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Clinical Internship > Range of Motion > Flashcards

Range of Motion Flashcards

1
Q

Hip Extension ROM. Provide the ff:

Position:
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Hip Extension ROM

Position: Prone
Stabilization: ipsilat pelvis to avoid pelvic ant tilt
Fulcrum: G. Trochanter
Proximal Arm: Lateral midline of the pelvis
Distal Arm: Lateral midline of the femur
N value: 0-20 deg
EF: Firm
* Note: Maintain knee extension throughout motion

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2
Q

Knee Extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Knee Extension ROM. Provide the ff:

Position: Supine
Stabilization: Distal femur
Fulcrum: Lateral epicondyle of the femur
Proximal Arm: Lateral midline of the femur
Distal Arm: Lateral midline of the fibula
N value: 135-10 deg
EF: Firm
* Note: put a towel underneath the ankle
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3
Q

Hip Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Hip Flexion ROM. Provide the ff:

Position: Supine
Stabilization: Pelvis
Fulcrum: G trochanter
Proximal Arm: Lateral midline of the pelvis 
Distal Arm: Lateral midline of the femur
N value: 0-120 deg
EF: Firm may also be soft
 * Note: Allow the knee to passively flex
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4
Q

Knee Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Knee Flexion ROM. Provide the ff:

Position: Supine
Stabilization: Distal femur
Fulcrum: Lateral epicondyle fo the femur
Proximal Arm: Lateral midline of the femur
Distal Arm: Lateral midline of the fibula
N value: 0-135 deg
EF: Soft
* Note: Hold ankle with one hand and anterior thigh with the other; In starting position place towel under ankle

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5
Q

Hip Abduction ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Hip Abduction ROM. Provide the ff:

Position: Supine
Stabilization: Pelvis (Iliac crest)
Fulcrum: ASIS
Proximal Arm: one ASIS to the other
Distal Arm: Anterior midline of the femur
N value: 0-45 
EF: Firm
* Note: Starting position of goniometer looks like a 90 deg angle
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6
Q

Hip Internal Rotation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Hip Internal Rotation ROM. Provide the ff:

Position: Short sitting
Stabilization: Distal femur
Fulcrum: Anterior aspect of the patella
Proximal Arm: Perpendicular to the floor
Distal Arm: Midline of the lower leg
N value: 0-45
EF: Firm
 * Note: Place towel under distal femur
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7
Q

Hip External Rotation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Hip External Rotation ROM. Provide the ff:

Position: Short sitting
Stabilization: Distal femur
Fulcrum: Anterior aspect of the patella
Proximal Arm: Perpendicular to the floor
Distal Arm: Midline of the lower leg
N value: 0-45
EF: Firm
 * Note: Place towel under distal femur
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8
Q

Hip Adduction ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Hip Adduction ROM. Provide the ff:

Position: Supine
Stabilization: Pelvis (Iliac crest)
Fulcrum: ASIS
Proximal Arm: one ASIS to the other
Distal Arm: Anterior midline of the femur
N value: 0-25 (Not AAOS)
EF: Firm
* Note: Starting position of goniometer looks like a 90 deg angle; Abduct contralateral LE for space
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9
Q

Thomas Test (to identify one-joint [iliopsoas] or two-joint [rectus femoris] muscle shortness)

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
Interpretation:
A

Thomas Test (to identify one-joint [iliopsoas] or two-joint [rectus femoris] muscle shortness)

Procedure: Sitting c thigh and knees off the table. Assist back into supine while flexing hip and knees. In supine bring one LE knee to chest. Passively extend hip and lowering it.
Stabilization: Hip (untested side)
Fulcrum: G trochanter
Proximal Arm: Lateral midline of the pelvis
Distal Arm: Lateral midline of the femur
N value: 80 deg of knee flexion = normal
EF: Firm
Interpretation: Normal = If thigh lies flat on the table with knees 80 deg flexed; Rectus Femoris short = If hip lies flat with the knee held in extension; Iliopsoas short = If the hip does not extend while knee held in extension
* Note: Extending the knee causes Rectus femoris to slack or relax

