Competency 3

Question 1

A) Perform Active and Passive Spinal Range of Motion (Seated and Standing) evaluation

Answer 1

1) Performs evaluation both seated and standing as appropriate
2) Make sure rotation is of SPINE ONLY and Hip Motion/ Linkage DOES NOT OCCUR
3) Asses PROM/AROM and Verbalizes Asymmetry noted
4) Rotates the patient RIGHT with ARMS CROSSED
5) Rotates the patient LEFT with ARMS CROSSED
6) Determine the ANGLE OF ROTATION from Neutral using chin or nose as indicator
7) Has patient FLEX FORWARD at waist and noting 40-90 DEGREE MOTION
8) Has patient EXTEND BACKWARDS at WAIST noting 20-45 DEGREE MOTION
9) Has patient SIDE BEND LEFT and RIGHT noting 15-30 DEGREE MOTION
10) Has patient ROTATE CERVICAL SPINE RIGHT and LEFT noting 70-90 DEGREE MOTION
11) Has patient SIDE BEND THE CERVICAL SPINE LEFT and RIGHT noting for 20-45 DEGREE MOTION
12) Has patient FLEX the CERVICAL SPINE noting 45-90 DEGREE MOTION
13) Has patient EXTEND the CERVICAL SPINE noting 45-90 DEGREE MOTION

Question 2

B) Perform Active and Passive Shoulder Range of Motion evaluation including expected degrees of each motion

Answer 2

1) Flexision (180 DEGREES)
2) Extension (60 DEGREES)
3) Abduction (180 DEGREES)
4) Horizontal Abduction (130-145 DEGREES)
5) Adduction (40-50 DEGREES)
6) Internal Rotation (90 DEGREES)
7) External Rotation (90 DEGREES)
8) Asses AROM and PROM and verbalize Asymmetry by checkin BILATERALLY

Question 3

C) Perform Active and Passive Elbow and Forearm Range of Motion Evaluation including expected degrees of each motion

Answer 3

1) Has patient FLEX and EXTEND the elbow noting FLEXION 140-150 DEGREES Motion and 0 to -5 DEGREES EXTENSION Motion
2) Has patient PRONATE and SUPINATE the forearm noting for 90 DEGREE Motion
3) Perform both AROM and PROM BILATERALLY
4) Asses for and describes NOTED ASYMMETRY

Question 4

D) Perform Active and Passive Wrist Range of Motion evaluation including expected Degrees of Motion

Answer 4

1) Has patient FLEX the WRIST noting 80-90 DEGREE Motion
2) Has patient EXTEND the WRIST noting 70 DEGREE Motion
3) Has patient ABDUCTION/ RADIAL DEVIATE the Wrist noting for 20-30 DEGREE MOTION
4) Has patient ADDUCTION/ ULNAR DEVIATE the Wrist noting 30-40 DEGREE Motion
5) Perform AROM and PROM
6) Assess Bilaterally and notes Asymmetry noted

Question 5

E) Perform Active and Passive Hip Range of Motion evaluation including expected degrees of each motion

Answer 5

1) Has patient FLEX the HIP with KNEE EXTENDED noting for 90 DEGREE MOTION
2) Has patient FLEX the HIP with KNEE FLEXED noting 120-135 DEGREE MOTION
3) Has patient EXTEND the HIP noting 15-30 DEGREE MOTION
4) Has patient INTERNALLY ROATE the HIP noting 30-40 DEGREE MOTION
5) Has patient EXTERNALLY ROTATE the HIP noting 40-60 DEGREE MOTION
6) Has patient ABDUCT the HIP noting for 45-50 DEGREE MOTION
7) Has patient ADDUCT the HIP noting for 20-30 DEGREE MOTION
8) Perform AROM and PROM
9) Assesses BILATERALLY and notes Asymmetry noted

Question 6

F) Perform Active and Passive Knee Range of Motion evaluation including expected degrees of motion

Answer 6

1) Has patient FLEX the KNEE noting 145-150 DEGREE MOTION
2) Has patient EXTEND the KNEE noting for 0 DEGREE MOTION
3) Perform AROM and PROM BILATERALLY
4) Assess for and states ASYMMETRY

Question 7

G) Perform Active and Passive Ankle Range of Motion evaluation including expected degrees of each motion

Answer 7

1) Has patient DORSIFLEX the ANKLE noting for 15-20 DEGREE MOTION
2) Has patient PLANTAR FLEX the ANKLE noting for 50-65 DEGREE MOTION
3) Has patient INVERT the ANKLE noting for 35 DEGREE MOTION
4) Has the patient EVERT the ANKLE noting for 20 DEGREE MOTION
5) State SUPINATION is compound movement of INVERSION, ADDUCTION, and PLANTAR FLEXION
6) States PRONATION is a compound movement of EVERSION, ABDUCTION, and DORSIFLEXION
7) Perform AROM and PROM
8) Assesses BILATERALLY and notes ASYMMETRY noted