Range of Motion

Card Set Information

Author:
kinnisonc
ID:
260225
Filename:
Range of Motion
Updated:
2014-02-16 17:03:50
Tags:
ROM PT Assessment II
Folders:
PT Assessment
Description:
ROM Techniques
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  1. Shoulder Flexion
    • Position: Supine (or seated)
    • Stabilize: Clavicle/Scapula
    • Axis: Midpoint of lateral acromion
    • Stationary: Paralel to lateral midline of trunk
    • Moving: Parallel to lateral midline of humerus toward lateral epicondyle
    • Normal: 0-165*
  2. Shoulder Extension
    • Position: Prone (or seated)
    • Stabilize: Clavicle/scapula
    • Axis: midpoint of lateral acromion
    • Stationary: Parallel to lateral midline of trunk
    • Moving: Parallel to lateral midline of humerus toward lateral epicondyle
    • Normal: 0-60*
  3. Shoulder Abduction
    • Position: Side/Supine (seated)
    • Stabilize: Clavicle/Scapula
    • Axis: Anterior of acromion
    • Stationary: Parallel to sternum
    • Moving: parallel to anterior midline of humerus toward medial epicondyle
    • Normal: 0-165*
  4. Shoulder Adduction
    • Position: Supine
    • Stabilize: Clavicle/scapula
    • Axis: Anterior acromion
    • Stationary: Parallel to sternum
    • Moving: parallel to anterior midline of humerus toward medial epicondyle
    • Normal: 0-40*
  5. Shoulder Horizontal Abduction
    • Position: Sitting
    • Stabilize: Ipsilateral trunk and scapula
    • Axis: Top of acromion
    • Stationary: in line with C7 & both acromions
    • Moving: Parallel to humerus toward lateral epicondyle
    • Normal: 0-45*
  6. Shoulder Horizontal Adduction
    • Position: Sitting
    • Stabilize: Ipsilateral trunk and scapula
    • Axis: Top of acromion process
    • Stationary: In line with C7 & both acromions
    • Moving: Parallel to humerus toward lateral epicondyle
    • Normal: 0-135*
  7. Shoulder External Rotation
    • Position: Supine
    • Stabilize: hamburger grip on shoulder/scap, thumb up; towel under humerus
    • Axis: Olecranon process
    • Stationary: perpendicular to floor
    • Moving: parallel to ulnar border of forearm toward ulnar styloid process
    • Normal: 0-90*
  8. Shoulder Internal Rotation
    • Position: Supine
    • Stabilize: hamburger grip on shoulder/scap, thumb up; towel under humerus
    • Axis: Olecranon process
    • Stationary: Perpendicular to floor
    • Moving: Parallel to ulnar border of forearm toward ulnar styloid process
    • Normal: 0-70*
  9. Elbow Flexion
    • Position: Supine (sitting)
    • Stabilize: posterior proximal humerus; towel under axila
    • Axis: lateral epicondyle of humerus
    • Stationary: Parallel to lateral midline of humerus toward acromion
    • Moving: Parallel to lateral midline of radius toward radial styloid process
    • Normal: 0-140*
  10. Elbow Extension
    • Position: Supine (sitting), towel under axilla
    • Stabilize: proximal humerus
    • Axis: Lateral epicondyle of humerus
    • Stationary: parallel to lateral midline of humerus toward acromion process
    • Moving: parallel to lateral midline of radius toward radial styloid process
    • Normal: 140-0*
  11. Supination
    • Position: Sitting
    • Stabilize: Lateral distal humerus
    • Axis: volar surface of wrist in line with the ulnar styloid process
    • Stationary: parallel with anterior midline of humerus
    • Moving: volar surface of wrist at level of ulnar styloid process
    • Normal: 0-80*
  12. Pronation
    • Position: sitting
    • Stabilize: lateral distal humerus
    • Axis: in line with and just proximal to ulnar styloid process
    • Stationary: parallel with anterior midline of humerus
    • Moving: dorsum of forearm, just proximal to ulnar styloid process
    • Normal: 0-80*
  13. Wrist Flexion (dorsal)
    • Position: sitting, hand off table
    • Stabilize: dorsal surface of forearm
    • Axis: lunate
    • Stationary: dorsal Midline of ulna toward olecranon 
    • Moving: dorsally, parallel to long axis of 3rd metacarpal
    • Normal: 0-80*
  14. Wrist flexion (lateral)
    • Position: sitting, hand off table
    • Stabilize: dorsal surface of forearm
    • Axix: triquetrum
    • Stationary: lateral midline of ulna toward olecrannon process
    • Moving: Lateral Midline of 5th metacarpal
    • Normal: 0-80*
  15. Wrist Extension (volar)
    • Position: sitting, hand off table
    • Stabilize: ventral surface of forearm
    • Axis: lunate
    • Stationary: volar midline of forearm toward bicipital tendon at elbow
    • Moving: volar midline of 3rd metacarpal
    • Normal: 0-70*
  16. Wrist Extension (lateral)
    • Position: sitting, hand off table
    • Stabilize: dorsal surface of forearm
    • Axis: triquetrum
    • Stationary: lateral midline of ulna toward olecranon 
    • Moving: lateral midline of 5th Metacarpal
    • Normal: 0-70*
  17. Wrist Abduction:
    Radial Deviation
    • Position: Sitting, hand on table, palm down
    • Stabilize: Dorsal surface of distal forearm
    • Axis: Capitate
    • Stationary: Dorsal midline of forearm toward lateral epicondyle
    • Moving: Dorsal midline of 3rd metacarpal
    • Normal: 0-20*
  18. Wrist Adduction:
    Ulnar Deviation
    • Position: Sitting, hand on table, palm down
    • Stabilize: Dorsal surface of distal forearm
    • Axis: capitate
    • Stationary: dorsal midline of forearm toward lateral epicondyle
    • Moving: Dorsal midline of 3rd metacarpal
    • Normal: 0-30*
  19. MCP Flexion
    • Position: Sitting, forearm neutral
    • Stabilize: Metacarpal
    • Axis: Dorsal MCP joint
    • Stationary: Dorsal midline MC
    • Moving: Dorsal midline prox phalanx
    • Normal: 0-90*
    • Finger Goni
  20. MCP Extension
    • Position: Sitting, forearm neutral
    • Stabilize: metacarpal
    • Axis: dorsal aspect MCP
    • Stationary: dorsal midline of MC
    • Moving: dorsal midline of prox phalanx
    • Normal: 0-40*
  21. PIP Flexion
    • Position: Sitting, neutral
    • Stabilize: proximal phalanx
    • Axis: dorsal PIP jt
    • Stationary: dorsal midline of prox phalanx
    • Moving: dorsal midline middle phalanx
    • Normal: 0-100*
    • Finger Goni
  22. PIP Extension
    • Position: sitting, forearm neutral
    • Stabilize: prox phalanx
    • Axis: dorsal PIP joint
    • Stationary: dorsal midline prox phalanx
    • Moving: dorsal midline of middle phalanx
    • Normal: 0*
    • Finger Goni
  23. DIP Flexion
    • Position: sitting, forearm neutral
    • Stabilize: middle phalanx
    • Axis: dorsal DIP jt
    • Stationary: dorsal midline middle phalanx
    • Moving: dorsal midline of distal phalanx
    • Normal: 0-70*
    • Finger Goni
  24. DIP Extension
    • Position: Sitting, forearm neutral
    • Stabilize: middle phalanx
    • Axis: dorsal DIP jt
    • Stationary: dorsal midline middle phalanx
    • Moving: dorsal midline distal phalanx
    • Normal: 0-20*
  25. Finger Abduction
    • Position: sitting, palm flat on table
    • Stabilize: metacarpals
    • Axis: dorsal MCP jt
    • Stationary: dorsal midline of MC
    • Moving: dorsal midline prox phalanx
    • Normal: 0-20*
  26. Finger Adduction
    • Position: sitting, palm flat on table
    • Stabilize: metacarpals
    • Axis: dorsal MCP jt
    • Stationary: dorsal midline metacarpal
    • Moving: dorsal midline prox phalanx
    • Normal: 0-20
  27. Thumb CMC Flexion
    • Position: sitting, arm on table, palm up
    • Stabilize: ventral surface of wrist
    • Axis: Ventral surface 1st CMC joint
    • Stationary: Ventral midline of radius twd radial head
    • Moving: ventral midline 1st MC
    • Normal: 0-20*

