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2nd - 5th Digits

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Term
Definition
DIP Flexion (2-5) AG Position   Forearm supported in supination  
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DIP Flexion (2-5) AG Stabilize   Middle phalanx of each finger as it is tested; wrist should remain in neutral position  
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DIP Flexion (2-5) AG Palpate   Flexor digitorum profundus  
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DIP Flexion (2-5) AG Observe   (S) flex the DIP joint  
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DIP Flexion (2-5) AG Resist   Using one finger, (E) pulls the head of distal phalanx toward extension  
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DIP Flexion (2-5) AG Substitution   Wrist extension causes tenodesis action  
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DIP Flexion (2-5) GD Position   Forearm supported in mid position  
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DIP Flexion (2-5) GD Stabilize   Middle phalanx of each finger as it is tested  
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DIP Flexion (2-5) GD Palpate   Flexor digitorum profundus  
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DIP Flexion (2-5) GD Observe   (S) flex the DIP joint  
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PIP Flexion (2-5) AG Position   Forearm supported in supination  
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PIP Flexion (2-5) AG Stabilize   Proximal phalanx of finger being tested  
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PIP Flexion (2-5) AG Palpate   Flexor digitorum superficialis  
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PIP Flexion (2-5) AG Observe   (S) flex the PIP joint  
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PIP Flexion (2-5) AG Resist   Using one finger, (E) pulls head of middle phalanx toward extension  
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PIP Flexion (2-5) AG Substitution   Wrist extension causes tenodesis action  
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PIP Flexion (2-5) GD Position   Forearm supported in mid position  
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PIP Flexion (2-5) GD Stabilize   Proximal phalanx of finger being tested  
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PIP Flexion (2-5) GD Palpate   Flexor digitorum superficialis  
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PIP Flexion (2-5) GD Observe   (S) flex the PIP joint  
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MCP Flexion (5th Digit) AG Position   Forearm supported in supination  
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MCP Flexion (5th Digit) AG Stabilize   Other fingers in extension  
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MCP Flexion (5th Digit) AG Palpate   Flexor digiti minimi  
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MCP Flexion (5th Digit)AG Observe   (S) flexes the 5th finger at MP joint without flexing the IP joints  
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MCP Flexion (5th Digit) AG Resist   Using one finger, (E) pushes head of the proximal phalanx toward extension  
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MCP Flexion (5th Digit) AG Substitution   Flexor digitorum superficialis, flexor digitorum profundus  
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MCP Flexion (5th Digit) GD Position   Forearm supported in mid position  
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MCP Flexion (5th Digit) GD Stabilize   Other fingers in extension  
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MCP Flexion (5th Digit) GD Palpate   Flexor digit minimi  
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MCP Flexion GD Observe   (S) flexes the 5th MP joint  
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MP Extension (2-5) AG Position   Forearm pronated & supported, wrist supported in neutral position & fingers flexed at all joints  
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MP Extension (2-5) Stabilize   Wrist and metacarpals  
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MP Extension (2-5) Palpate   Extensor digitorum, extensor indicis, extensor digit minimi  
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MP Extension (2-5) Observe   (S) extends MP joints, keeping PIP & DIP joints flexed  
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MP Extension (2-5) Resist   Using one finger,(E) pushes head of each proximal phalanx toward flexion, one at a time  
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MP Extension (2-5) Substitution   Tenodesis action  
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MP Extension (2-5) GD Position   Forearm supported in mid position, wrist in neutral position, fingers flexed  
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MP Extension (2-5) GD Stabilize   Wrist and metacarpals  
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MP Extension (2-5) GD Palpate   Extensor digitorum, extensor indicis, extensor digiti minimi  
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MP Extension (2-5) GD Observe   (S) extends MP joints, keeping the DIP and PIP joints flexed  
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Abduction (2,3,4,5) AG Position   For dorsal interossei 2 and 3, forearm rests on ulnar border on supporting surface w/ hand free and MP's adducted & slightly flexed; dorsal interossei 3 and 4 and abductor digiti minimi, arm is internally rotated  
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Abduction (2,3,4,5) AG Stabilize   Support the hand lightly  
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Abduction (2,3,4,5) AG Palpate   Dorsal interossei (4) , abductor digiti minimi  
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Abduction (2,3,4,5) AG Observe   (S) moves index finger away from middle finger, the middle finger toward index finger, the middle finger toward ring finger, & ring finger toward little finger, & little finger away from ring finger  
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Abduction (2,3,4,5) AG Resist   (E) pushes head of the proximal phalanx of each finger, toward direction opposite to its test motion  
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Abduction (2,3,4,5) AG Substitution   Extensor digitorum; gravity  
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Abduction (2,3,4,5) GD Position   Forearm pronated & supported w/ hand free, MPs are adducted and slightly flexed  
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Abduction (2,3,4,5) GD Stabilize   Support hand lightly D  
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Abduction (2,3,4,5) GD Palpate   Dorsal interossei (4), abductor digiti minimi  
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Abduction (2,3,4,5) GD Observe   Same as AG  
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Adduction (2,4,5) Position   palmar interossei 4 & 5, support forearm on ulnar border of wrist w/ fingers extended & abducted. For palmar interosseus 2, arm internally rotated & forearm pronated so hand can be supported on radial border, w/ hand free, & fingers extended & abducted  
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Adduction (2,4,5) Stabilize   Support hand lightly  
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Adduction (2,4,5) Palpate   Palmar interossei  
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Adduction (2,4,5) Observe   (S) moves index, ring, then little finger toward middle finger  
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Adduction (2.4.5) AG Resist   (E) pulls head of proximal phalanx of each finger one by one  
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Adduction (2,4,5) AG Substitution   extrinsic finger flexors, gravity  
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Adduction (2,4,5) GD Position   Forearm supinated & supported  
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Adduction (2,4,5) GD Stabilize   support hand lightly  
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Adduction (2,4,5) GD Palpate   Palmar interossei  
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Adduction (2,4,5) GD Observe   Same as AG Adduction  
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