Range of Motion Flashcards
Cervical Flexion and Extension
Using Goniometer
Instructions: Keep your chin as near to your neck
Patient’s position: Sitting with thoracic and lumbar spine supported by back of chair
Goniometry
- Axis: External Auditory Meatus
- Stationary Arm: Perpendicular to floor
- Moving Arm: Base of nares
Cervical Flexion and Extension
Using Tape Measure
Instructions: Keep your chin as near to your neck
Patient’s position: Sitting with thoracic and lumbar spine supported by back of chair
Tape measure
- Distance between chin and jugular notch
Cervical Flexion and Extension
Using Inclinometers
Instructions: Keep your chin as near to your neck
Patient’s position: Sitting with thoracic and lumbar spine supported by back of chair
Inclinometers
- T1 Spinous Process
- Top of the head
Cervical Lateral Flexion
Using Goniometer
Instructions: Bring your head to your right shoulder
Watch for hitching of the shoulders and trunk flexion
Patient’s Position: Sitting on stool/ over edge of bed. Shoulder girdle and chest stabilized
Goniometry
- Axis: Spinous Prcoess C7
- Stationary Arm: Perpendicular to Floor
- Moving Arm: Occipital Protuberance
Cervical Lateral Flexion
Using Tape Measure
Instructions: Bring your head to your right shoulder
Watch for hitching of the shoulders and trunk flexion
Patient’s Position: Sitting on stool/ over edge of bed. Shoulder girdle and chest stabilized
Tape Measure
- Distance between mastoid process and acromion
Cervical Lateral Flexion
Using Inclinometers
Instructions: Bring your head to your right shoulder
Watch for hitching of the shoulders and trunk flexion
Patient’s Position: Sitting on stool/ over edge of bed. Shoulder girdle and chest stabilized
Inclinometers
- T1 Spinous Process
- Top of the head
Cervical Rotation
Using Goniometers
Instructions: Turn your head to the right
Patient’s position: Sitting with thoracic and lumbar spine supported by back of chair
Look out for trunk rotation, hitching of shoulders, shoulders moving forward, cervical lateral flexion
Goniometry
- Axis: Centre or cranial aspect of head
- Stationary Arm: Between the acromion process
- Moving Arm: Tip of the nose
Cervical Rotation
Using Tape measure
Instructions: Turn your head to the right
Patient’s position: Sitting with thoracic and lumbar spine supported by back of chair
Look out for trunk rotation, hitching of shoulders, shoulders moving forward, cervical lateral flexion
Tape Measure
- Distance between tip of chin and acromion
Cervical Rotation
Using Inclinometers
Instructions: Turn your head to the right
Patient’s position: Supine
Inclinometer
- Middle of Forehead
Thoracolumbar Flexion and Extension
Using Goniometer
CANNOT BE DONE
Thoracolumbar Flexion and Extension
Using Tape Measure
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
Tape measure
- 1st line on L4/L5 Junction (Iliac Crest)
- 2nd line of C7 Spinous Process
- Measure when patient in erect and flexion posture and note the differences –> reflect thoracolumbar spinal mobility
Thoracolumbar Flexion and Extension
Using Fingertip-to-floor Method
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
- Measure perpendicular distance between tip of middle finger to floor
Thoracolumbar Flexion and Extension
Using Inclinometer
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
Inclinometer
- T1 spinous process
- Sacrum at S2 level
Lumbar Spine Flexion
Using Original Schober Test
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
Original Schober Test
- 1st line on L4/L5
- 2nd line 10cm above
- Measure distance between the two lines (Reading – 10cm)
Lumbar Spine Flexion
Using Modified Schober Test
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
Modified Schober Test
- 1st line on L4/L5
- 2nd line 10cm above L4/L5
- 3rd line 5cm below L4/L5
- Measure distance between 2nd and 3rd line (Reading – 15cm)
Lumbar Spine Flexion
Using Modified-Modified Schober Test
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
Modified-Modified Schober Test
- 1st line on L4/L5
- 2nd line 15cm above L4/L5
- Measure distance between two lines (Reading – 15cm)
Lumbar Spine Flexion
Using Inclinometer
Patient’s position: Standing with feet shoulder width apart, bending forward in sagittal plane, knees extended
Inclinometer
- T12 Spinous Process
- Sacrum at S2 level
Thoracolumbar Lateral Flexion
Using Goniometer
Patient’s Position: Standing with feet shoulder width apart, side bending
Make sure hip does not abduct, patient do not lift up the legs, feet are placed one foot width apart
Goniometry
- Axis: Spinous Process S2
- Stationary Arm: Perpendicular to Floor
- Moving Arm: Spinous Process C7
Thoracolumbar Lateral Flexion
Using Tape Measure.
Fingertip-to-floor method
Patient’s Position: Standing with feet shoulder width apart, side bending
Make sure hip does not abduct, patient do not lift up the legs, feet are placed one foot width apart
Fingertip-to-floor
- Distance between tip of middle finger to floor
Thoracolumbar Lateral Flexion
Using Tape Measure. Fingertip-to-thigh Method
Patient’s Position: Standing with feet shoulder width apart, side bending
Make sure hip does not abduct, patient do not lift up the legs, feet are placed one foot width apart
Fingertip-to-thigh
- Distance between tip of middle finger to thigh
- Measure distance when patient is in erect and flexion posture and note the differences between the readings
Thoracolumbar Lateral Flexion
Using Inclinometer
Patient’s Position: Standing with feet shoulder width apart, side bending
Make sure hip does not abduct, patient do not lift up the legs, feet are placed one foot width apart
Inclinometers
- T1 Spinous Process
- S2 Spinous Process
Lumbar Spine Lateral Flexion
Using Inclinometer
Patient’s Position: Standing with feet shoulder width apart, side bending
Make sure hip does not abduct, patient do not lift up the legs, feet are placed one foot width apart
Inclinometers
- T12 Spinous Process
- S2 Spinous Process
Shoulder Flexion
Patient’s Position: Supine, Palm facing body, patient’s hand off the plinth, towel underneath the head, pillow under the knee for comfort.
Instructions: Can I get you to lift your hands up, keeping your elbows straight.
Guide the patient in the first movement and get them to do it on their own and observe for compensatory movement.
Compensatory Movement: Arching of back
Goniometer
- Axis: Lateral Aspect of Greater Tubercle
- Stationary Arm: Parallel to midaxillary line of thorax
- Moving Arm: Lateral Midline of humerus aligned to lateral epicondyle
Shoulder Extension
Patient’s Position: Prone, Palm facing body, no pillow under the head, face in the hole.
Instructions: Keeping your hands facing the body, can I get you to lift it off the plinth.
Guide the patient in the first movement and get them to do it on their own and observe for compensatory movement (if any)
Goniometer
- Axis: Lateral aspect of greater tubercle
- Stationary Arm: Parallel to midaxillary line of thorax
- Moving Arm: Lateral Midline of humerus aligned to lateral epicondyle