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10
Q

SLR Test (to identify one-joint [G. maximus] or two-joint [Biceps femoris] muscle shortness)

Procedure:
Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
Interpretation:
A

SLR Test (to identify one-joint [G. maximus] or two-joint [Biceps femoris] muscle shortness)

Procedure: In supine flex the hip while knee is extended. The back should flatten on the table.
Position: Supine
Stabilization: Knee of the tested LE
Fulcrum: G. trochanter
Proximal Arm: Lateral midline of the pelvis
Distal Arm: Lateral midline fo the femur
N value: 68- 80 deg of hip flexion = normal length
EF: Firm
Interpretation: Normal = 68-80 deg hip flexion; Biceps femoris short = knee flexion can move hip into more flexion; G. Maximus short = amount of hip flexion unchanged after knee flexion
* Note: Flexing the knees cause the Biceps femoris to slack or relax

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11
Q

Talocrural joint Dorsiflexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Talocrural joint Dorsiflexion ROM. Provide the ff:

Position: Short sitting
Stabilization: Tibia and fibula
Fulcrum: Lateral Malleolus
Proximal Arm: Lateral midline of fibula
Distal Arm: Parallel to the lateral aspect of 5th metatarsal
N value: 0-20 deg
EF: Firm
 * Note: Push upward at the bottom of the foot
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12
Q

Talocrural joint Plantarflexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Talocrural joint Plantarflexion ROM. Provide the ff:

Position: Short sitting
Stabilization: Tibia and fibula
Fulcrum: Lateral Malleolus
Proximal Arm: Lateral midline of fibula
Distal Arm: Parallel to the lateral aspect of 5th metatarsal
N value: 0-50 deg
EF: Firm
 * Note: Do note put force on toes only on dorsum of the foot
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13
Q

Tarsal joint Inversion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Tarsal joint Inversion ROM. Provide the ff:

Position: Short sitting
Stabilization: Tibia and fibula
Fulcrum: Anterior aspect of ankle midway between the malleloi
Proximal Arm: Anterior midline of the lower leg
Distal Arm: anterior midline of 2nd metatarsal
N value: (0-30 to 0-35 deg; Not AAOS)
EF: Firm

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14
Q

Tarsal joint Eversion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Tarsal joint Eversion ROM. Provide the ff:

Position: Short sitting
Stabilization: Tibia and fibula
Fulcrum: Anterior aspect of ankle midway between the malleloi
Proximal Arm: Anterior midline of the lower leg
Distal Arm: Anterior midline of 2nd metatarsal
N value: (0-15 to 0-20 deg; Not AAOS)
EF: Hard

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15
Q

Subtalar joint Inversion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Subtalar joint Inversion ROM. Provide the ff:

Position: Prone
Stabilization: Tibia and fibula
Fulcrum: Posterior aspect of ankle midway between the malleloi
Proximal Arm: Posterior midline of the lower leg
Distal Arm: Posterior midline of the calcaneus
N value: 0- 35 deg
EF: Firm

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16
Q

Subtalar joint Eversion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Subtalar joint Eversion ROM. Provide the ff:

Position: Prone
Stabilization: Tibia and fibula
Fulcrum: Posterior aspect of ankle midway between the malleloi
Proximal Arm: Posterior midline of the lower leg
Distal Arm: Posterior midline of the calcaneus
N value: 0- 15 deg
EF: Hard

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17
Q

Fill in the blanks:

Ankle inversion is a combination of ___, ___, ___

A

Ankle inversion is a combination of supination, adduction and plantarflexion

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18
Q

Fill in the blanks:

Ankle eversion is a combination of ___, ___, ___

A

Ankle eversion is a combination of pronation, abduction and dorsiflexion

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19
Q

1st MTP joint extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

1st MTP joint extension ROM. Provide the ff:

Position: Supine
Stabilization: Metatarsal
Fulcrum: Dorsal aspect of the MTP joint
Proximal Arm: Dorsal midline of the metatarsal
Distal Arm: Dorsal midline of the proximal phalanx
N value: 0-70 deg
EF: Firm
* Note: Push the PROXIMAL phalanx not the distal phalanx

