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.
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