Range Of Motion For All The Limbs

Question 1

Active Free ROM Protocol, What are they?

Answer 1

1. Place the client in a comfortable, stable position that allows them to move the body part through the full range without being obstructed.
2. Ensure body part is free of restrictive clothing
3. Demonstrate each movement that allows you to observe the movement
4. Stand in a position that allows you to observe the movement
5. Ensure that the client does not perform accessory movements
6. Observe for fluid, quality movement, observe clients fascial expression, and observe overall degree of movement
7. Note any abnormal movements, pain, limitation of movement
8. Repeat each motion 3-5 times to elicit pain response (if pain is present, stop.)
9. Ask client about pain with every motion
10. State clients range for each motion, and whether or not the clients range falls within normal limits (state what the normal ranges are)

Question 2

Passive Relaxed ROM Protocol, What are they?

Answer 2

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Question 3

Active Resisted ROM Protocol, What are they?

Answer 3

1.
2.
3.
4.
5.
6.
7.

Question 4

ROM of Cervical spine

Answer 4

Flexion: 80-90
Extension: 70
Side flexion: 20-40
Rotation: 70-90

Question 5

End-feel of Cervical spine

Answer 5

Tissue stretch in all ranges

Question 6

ROM of Thoracic spine

Answer 6

Flexion: 20-45
Extension: 25-45
Side flexion: 20-40
Rotation: 35-50

Question 7

End-feel of Thoracic spine

Answer 7

Tissue stretch in all ranges

Question 8

ROM of Lumbar spine

Answer 8

Flexion: 40-60
Extension: 20-35
Side flexion: 15-20
Rotation: 3-18

Question 9

End-feel of Lumbar spine

Answer 9

Tissue stretch in all ranges

Question 10

ROM of Glenohumeral Joint

Answer 10

Flexion: 160-180
Extension: 50-60
Abduction: 170-180
Adduction 50-75
Horizontal ab/aduction: 130
Lateral rotation: 80-90
Medial rotation: 60-100

Question 11

End-feel of Glenohumeral Joint

Answer 11

All tissue stretch
EXCEPT: Abduction- bone to bone or tissue stretch,
Adduction: Tissue approximation

Question 12

ROM of Wrist

Answer 12

Flexion: 80-90
Extension: 70-90
Ulnar deviation(add): 30-45
Radial deviation(abd): 15

Question 13

End-feel of Wrist

Answer 13

Flexion: Tissue stretch
Extension: Tissue stretch
Ulnar deviation(add): Bone to bone
Radial deviation(abd): Bone to Bone

Question 14

ROM of Elbow (ulnohumeral)

Answer 14

Flexion: 140-150
Extension: 0-10
Supination: 90
Pronation: 80-90

Question 15

End-feel of Elbow (ulnohumeral)

Answer 15

Flexion: Tissue approximation
Extension: Bone to bone
Supination: Tissue stretch
Pronation: Tissue stretch

Question 16

ROM of Hip

Answer 16

Flexion: 110-120
Extension: 10-15
Abduction: 30-50
Adduction: 30
Lateral rotation: 40-60
Medial rotation:30-40

Question 17

End-feel of Hip

Answer 17

Flexion: Tissue approx.
Extension: TS
Abduction: TS
Adduction: TS or TA
Lateral rotation: TS
Medial rotation: TS

Question 18

ROM of Knee

Answer 18

Flexion: 135
Extension: 0-15
Med rot of tibia: 20-30
Lat rot of tibia: 30-40

Question 19

End-feel of Knee

Answer 19

Flexion: TA
Extension: TS
Med rot of tibia: TS
Lat rot of tibia: TS
Patellar movement is tissue stretch in all directions

Question 20

ROM of Ankle

Answer 20

Plantarflexion: 50
Dorsiflexion: 20
Supination(inver, add, plant): 45-60
Pronation:(Ever, abd, dorsi): 15-30

Question 21

End-feel of Ankle

Answer 21

Tissue stretch in all ranges