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20
Q

1st MTP joint flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

1st MTP joint flexion ROM. Provide the ff:

Position: Supine
Stabilization: Metatarsal
Fulcrum: Dorsal aspect of the MTP joint
Proximal Arm: Dorsal midline of the metatarsal
Distal Arm: Dorsal midline of the proximal phalanx
N value: 0-45 deg
EF: Firm
* Note: Push the PROXIMAL phalanx not the distal phalanx

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21
Q

Shoulder flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Shoulder flexion ROM. Provide the ff:

Position: Supine (Hook lying for comfort)
Stabilization: Scapula to prevent posterior tilting, upward rotation and elevation
Fulcrum: Lateral aspect of the greater tubercule
Proximal Arm: parallel to the midaxillary line of the thorax
Distal Arm: Lateral midline of the humerus
N value: 0-180 deg
EF: Firm
* Note: Palm of the hand faces the body; Extend elbows to reduce Triceps long head tension

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22
Q

Shoulder extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Shoulder extension ROM. Provide the ff:

Position: Prone
Stabilization: Scapula
Fulcrum: Lateral aspect of the greater tubercle
Proximal Arm: Parallel to the midaxillary line of the thorax
Distal Arm: Lateral midline of the humerus
N value: 0-60 deg
EF: Firm
* Note: Palm of the hand faces the body; Slight elbow flexion to reduce Biceps brachii long head tension; Face turned away from the shoulder tested

23
Q

Shoulder abduction ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Shoulder abduction ROM. Provide the ff:

Position: Supine
Stabilization: Trunk
Fulcrum: Anterior aspect of the acromion process
Proximal Arm: Parallel to anterior midline of sternum
Distal Arm: Anterior midline of the humerus
N value: 0-180 deg
EF: Firm
* Note: Palm faces anteriorly

24
Q

Shoulder Internal Rotation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Shoulder Internal Rotation ROM. Provide the ff:

Position: Supine
Stabilization: Distal end of the humerus
Fulcrum: Olecranon process
Proximal Arm: Perpendicular to the floor
Distal Arm: Ulna 
N value: 0-70 deg
EF: Firm
* Note: Palms facing posteriorly; place a towel under the distal humerus
25
Q

Shoulder External Rotation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Shoulder External Rotation ROM. Provide the ff:

Position: Supine
Stabilization: Distal end of the humerus
Fulcrum: Olecranon process
Proximal Arm: Perpendicular to the floor
Distal Arm: Lateral aspect ulna 
N value: 0-90 deg
EF: Firm
* Note: Palms facing posteriorly; place a towel under the distal humerus
26
Q

Elbow flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Elbow flexion ROM. Provide the ff:

Position: Supine
Stabilization: Humerus
Fulcrum: Lateral epicondyle
Proximal Arm: Lateral midline of humerus
Distal Arm: Lateral aspect of the radius
N value: 0-150 deg
EF: Soft
* Note: Put a rolled towel under the distal humerus; Maintain FA in supination c palm facing anteriorly
27
Q

Elbow extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Elbow extension ROM. Provide the ff:

Position: Supine
Stabilization: Humerus
Fulcrum: Lateral epicondyle
Proximal Arm: Lateral midline of humerus
Distal Arm: Lateral aspect of the radius
N value: 150-0 deg
EF: Hard
* Note: Put a rolled towel under the distal humerus; Maintain FA in supination c palm facing anteriorly
28
Q

Forearm pronation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Forearm pronation ROM. Provide the ff:

Position: Sitting
Stabilization: Distal end of humerus
Fulcrum: Lateral and proximal to the ulnar styloid process
Proximal Arm: parallel to the anterior midline of humerus
Distal Arm: Dorsal surface of the forearm proximal to the ulnar styloid process
N value: 0-80 deg
EF: Hard
* Note: Flex elbows to 90 deg; maintain UE close to the body; Starting position palms face the body (midway between supination and pronation)

29
Q

Forearm supination ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Forearm supination ROM. Provide the ff:

