Movement Muscle Position of patient Position of Test Instructions to

Therapist patient
MCP Lumbricals 1&2 Client seated with forearm fully Therapist sits next MP joint in mid flexion. After
Flexion Lumbricals 3&4 supinated, and wrist stabilized in to client on side Apply pressure over the demonstrating
Dorsal interossei neutral resting on a supportive being tested. volar proximal phalanges movement on
Palmar interossei surface. toward MP extension. client, state
Flexor digitorum “Don’t let me
superficialis move you.”
Flexor digitorum
profundus
Flexor digiti minimi
MCP Extensor digitorum Client is seated, with the forearm Therapist sits MP joint in mid extension. After
Extension Extensor indicis pronated and the wrist in neutral opposite or next to Apply pressure over each demonstrating
Extensor digiti to slight extension, MP and IP client on side being finger individually on the movement on
minimi joints relaxed in partial flexion. tested. dorsum of the proximal client, state
Lumbricals 1&2 phalanx toward MP “Don’t let me
Lumbricals 3&4 flexion. move you.”
Dorsal interossei
Palmar interossei
PIP flexion Flexor digitorum Client seated with forearm Therapist sits PIP joint in mid flexion. After
superficialis supinated, wrist in neutral, fingers opposite or next to Apply pressure over volar demonstrating
Flexor digitorum extended, and hand and forearm client on side being middle phalanx toward movement on
profundus resting on the dorsal surface. tested. PIP extension. client, state
“Don’t let me
move you.”
DIP Flexor digitorum Client seated with forearm Therapist sits DIP joint in mid flexion. After
Flexion profundus supinated, wrist in neutral, fingers opposite or next to Apply pressure over the demonstrating
extended. client on side being volar distal phalanx movement on
tested. toward DIP extension. client, state
“Don’t let me
move you.”
Finger Dorsal interossei of Client seated with forearm in mid Therapist sits Digit in mid abduction. After
Abduction digits 2/3/4 position, wrist in neutral, resting opposite or next to Apply pressure over demonstrating
Abductor digiti on the ulnar border. client on side being lateral proximal phalanx movement on
 minimi tested. (long, ring, small digits) client, state
and medial proximal “Don’t let me
phalanx (long, ring, small move you.”
digits).
Finger Palmar interossei of Client seated or supine with Therapist sits Digit in mid abduction. After
Adduction digits 2/4/5 forearm pronated (for index opposite or next to Apply pressure over demonstrating
finger) or in mid position (for ring client on side being medial and lateral movement on
and small finger), wrist in neutral, tested. proximal phalanxes. client, state
fingers extended and adducted. “Don’t let me
move you.”
IP Lumbricals 1&2 Client seated or supine with Therapist stands or IP joints in mid extension. After
Extension Lumbricals 3&4 forearm supinated and wrist in is seated next to Apply pressure over dorsal demonstrating
Dorsal interossei mid extension and neutral client on side being middle and distal phalanx movement on
Palmar interossei deviation. tested. toward flexion. client, state
“Don’t let me
move you.”
Thump Extensor pollicis Client seated or supine with Therapist stands or Thumb in mid extension. After
MCP brevis forearm in mid position, wrist in is seated next to Apply pressure over the demonstrating
Extension Extensor pollicis neutral, and hand and forearm client on side being dorsal surface of the movement on
longus resting on the ulnar border. tested. proximal phalanx toward client, state
MP flexion. “Don’t let me
move you.”
Thumb IP Extensor Pollicis Client seated or supine with Therapist stands or Thumb in mid extension. After
Extension Longus forearm in mid position, wrist in is seated next to Apply pressure over dorsal demonstrating
neutral, and hand and forearm client on side being distal phalanx toward movement on
resting on the ulnar border. tested. flexion. client, state
“Don’t let me
move you.”
Thumb Flexor pollicis Client seated or supine. Shoulder Therapist stands or Finger in mid flexion. After
MCP brevis internally rotated and flexed to is seated next to Apply pressure over the demonstrating
Flexion Flexor pollicis 90* (UE parallel to floor). Forearm client on side being volar surface of the movement on
longus fully pronated with thumbnail tested. proximal phalanx toward client, state
facing the floor. MP extension. “Don’t let me
move you.”
Thumb IP Flexor pollicis Client seated or supine. Shoulder Therapist sits Thumb in mid flexion. After
Flexion longus internally rotated and flexed to opposite or next to Apply pressure over the demonstrating
90* (UE parallel to floor). Forearm client on side being volar surface of the distal movement on
fully pronated with thumbnail tested. phalanx toward MP client, state
facing the floor. extension. “Don’t let me
move you.”
Thumb Abductor pollicis Client seated or supine. Forearm Therapist sits Thumb in abduction. After
Palmar brevis in supination, wrist at neutral, opposite or next to Apply pressure to distal demonstrating
Abduction Abductor pollicis thumb relaxed in adduction client on side being first metacarpal toward movement on
longus against the volar aspect of the tested. adduction. client, state
index finger. “Don’t let me
move you.”
Thumb Extensor pollicis Client seated or supine. Forearm Therapist sits Digit in mid abduction. After
Radial brevis in neutral, wrist at neutral, thumb opposite or next to Apply pressure over distal, demonstrating
Abduction Extensor pollicis adducted and slightly flexed client on side being lateral surface of first movement on
longus across the palm. Hand and tested. metacarpal toward client, state
Abductor pollicis forearm resting on the ulnar flexion. “Don’t let me
longus border. move you.”
Thumb Adductor pollicis Client seated or supine. Forearm Therapist sits Digit in midabduction. After
Adduction pronated, wrist at neutral, thumb opposite or next to Apply pressure downward demonstrating
relaxed and in palmar abduction. client on side being toward palmar abduction movement on
tested. by placing finger between client, state
first and second “Don’t let me
metacarpals or grasing the move you.”
first metacarpal head.
Opposition Opponens pollicis Client seated or supine. Forearm Therapist sits Apply pressure at the After
Opponens digiti supinated, wrist at neutral, thumb opposite or next to distal ends of the first and demonstrating
minimi in palmar abduction, fifth digit client on side being fifth metacarpals toward movement on
extended. tested. reposition of these bones client, state
and flattening of the palm “Don’t let me
of the hand. move you.”