Shoulder, Forearm, Wrist ROM

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Author:
jld15
ID:
287798
Filename:
Shoulder, Forearm, Wrist ROM
Updated:
2014-11-01 12:14:10
Tags:
Shoulder Forearm Wrist ROM
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Description:
Shoulder, Forearm, Wrist ROM
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  1. Shoulder Flexion
    • Normal ROM: 0-180
    • Normal End Feel: Firm
    • Position: Supine- palm facing trunk
    • Stabilization: Anteriosuperior aspect of shoulder proximal to the humeral head
    • Stable Arm: Lateral midline of thorax
    • Axis: Midpoint of lateral aspect of acromion
    • Moving Arm: Lateral midline of humerus toward lateral humeral epicondyle
  2. Shoulder Extension
    • Normal ROM: 0-60
    • Normal End Feel: Firm
    • Position: Prone – palm facing trunk
    • Stabilization: Posteriosuperior aspect of shoulder proximal to the humeral head
    • Stable Arm: Lateral midline of thorax
    • Axis: Midpoint of lateral aspect of acromion
    • Moving Arm: Lateral midline of humerus toward lateral humeral epicondyle
  3. Shoulder Abduction
    • Normal ROM:  0-180
    • Normal End Feel: Firm
    • Position: Supine – arm in anatomical position (palm up)
    • Stabilization: Superior aspect of shoulder; proximal to humeral head
    • Stable Arm: Parallel to Sternum
    • Axis: Anterior aspect of acromion process
    • Moving Arm: Anterior midline of humerus toward medial humeral epicondyle
  4. Shoulder Internal Rotation
    • Normal ROM: 0-70
    • Normal End Feel: Firm
    • Position: Supine – towel under distal humerus; 90 degrees abduction; 90 degrees of elbow flexion
    • Stabilization: Heel of hand over superior aspect of shoulder proximal to the humeral head and fingers over scapula
    • Stable Arm: Perpendicular to the floor hanging down
    • Axis: Olecranon
    • Moving Arm: Ulnar border of forearm toward styloid process
  5. Shoulder External Rotation
    • Normal ROM: 0-90
    • Normal End Feel:  Firm
    • Position: Supine – towel under distal humerus; 90 degrees abduction; 90 degrees of elbow flexion
    • Stabilization: Heel of hand over superior aspect of shoulder proximal to humeral head; fingers over scapula
    • Stable Arm: Perpendicular to the floor hanging down
    • Axis: Olecranon
    • Moving Arm: Ulnar border of forearm toward styloid process
  6. Elbow Flexion
    • Normal ROM: 0-150
    • Normal End Feel: Soft
    • Position: Supine – arm in anatomical position, laying down  (towel at upper forearm)
    • Stabilization: Posterior aspect of proximal humerus
    • Stable Arm: Lateral midline of epicondyle of humerus toward acromion process
    • Axis: Lateral epicondyle of humerus
    • Moving Arm: Lateral midline of radius toward styloid process
  7. Elbow Extension
    • Normal ROM:  0 deg; use minus sign for lacking ROM.  DO NOT use + for hyperextension
    • Normal End Feel: hard
    • Position: Supine - towel under distal humerus; arm in anatomical position
    • Stabilization: None
    • Stable Arm: Lateral midline of epicondyle of humerus toward acromion process
    • Axis: Lateral epicondyle of humerus
    • Moving Arm: Lateral midline of radius toward radial styloid process
  8. Pronation
    • Normal ROM: 0- 80
    • Normal End Feel:  Firm/ hard
    • Position: Sitting
    • Stabilization: Patient stabilizes own arm with opposite hand
    • Stable Arm: Parallel with midline of humerus
    • Axis: Styloid process of ulna
    • Moving Arm: Dorsum of forearm, just proximal to ulnar styloid process
  9. Supination
    • Normal ROM: 0-80
    • Normal End Feel:  Firm
    • Position: Sitting
    • Stabilization: Patient stabilizes own arm with opposite hand
    • Stable Arm: Parallel with midline of humerus
    • Axis: Styloid process of ulna
    • Moving Arm: Volar surface of wrist at level of the styloid process
  10. Wrist Flexion
    • Normal ROM: 0-80
    • Normal End Feel: Firm
    • Position: Sitting 90 abduction 90 flexion (of elbow)
    • Stabilization: None; If anything over dorsal surface of the forearm
    • Stable Arm: Lateral midline of the ulna toward olecranon process
    • Axis: Triquetrum
    • Moving Arm: Lateral midline of 5th metacarpal
  11. Wrist Extension
    • Normal ROM: 0-70
    • Normal End Feel:  Firm
    • Position: Sitting 90 abduction 90 flexion (of elbow)
    • Stabilization: None; If anything over dorsal surface of the forearm
    • Stable Arm: Lateral midline of the ulna toward olecranon process
    • Axis: Triquetrum
    • Moving Arm: Lateral midline of 5th metacarpal
  12. Radial Deviation
    • Normal ROM: 0-20
    • Normal End Feel: Hard
    • Position: Sitting 90 abduction 90 flexion (of elbow)
    • Stabilization: None
    • Stable Arm: Lateral epicondyle
    • Axis: Capitate
    • Moving Arm: Dorsal midline of 3rd metacarpal
  13. Ulnar deviation
    • Normal ROM: 0-30
    • Normal End Feel:  Firm or hard depending on person
    • Position: Sitting 90 abduction 90 flexion (of elbow)
    • Stabilization: None
    • Stable Arm: Lateral Epicondyle
    • Axis: Capitate
    • Moving Arm: Dorsal midline of third metacarpal

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