Position: Sitting
Stabilization: Distal end of humerus
Fulcrum: Medial and proximal to the ulnar styloid process
Proximal Arm: parallel to the anterior midline of humerus
Distal Arm: Ventral surface of the forearm proximal to the ulnar styloid process
N value: 0-80 deg
EF: Firm
* Note: Flex elbows to 90 deg; maintain UE close to the body; Starting position palms face the body (midway between supination and pronation)

30
Q

Wrist flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Wrist flexion ROM. Provide the ff:

Position: Sitting
Stabilization: Radius and ulna
Fulcrum: Lateral aspect over the Triquetrum
Proximal Arm: Lateral midline of the ulna
Distal Arm: Lateral midline of 5th metacarpal
N value: 0-80 deg
EF: Firm
* Note: Palms facing posteriorly; Shoulder abducted and elbow flexed to 90 deg; Alternative is the dorsal aspect

31
Q

Wrist extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Wrist extension ROM. Provide the ff:

Position: Sitting
Stabilization: Radius and ulna
Fulcrum: Lateral aspect over the Triquetrum
Proximal Arm: Lateral midline of the ulna
Distal Arm: Lateral midline of 5th metacarpal
N value: 0-70 deg
EF: Firm
* Note: Palms facing posteriorly; Shoulder abducted and elbow flexed to 90 deg; Alternative is the palmar aspect

32
Q

Wrist radial deviation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Wrist radial deviation ROM. Provide the ff:

Position: Sitting
Stabilization: Radius and ulna
Fulcrum: Dorsal aspect over capitate
Proximal Arm: Dorsal midline of the forearm
Distal Arm: Dorsal midline of the 3rd metacarpal
N value: 0-20 deg
EF: Hard
* Note: Palms facing posteriorly; Shoulder abducted and elbow flexed to 90 deg; Alternative is the palmar aspect

33
Q

Wrist ulnar deviation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Wrist ulnar deviation ROM. Provide the ff:

Position: Sitting
Stabilization: Radius and ulna
Fulcrum: Dorsal aspect over capitate
Proximal Arm: Dorsal midline of the forearm
Distal Arm: Dorsal midline of the 3rd metacarpal
N value: 0-30 deg
EF: Hard
* Note: Palms facing posteriorly; Shoulder abducted and elbow flexed to 90 deg; Alternative is the palmar aspect

34
Q

MCP Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

MCP Flexion ROM. Provide the ff:

Position: Sitting
Stabilization: Metacarpal
Fulcrum: Dorsal aspect of MCP joint
Proximal Arm: Dorsal midline of the metacarpal
Distal Arm: Dorsal midline of the proximal phalanx
N value: 0-90 deg
EF: Hard

35
Q

MCP Extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

MCP Extension ROM. Provide the ff:

Position: Sitting
Stabilization: Metacarpal
Fulcrum: Dorsal aspect of MCP joint
Proximal Arm: Dorsal midline of the metacarpal
Distal Arm: Dorsal midline of the proximal phalanx
N value: 0-45 deg
EF: Firm
* Note: Alternative: same landmarks just palmar aspect (should not be used if there is swelling or hypertrophy)

36
Q

PIP Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

PIP Flexion ROM. Provide the ff:

Position: Sitting
Stabilization: Proximal phalanx
Fulcrum: Dorsal aspect of the PIP joint
Proximal Arm: Dorsal midline of the proximal phalanx
Distal Arm: Dorsal midline of the middle phalanx
N value: 0-100 deg
EF: Hard

37
Q

DIP Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

DIP Flexion ROM. Provide the ff:

Position: Sitting
Stabilization: Middle phalanx
Fulcrum: Dorsal aspect of the DIP joint
Proximal Arm: Dorsal midline of the middle phalanx
Distal Arm: Dorsal midline of the distal phalanx
N value: 0-90 deg
EF: Firm
 * Note: Maintain PIP in 90 deg flexion
38
Q

Thumb CMC Flexion (Alternative) ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Thumb CMC Flexion (Alternative) ROM. Provide the ff:

