75 (196)

75 (196)



5 THE FINGERS 5.1 THERAPY GUIDE

The muscles which may restrict movements of the fingers are listed in Table 5-1, along with the applicable therapies, indexed by manuał section number and page. Muscle actions are listed in Table 5-2.

The various restrictions possible are listed in Movement Restriction Tables 10.5, 10.6 and 10.7 (pp. 169-171).

TABLE 5.1 Restrictions at the fingers

SECTION

MOVEMENT

RESTRICTING THERAPY

Number

Page

RESTRICTED

MUSCLE(S)

5.2

Flexion

Extensor digitorum communis

3.3.5, 3.3.7

56,58

Extensor indicis

3.3.6

57

Extensor digiti minimi

3.3.8

59

Interossei dorsales1

5.2.1

79

Interossei palmares1

5.2.2

80

Lumbricales1

5.2.3

81

5.3

Extension

Flexor pollicis brevis

5.3.1

82

Flexor pollicis longus

4.3.2

72

Flexor digitorum superficialis

3.3.13

64

Flexor digitorum profundus

4.3.1

71

Interossei dorsales2

5.2.1

79

Interossei palmares2

5.2.2

80

Lumbricales2

5.2.3

81

Flexor digiti minimi brevis

5.2.2

80

5.4

Abduction ofthumb

Adductor pollicis and/or Interos-seus palmaris I

5.4.1

83

5.5

Adduction ofthumb

Abductor pollicis longus

4.5.1

74

Abductor pollicis brevis

5.5.1

84

5.6

Opposition ofthumb

Extensor pollicis longus and bre-

5.6.1

85

vis, Interosseus palmaris I and

4.2.1

70

Abductor pollicis longus,

4.5.2

75

together

5.2.3

80,83

Individually

4.5.1

74

5.7

Reposition ofthumb

Flexor pollicis longus

4.3.2

72

Flexor pollicis brevis

5.3.1

82

Opponens pollicis and/or Adductor pollicis, transverse head

5.7.1

86

5.8

Opposition oflittle

Abductor digiti minimi

5.8.1

87

finger

Extensor digiti minimi

3.3.8

59

5.9

Reposition oflittle

Flexor digiti minimi brevis

5.2.2

80

finger

Opponens digiti minimi

5.9.1

88

NOTES: 1:    Restricts only at DIP and PIP joints; 2: Restricts only at MCP joints.

76


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