PROM Flashcards
Hip Flexion PROM
Supine
Knee to chest
Force put through above the knee
Towel giving modesty
Hip Extension PROM
Prone
Knee at 90
Stabilise the lumbar spine
Lift up from the knee
Hip Internal Rotation PROM
Supine
Hip & Knee at 90
Hook lower leg over forearm
Force through the thigh
Bring lower leg out to go into IR
Hip External Rotation
Supine
Hip & Knee at 90
Hook lower leg over forearm
Force through the thigh
Bring lower leg in to go into ER
Hip Inferior glide (Accessory PROM)
Supine
Hip and Knee at 90
Towel for modesty and towel between hands and leg
Clasp hands and pull down on the femur as close to the groin as possible
Knee Flexion PROM
Supine
Slide the heel towards the bum
Push the tibia and femur together to apply PROM Force
Knee Extension PROM
Prone
Towel under knee & for modesty
One hand above knee, other below lower leg apply contrasting force
Knee Internal Rotation
Supine
Stabilise femur
Guide heel inwards to force inward rotation at the knee
Towel for modesty
Knee External Rotation
Supine
Therapist facing foot of the bed
Stabilise Femur
Guide heel outwards to force outward rotation at the knee
Towel for modesty
Patellofemoral Joint Glides
Inferior/Superior Glide
Medial/Lateral Glide
Perform with diamond shape and apply pressure through the thumbs
Superior Tib/Fib AP & PA Glides
Patient in supine
Place the pads of the thumbs over the head of the fibula and lightly press for AP glide
Hook fingers around the back of the fibula and pull back upwards to perform the PA glide
Anterior/Posterior Draw Test
Supine
Knee at 90 foot on the bed
Therapist sits on the patients foot to stabilise
Clasp hands around the back of the tibia and pull forward for the Anterior test
Push down through tibia for posterior test
Knee Valgus & Varus Stress Tests
Patient in supine
Straight leg
Valgus - Puts stress on MCL - try to push knee in and lower leg out
Varus - Puts stress on LCL - try to push knee out and lower leg in
Dorsi Flexion PROM
Supine, towel under knee
One hand grips the calcaneus and pulls, the other hand stabilises the mortise
Plantar Flexion PROM
Supine, foot of of bed
One hand grips the calcaneus and pushes the talus into the mortise and the other hand stabilises the mortise above
Supination/Pronation PROM
Supine, Foot off of bed
One Hand grips calcaneus and the other applies the force through the forefoot
1st Toe Doris Flexion and Plantar Flexion
Supine, foot off of bed
Stabilise the navicular and move the 1st MT into dorsi & plantar flexion
Inferior Tib/Fib Joint Accessory Glide AP & PA
Supine
Stabilise the Tibia and use the thumb and finger pads to glide the fibula on the Tibia
Lumbar Spine (Passive intervertebral movements)
C Grip, use the soft part of the hand to push vertically down on the spinous processes
Unilateral Zygapophyseal Joint
Use points of thumbs (in order to not over-extend the thumb)
Come laterally 2cm from the interspinous space. May need to move the muscle across in order to palpate.
Shoulder Flexion PROM
Supine, pillow under head but shifted to the other side
Keep the elbow and guide the shoulder into flexion
Therapist in stride stance, facing the patients face in order to monitor emotion
Shoulder Extension PROM
Supine, slightly angled across the bed (So there is room to extend the arm off of the bed.
Keep elbow bent (Prevents Passive insufficiency of the biceps). Slowly lower into extension but protect the anterior part of the shoulder
Shoulder Abduction PROM
Supine, Pillow under head shifted to the other side
Therapist needs to leave sufficient room for patients arm to go in front of you. One hand supports the elbow and the other hand supports the hand.
Internal and External Rotation
Patient Supine, Shoulder abducted to 90, elbow at 90
Support patient elbow with the therapists leg. One hand supports the the humeral head and the other on the hand.
Horizontal Flexion and Extension
Supine, body shifted to the side of the bed. Elbow & shoulder at 90.