Position: Sitting
Stabilization: Radius and ulna
Fulcrum: Palmar aspect of the CMC joint
Proximal Arm: Parallel to distal wrist crease (imaginary line between pisiform and trapezium)
Distal Arm: Ventral midline of the first metacarpal
N value: 0-15 deg
EF: Soft
* Note: Allow slight flexion of MCP and IP joints; ROM is the difference between the degrees of the beginning and end position. (I.e 35-15 deg is 0-20 deg)

39
Q

Thumb CMC Abduction ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Thumb CMC Abduction ROM. Provide the ff:

Position: Sitting
Stabilization: Carpals and 2nd metacarpals
Fulcrum: Lateral aspect of the scaphoid
Proximal Arm: Lateral midline of the 2nd (index) metacarpal
Distal Arm: Dorsal midline of the 1st metacarpal
N value: 0-70 deg
EF: Firm

40
Q

How do you usually measure Thumb CMC opposition?

A

Linear Distance: using a ruler measure the shortest distance between tip of thumb to center of proximal digital crease of the little finger

Total Opposition Test (TOT): 10-stage ordinal scale

41
Q

Thumb MCP Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Thumb MCP Flexion ROM. Provide the ff:

Position: Sitting
Stabilization: 1st Metacarpal
Fulcrum: Dorsal aspect of MCP joint
Proximal Arm: Dorsal midline of the metacarpal
Distal Arm: Dorsal midline of the proximal phalanx
N value: 0-50 deg
EF: Hard
* Note: Position forearm in full supination

42
Q

Thumb IP Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Thumb IP Flexion ROM. Provide the ff:

Position: Sitting
Stabilization: Proximal phalanx
Fulcrum: Dorsal aspect of the IP joint
Proximal Arm: Dorsal midline of the proximal phalanx
Distal Arm: Dorsal midline of the distal phalanx
N value: 0-80 deg
EF: Firm
* Note: Position forearm in full supination

43
Q

Thumb IP Extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Thumb IP Extension ROM. Provide the ff:

Position: Sitting
Stabilization: Proximal phalanx
Fulcrum: Dorsal aspect of the IP joint
Proximal Arm: Dorsal midline of the proximal phalanx
Distal Arm: Dorsal midline of the distal phalanx
N value: 0-20 deg
EF: Firm
* Note: Position forearm in full supination

44
Q

Cervical Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Cervical Flexion ROM. Provide the ff:

Position: Sitting with back supported; feet flat on the floor; hand on thighs
Stabilization: Shoulder girdle or sternum
Fulcrum: over the External auditory meatus
Proximal Arm: Perpendicular to the ground
Distal Arm: Base of the nares
N value: 0-45 deg
EF: Firm
*Note: AROM: ask pt to tuck the chin and bend head; PROM: Place on hand at back of head and the other on the chin then push and pull respectively

45
Q

Cervical Extension ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Cervical Extension ROM. Provide the ff:

Position: Sitting with back supported; feet flat on the floor; hand on thighs
Stabilization: Shoulder girdle and chest
Fulcrum: over the External auditory meatus
Proximal Arm: Perpendicular to the ground
Distal Arm: Base of the nares
N value: 0-45 deg
EF: Firm
* Note: AROM: ask pt to tuck the chin and look up as far as you can without moving trunk; PROM: Place on hand at back of head and the other on the chin then push upward and posteriorly

46
Q

Cervical Lateral Flexion ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Cervical Lateral Flexion ROM. Provide the ff:

Position: Sitting; feet flat on the floor; hand on thighs
Stabilization: Shoulder girdle and chest
Fulcrum: Spinous process of C7
Proximal Arm: Spinous process of thoracic vertebra
Distal Arm: Dorsal midline of the head
N value: 0-45 deg
EF: Firm
* Note: AROM: try to touch the ear without moving the head
PROM: Hold the top & side of the head and and contralateral shoulder

47
Q

Cervical Rotation ROM. Provide the ff:

Position: 
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
N value:
EF:
A

Cervical Rotation ROM. Provide the ff:

