Motor System examination Part-5 I Upper Limb muscles power assessment I ✋Fingers' muscles — Transcript

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1. 0:00hello everyone this is my fifth video on
2. 0:02motor system examination today i am
3. 0:05going to tell you how to assess the
4. 0:07muscle power of hand and fingers muscle
5. 0:11in first four video i have already
6. 0:13covered how to assess the posture bulk
7. 0:16and the tone and the muscle power of the
8. 0:18neck
9. 0:20shoulder elbow and the wrist movement
10. 0:23for assessment of hand and fingers
11. 0:26muscle power we have to perform the
12. 0:28movements at the finger as a flexion
13. 0:31extension adduction abduction
14. 0:34of the fingers
15. 0:35and a position of little finger
16. 0:38so first is flexion of finger
17. 0:40in this flexion at the
18. 0:42metacarpophalanges joint
19. 0:44proximal and the distal interphalanges
20. 0:47joint should be assessed
21. 0:49for assessment of flexion of finger we
22. 0:51have to keep the forearm supinated palma
23. 0:55position and the finger should be
24. 0:57extended
25. 0:58and we will tell the child to flex the
26. 1:01finger at metacarpal phalanges proximal
27. 1:04interphalanges and the distal
28. 1:05interphalanges joint and for against
29. 1:08resistance we will keep our finger over
30. 1:11the joint
31. 1:12so the muscle for the
32. 1:14flexion at the distal interphalanges
33. 1:16joint by the fdp muscle flexor digitorum
34. 1:20profundus
35. 1:21and there are two heads of fdp
36. 1:25radial head and ulnar head now supply to
37. 1:28the radial head is by
38. 1:30anti-atrocious branch of the median now
39. 1:32and ulnar head of the fdp by the ulnar
40. 1:35now
41. 1:36now the flexion at the proximal
42. 1:38interphalanges joint of the finger by
43. 1:41the fds muscle flexor digitorum
44. 1:43superficialis
45. 1:45it also flexes the mcp joint
46. 1:48metacarpophalanges joint ultimately it
47. 1:51helps in flexion at the wrist also it is
48. 1:54supplied by the main trunk of the media
49. 1:56now ca to t1
50. 1:58now the flexion at the
51. 2:00metacarpophallenges joined by the intros
52. 2:02i and lumbricans
53. 2:04which is supplied by the ca to t1 deep
54. 2:07palmer branch of ulnar
55. 2:09also we have to tell the child to make
56. 2:11the fist
57. 2:13whenever child will make a fist there
58. 2:15will be flexion of finger at the
59. 2:17metacarpal phalanges and interphalangeal
60. 2:19joint
61. 2:20also thumb flexion to grasp the finger
62. 2:23and slight wrist extensor also work
63. 2:26whenever child will make the fist
64. 2:29now the extension of finger for this we
65. 2:32will keep the forearm of the child
66. 2:34pronated and hand should be out
67. 2:37stretched and
68. 2:39we will keep our hand over the finger
69. 2:42to push it downward and we will tell the
70. 2:44child to resist the finger flexion at
71. 2:47the
72. 2:48metacarpophalanges joint so the muscle
73. 2:51for the extension of fingers are
74. 2:54edc
75. 2:56eip and edm
76. 2:58edc extensor digitorum communist it
77. 3:02extend the mcp joint
78. 3:04eip extensor indices proprious it
79. 3:08extends the index finger and edm
80. 3:11extensor digiti minimi
81. 3:13it extends the little finger
82. 3:16and
83. 3:17all these three nouns are supplied by
84. 3:20the posterior atrocious branch of radial
85. 3:23now
86. 3:23c7 to c8
87. 3:26and intro shy and lumbricans extend the
88. 3:29interphalanges joint both proximal and
89. 3:32distal interphalangeas joint
90. 3:34now for the adduction of finger we will
91. 3:37tell the child to bring the finger
92. 3:39tightly together or we will give the
93. 3:41paper to the child to hold it between
94. 3:44two finger and the muscle for the
95. 3:45adduction are volar or palmar intrusion
96. 3:49now for the abduction of finger
97. 3:52first we will tell the child to split
98. 3:54the finger apart
99. 3:55and for the against resistance we will
100. 3:58give the adduction force
101. 4:00and child will try to
102. 4:02abduct the fingers
103. 4:04and the muscle for the abduction are
104. 4:06dorsal intrusion except for the little
105. 4:08finger for which the muscle is abductor
106. 4:11digitized minima
107. 4:13now for the opposition of little finger
108. 4:16we will tell the patient to move
109. 4:19the extended little finger toward the
110. 4:21thumb and the muscle for the opposition
111. 4:23of little finger is
112. 4:25opponents digitize minimize supplied by
113. 4:28the ulna now ca2 t1
114. 4:31so this is the way to assess the muscle
115. 4:33power of hand and fingers in next video
116. 4:36i will explain how to assess the muscle
117. 4:38power of thumb muscle
118. 4:40thank you so much