Support the elbow and the wrist
Either lower the arm off of the bed to achieve extension or move the arm across the body for flexion
ACJ Inferior Glide
Supine
Use thumb pads to glide the acromion inferiorly. Take care with pressure
GHJ AP Glide (Neutral)
Supine, towel under arm
Therapist facing the head of the bed. One hand hooks over and stabilises the scapula and the other hand pushes through the superior humerus (pretty laterally)
GHJ AP Glide (90 Abduction)
Supine, arm off of the bed abducted to 90
Therapist facing head of bed, one hand holding arm up from the elbow and the other pressing AP force through the proximal humerus.
GHJ Inferior Glide (Neutral)
Supine, arm slightly off of the bed. Straight arm.
Hand 1 hooks under the armpit and stabilises the scapula, hand 2 pulls the humerus downwards.
GHJ Inferior Glide (90 Abduction)
Supine, arm abducted to 90.
Hand 1 stabilises the scapula and hand 2 applies traction force to the humerus.
Elbow Flexion PROM
Supine, Towel underneath the elbow
Hand 1 supports the humerus and hand 2 supports and guides the movement from the wrist.
Elbow Extension PROM
Supine, Towel underneath the elbow
Hand 1 supports the humerus by wrapping around under it (forearm support the humeral head) and hand 2 supports and guides the movement from the wrist.
Elbow Supination and Pronation
Sitting, elbow on table with towel underneath
Rotational force applied through the forearm
Superior Radioulnar Joint PA Radial Head glide (FACILITATES SUPINATION)
Supine, forearm resting across the stomach (Elbow abducted to 90)
Press through the radial head with the thumb pads
Superior Radioulnar Joint AP Radial Head glide (FACILITATES PRONATION)
Supine, Elbow at 45 degrees, forearm supinated
Radial head is deep to lateral muscles of the forearm. Push the thumbs from the medial cubital fossa laterally to push the musculature out of the way and reach the bony head.
Radiohumeral Joint (Distraction Glide)
Supine, Elbow flexed to 90 degrees.
Face the head of the bed. One hand stabilises the the humerus and the other hand applies a distraction force to the elbow.
Wrist flexion/extension
Sitting, Forearm in mid-prone. Guide the hand into flexion and extension
Ulnar/Radial Devation
Sitting, Forearm in prone. Guide the hand into deviations same as overpressure.
PA Glide of Radiocarpal joint
Sitting, forearm in prone, hand over the table
Therapist standing and applying force vertically. Hand 1 stabilises forearm and the other hand hooks over the dorsum and the fingers into the palm. Glide the hand downwards without putting the wrist into flexion/extension.
Facilitates Extension
AP Glide of Radiocarpal Joint
Sitting, forearm in supine, with hand off of the table.
One hand grips the forearm the other holds the hand of the patient.
Medial and Lateral Glides of radiocarpal Joint
Patient seated, elbow resting on the table Hand in prone
Hand 1 stabilise the radius and ulnar and the other hand webbing space covers the carpal bones.
Intercarpal Movements
Stabilise the adjacent carpal bone and mobilise the bone.
Inferior Radioulnar Joint Glides
Seated, forearm on table.
Radius held between the thumb and index fingers and the other holding the ulnar.
CMC of Thumb PA and AP & medial/lateral glides
Stabilise carpals and move the 1st MC
1st MCP joint AP and PA & medial/lateral glides
Stabilises the MC and Move the Phalanx
MCP & IP 2-5 Joint AP/PA glides & medial/lateral glides
Stabilises the proximal bone and glide the distal bone.
Cervical Flexion PROM
Supine, Towel under Head
Head held in the hands (support the posterior occiput)
Slightly pull the head upwards before bringing them into flexion
Cervical Lateral Flexion PROM
Supine, Towel under Head
Head held in hands with support of the occiput. Also support the head with the patient stomach (The more contact the better)
Step to the side whilst doing the lateral flexion (Move with the patient).
Cervical Rotation PROM
Supine, Towel under head
Head held in hands with support of the occiput. Also support the head with the patient stomach (The more contact the better)
Turn the head left and right
PA cervical pressure on spinous process
Patient in prone, Therapist standing at the head of the bed.
Thumbs press through, fingers pick up lateral musculature. Gently sink into PA pressure.
Unilateral PA of Cervical articular pillars
Patient in prone, Therapist standing at the head of the bed.
Lateral 2cm from the spinous process.