Position: Sitting with back supported
Stabilization: Shoulder girdle and chest
Fulcrum: Center of cranial aspect of the head
Proximal Arm: Parallel to an imaginary line between acromion processes
Distal Arm: Tip of the nose
N value: 0-60 deg
EF: Firm
* Note: AROM: Rotate the head by turning the chin toward shoulder without moving the trunk
PROM: Hold the chin and rotate head turning chin towards the shoulder (stabilize contralateral shoulder)

48
Q

Thoracolumbar flexion (Tape Measure) ROM. Provide the ff:

Position:
Stabilization:
Landmarks: 
Procedure: 
N value:
EF:
A

Thoracolumbar flexion (Tape Measure) ROM. Provide the ff:

Position: Standing with knees straight
Stabilization: Pelvis
Landmarks: Spinous process of T1 and S2 (PSIS)
Procedure: Slowly bend forward with feet shoulder width apart and knees straight
N value: 10 cm (4”)
EF: Firm
* Note: Alternative is fingertip-to-floor: knees straight with feet together measure the distance from the tip of the middle finger to the floor

49
Q

Thoracolumbar Extension (Tape Measure) ROM. Provide the ff:

Position:
Stabilization:
Landmarks: 
Procedure: 
N value:
EF:
A

Thoracolumbar Extension (Tape Measure) ROM. Provide the ff:

Position: Standing with knees straight
Stabilization: Pelvis
Landmarks: Spinous process of T1 and S2 (PSIS)
Procedure: Slowly bend backward the spine as fas as possible with feet shoulder width apart and knees straight
N value: ?
EF: Firm
* Note: Alternative is prone pushup with pelvis strapped onto table take measurement of sternal notch to the table (Not applicable for UE muscle weakness)

50
Q

Thoracolumbar Lateral Flexion ROM. Provide the ff:

Position:
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
Procedure: 
N value:
EF:
A

Thoracolumbar Lateral Flexion ROM. Provide the ff:

Position: Standing with feet shoulder width apart
Stabilization: Pelvis
Fulcrum: Spinous process of S2
Proximal arm: Perpendicular to the ground
Distal arm: Spinous process of T1
Procedure: Bend to one side while sliding the palm down without pelvic tilting
N value: 0-35 deg
EF: Firm
* Note: Alternative is fingertip-to-floor: against a wall measure distance of tip of middle finger to the floor; Fingertip-to-thigh: mark the thigh in starting position then mark at end of ROM the measure

51
Q

Thoracolumbar Rotation ROM. Provide the ff:

Position:
Stabilization:
Fulcrum:
Proximal Arm:
Distal Arm:
Procedure: 
N value:
EF:
A

Thoracolumbar Rotation ROM. Provide the ff:

Position: Sitting without back support feet flat
Stabilization: Pelvis
Fulcrum: Center of the cranial aspect of the head
Proximal Arm: Parallel to an imaginary line between the iliac crests
Distal Arm: Parallel to an imaginary line between the acromion processes
Procedure: turn the body to one side as far as possible with trunk erect and feet flat
N value: 0-45 deg
EF: Firm

52
Q

Lumbar Flexion: Modified-Modified Schober Test (MMST) ROM. Provide the ff:

Position:
Stabilization:
Landmarks: 
Procedure: 
N value:
EF:
A

Lumbar Flexion: Modified-Modified Schober Test (MMST) ROM. Provide the ff:

Position: Standing
Stabilization: Pelvis
Landmarks: Mark the S2 (PSIS) and 15 cm above
Procedure: Bend as far as possible while knees straight
N value: ?
EF: Firm

53
Q

Lumbar Extension: Modified-Modified Schober Test (MMST) ROM. Provide the ff:

Position:
Stabilization:
Landmarks: 
Procedure: 
N value:
EF:
A

Lumbar Extension: Modified-Modified Schober Test (MMST) ROM. Provide the ff:

Position: Standing
Stabilization: Pelvis
Landmarks: Mark the S2 (PSIS) and 15 cm above
Procedure: Bend backward as far as possible while knees straight with feet shoulder width apart
N value: ?
EF: Firm

Clinical Internship (2 decks)

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