peripheral joint ROM

Question 1

how to perform

Answer 1

position patient & goniometer, ask patient to move, fix trick movements, measure range

risk: damage joints
modify: use equipment

dorsiflexion - axis 1.5cm below MM
shoulder F/E - 2.5cm below lateral acromion
shoulder Abd - 1.3cm below anterior acromion
schobers test - spine

Question 2

contraindications / precautions

Answer 2

MSK: fracture, eptopic ossification, joint dislocation & infection & inflammation
CR:
CV:
N: pain
fragile bone conditions, bony ankylosis, cancer, acute soft tissue injury, hypermobility, prolonged immobilisation, haemotoma, haemophilia

Question 3

purpose

Answer 3

assess effectiveness of treatment
know whether healthy enough to be discharged
functional mobility
determine structures affecting movement
decide baseline limitations

Question 4

how to know if normal

Answer 4

compare to other side

observe willingness to move, quality of movement, where movement occurs, range, pain, deviations

Question 5

structures

Answer 5

joint actively moved through available range, then measured with a goniometer

Question 6

principles

Answer 6

measure x3, take average
compare to normal side
isolate the movement
goniometer is fixed + aligned
correct positioning, no trick movements
consider whether a 2 joint muscle to avoid passive insufficiency