacarpal.

  • Clinical Tip: The interphalangeal (IP )joint is allowed to flex/extend during flexion and extension measurements respectively.

Goniometer Placement[edit | edit source]

AXIS LOCATION STATIONARY ARM MOVEMENT ARM
Over the dorsal aspect of the MCP joint Parallel to the longitudinal axis of the shaft of the metacarpal Parallel to the longitudinal axis of the proximal phalanx

Expected Findings[edit | edit source]

Thumb MCP Joint Flexion[edit | edit source]

0-55°[1]

Thumb MCP Joint Extension[edit | edit source]

0-10°(Hyperflexion)[1]

Resources[edit | edit source]

References[edit | edit source]

  1. ↑ 1.0 1.1 Ngeo JG, Tamei T, Shibata T. Continuous and simultaneous estimation of finger kinematics using inputs from an EMG-to-muscle activation model. Journal of neuroengineering and rehabilitation. 2014 Dec;11(1):1-4.
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