COMPS ROM norms for all joints Flashcards
cervical spine flexion ROM
- 0-45
- stationary arm- perpendicular to floor
- axis of rotation: external auditory meatus
- movement arm: base of nares
cervical spine extension
0-75 Stationary arm Perpendicular to the floor Axis of rotation External Auditory Meatus Movement arm Base of the nares or nostrils
cervical spine lateral flexion
0-45 Stationary arm Perpendicular to floor or table Axis of rotation Spinous Process of C7 Movement arm Bisecting the Cranium vertically
cervical spine rotation
60-70 Stationary arm Parallel with the nose Axis of rotation Superior surface and center of the cranium Movement arm Lateral border of acromion
T spine flexion with tape measure 2 methods
10cm
uperior point: Spinous process of C7
Inferior point: Spinous process of S2
second method measure distance to floor
t spine extension
- no norm
- measure distance from hands to floor
t spine lateral flexion with goni or with tape
tape - compare to othe rside
- goni 35
GONI: Stationary arm Perpendicular from S2 to the floor Axis of rotation Spinous Process of S2 Movement arm Midline of the spine to spinous process of C7
t spine rotation with tape measure
- no norms
-patient seated
Tape measure landmarks
Superior point: Anterior surface of acromion process of the contralateral shoulder
Inferior point: Greater trochanter of the ipsilateral femur
L spine flexion
- 6-7cm
Tape measure landmarks
Superior point: Spinous process of T12
Inferior point: Spinous process of S2
L spine extension
- 2 cm
Superior point: Spinous process of T12
Inferior point: Spinous process of S2
Hip flexion
- 120 w/ knee flexed. 80-90 w/ knee extended
-Stationary arm
Lateral midline of pelvis
Axis of rotation
Greater trochanter
Movement arm
Midline of lateral femur to the lateral epicondyle of knee
hip extension
- 20
-pt is prone
Stationary arm
Lateral midline of pelvis
Axis of rotation
Greater trochanter
Movement arm
Midline of lateral femur to the lateral epicondyle of ipsilateral knee
Hip abduction
-45
Stationary arm
Align between both anterior superior iliac spine’s
Axis of rotation
Ipsilateral anterior superior iliac spine
Movement arm
Midline of anterior femur to center of patella
Hip adduction
-25-30
Stationary arm
Align between both anterior superior iliac spine’s
Axis of rotation
Ipsilateral anterior superior iliac spine
Movement arm
Midline of anterior femur to center of patella
Hip ER- seated
- 35-40
-Stationary arm
Perpendicular to floor
Axis of rotation
Center of anterior patella
Movement arm
Midline of anterior tibia to the center of talocrural joint
Hip IR seated
- 35-40
-Stationary arm
Perpendicular to floor
Axis of rotation
Center of anterior patella
Movement arm
Midline of anterior tibia to the center of talocrural joint
knee flexion
- 140-145
- pt supine
- Stationary arm
Lateral midline of femur to greater trochanter
Axis of rotation
Lateral epicondyle of the knee
Movement arm
Lateral midline of fibula to lateral malleolus
knee extension
-0- 5
- Stationary arm
Lateral midline of femur to greater trochanter
Axis of rotation
Lateral epicondyle of the knee
Movement arm
Lateral midline of fibula to lateral malleolus
ankle DF
- 20
- Prone feet off the table
Stationary arm
Lateral midline of fibula to lateral epicondyle of knee
Axis of rotation
Lateral malleolus
Movement arm
Parallel to fifth metatarsal
ankle PF
- 40-50 Stationary arm Lateral midline of fibula to lateral epicondyle of knee Axis of rotation Lateral malleolus Movement arm Parallel to fifth metatarsal
ankle inversion
- 30-35 Stationary arm Anterior midline of tibia to tibial tuberosity Axis of rotation Center of anterior talocrural joint Movement arm Anterior midline of second metatarsal
ankle eversion
- 20
- Stationary arm
Anterior midline of tibia to tibial tuberosity
Axis of rotation
Center of anterior talocrural joint
Movement arm
Anterior midline of second metatarsal
sub talar inversion/supination
- 10-12
- Stationary arm
Midline of posterior gastrocnemius
Axis of rotation
Center of posterior talocrural joint
Movement arm
Posterior midline of calcaneus
-subtalar eversion/pronation
- 5
-Stationary arm
Midline of posterior gastrocnemius
Axis of rotation
Center of posterior talocrural joint
Movement arm
Posterior midline of calcaneus
flexion of MTP great toe
- 20-30
- Stationary arm
Medial midline of first metatarsal
Axis of rotation
Medial portion of first metatarsophalangeal joint
Movement arm
Medial midline of first proximal phalanges
MTP of great toe extension
- 50-70
- Stationary arm
Medial midline of first metatarsal
Axis of rotation
Medial portion of first metatarsophalangeal joint
Movement arm
Medial midline of first proximal phalange
Shoulder flexion
- 180
- Stationary arm
Mid-axillary line
Axis of rotation
Greater tubercle of humerus
Movement arm
Lateral epicondyle
shoulder extension
45 - prone -Goniometer landmarks Stationary arm Mid-axillary line Axis of rotation Greater tubercle of humerus Movement arm Lateral epicondyle of humerus
shoulder abduction
- 180
- Stationary arm
Parallel to sternum
Axis of rotation
Anterior acromion
Movement arm
Bisecting the condyles of humerus. With increased abduction use medial epicondyle
shoulder IR
- 70 Stationary arm Perpendicular to the floor Axis of rotation Olecranon process Movement arm Ulnar styloid process
shoulder ER
- 90
- Stationary arm
Perpendicular to the floor
Axis of rotation
Olecranon process
Movement arm
Ulnar styloid process
elbow flexion
- 140
- Stationary arm
Acromion process
Axis of rotation
Lateral epicondyle
Movement arm
Radial styloid process
elbow extension
- 0
- stationary arm
Acromion process
Axis of rotation
Lateral epicondyle
Movement arm
Radial styloid process
radioulnar supination
- 0-80
Stationary arm
Midline of humerus
Axis of rotation
Ventral and proximal to ulnar styloid process
Movement arm
Ventral surface of wrist, proximal and parallel to styloid processes
radioulnar pronation
0-80
- Stationary arm
Mid-line of humerus
Axis of rotation
Dorsal and proximal to ulnar styloid process
Movement arm
Dorsal surface of wrist, proximal and parallel to styloid processes
wrist flexion
- 80
- Stationary arm
From ulnar styloid process to olecranon
Axis of rotation
Lateral to triquetrum
Movement arm
Parallel with fifth metacarpal
wrist extension
- 70
- Stationary arm
From ulnar styloid process to olecranon
Axis of rotation
Lateral to triquetrum
Movement arm
Parallel with fifth metacarpal
wrist radial deviation
- 20
- Stationary arm
Lateral epicondyle
Axis of rotation
Capitate
Movement arm
Parallel with third metacarpal
wrist ulnar deviation
- 30 Stationary arm Lateral epicondyle Axis of rotation Capitate Movement arm Parallel with third metacarpal
TMJ ROM -depression - protrusion retrusion -lateral
- depression 40
protrusion: 6-9 - retrusion: 1
lateral: 10-12
Finger MTP ROM
flexion
extension
abduction
-90
45
0
Finger IP ROM
flexion extension
- 100
- 0
thumb carpometacarpal
- abduction
- flexion
- extension
- opposition
70
15
35
1-2
thumb MTP ROM
flexion
extension
-60
0
thumb IP ROM
flexion
extension
-75-80
20-25