    Draw Lines on Landmarks
  28. Thumb CMC Extension
    • Position: sitting, arm on table, palm up
    • Stabilize: ventral surface of wrist
    • Axis: ventral surface 1st CMC joint
    • Stationary: ventral midline radius twd radial head
    • Moving: ventral midline 1st MC
    • Normal: 0-20*

    Draw Lines on Landmarks
  29. Thumb MCP Flexion
    • Position: sitting, forearm neutral, on table
    • Stabilize: Metacarpal
    • Axis: dorsal 1st MCP
    • Stationary: dorsal midline 1st MCP
    • Moving: dorsal midline proximal phalanx
    • Normal: 0-50*
    • Finger Goni
  30. Thumb MCP Extension
    • Position: sitting, forearm on table, in neutral
    • Stabilize: Metacarpal
    • Axis: dorsal aspect 1st MCP
    • Stationary: dorsal midline 1st MCP
    • Moving: dorsal midline proximal phalanx
    • Normal: 0*
    • Finger Goni
  31. Thumb IP Flexion
    • Position: sitting, forearm on table, in neutral
    • Stabilize: proximal phalanx
    • Axis: dorsal aspect IP joint
    • Stationary: Dorsal aspect proximal phalanx
    • Moving: Dorsal midline distal phalanx
    • Normal: 0-65*
    • Finger Goni
  32. Thumb IP Extension
    • Position: sitting, forearm on table, in neutral
    • Stabilize: proximal phalanx
    • Axis: dorsal aspect IP joint
    • Stationary: Dorsal aspect proximal phalanx
    • Moving: Dorsal midline distal phalanx
    • Normal: 0-20*
  33. Thumb/Digiti Minimi Opposition
    • Position: sitting, palm up, on table
    • Stabilize: 5th MC and 1st MC
    • Measure: with ruler, from Dig V MCP joint to Dig I IP joint
  34. Thumb Abduction
    • Position: sitting, forearm on table in neutral
    • Stabilize: 2nd MC
    • Axis: Radial Styloid Process
    • Stationary: lateral midline 2nd MC
    • Moving: Dorsal Midline 1st MC
    • Normal: 0-50
    • Draw lines on landmarks

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