Range of Movement Flashcards

1
Q

Scapular Movement

A
  • Estimated by means of performing passive movements of the scapula
  • includes → Elevation, Depression, protraction, Retraction and Rotation
  • Compare the a sides to determine If ROM is affected
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2
Q

Neck Movements

A
  • Sitting
  • Flexion, Extension, Rotation (L +R) and side flexion (L+ R)
  • Take notes of any trick movements
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3
Q

Thoracic Movements

A
  • SP → sitting (Stabalize pelvis)
  • Flexion, Extension, Rotation ( L+ R) and side flexion (L +R)
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4
Q

Lumbar Movements

A
  • SP → Standing and sitting
  • Flexion, Extension, Rotation (L+R) and side flexion (L+ R)
  • Take note of any trick movements
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5
Q

Shoulder Flexion

A
  • Normal ROM → O- 160/180
  • CP → Coracold process - 2.5 cm inf. and lat. lengthen CP to lateral aspect
  • SP → Supine, arms next to side, small pillow, Out of the way not to restrict movement
  • Stationary arm parallel to mid- axillary line
  • Moving arm parallel to long axis of humerus
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6
Q

Shoulder Extension

A
  • Normal ROM → 0-50
  • CP → cora cold process, 2.5 cm inf. and lat., lengthen to late ral aspect of shoulder
  • SP → Prone, arm over side of the bed to prevent trick movements
  • Stationary arm is parallel to mid axillary line
  • Moving arm 18 parallel to long axis of humerus
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7
Q

shoulder Abduction

A
  • Normal ROM → w/O scapula thoracic 5-95
    → W. scapula thoracic 5-180
  • CP → Cora cold process 2.5 cm inf. then 2.5 cm lat
  • SP → supine,arms next to side, small pillow under head out of the way not to restrict ROM
  • Stationary army is parallel to line between left and right center points
  • Moving arm is parallel to long axis of humerus
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8
Q

Shoulder Horizontal flexion and extension

A
  • Normal ROM → Flexion = 0-135
    → extension = 0-40
  • CP → Cora cold process 2.5 cm inf. and 2.5 cm lat., lengthen Centre point to superior aspect of the shoulder
  • SP → sitting, arm in 90 degrees abduction
  • stationary arm is parallel to zero position
  • moving arm is parallel to humerus
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9
Q

Shoulder Medical and Lateral rotation

A
  • Normal ROM → Medial Rot = O-70°
    → Lateral Rat. = 0-90°
  • CP → Olecranon process
  • SP → Prone (Can also be supine),Humerus supported on bed in 90° abd., Forearm hanging off the bed in 90° elbow flexion
  • Stationary arm is parallel to mid axial line of thorax
  • Moving arm is parallel to forearm
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10
Q

Elbow flexion

A
  • Normal ROM = 0-146°
  • CP → Head of the radius
  • SP → Supine, Upper arm supported (towel) to start with elbow in extension and good position
  • Stationary arm is parallel to long ax is of humerus
  • Moving arm 18 parallel to long exis of forearm
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11
Q

superior and Inferior radio-ulnar pronation and supination

A

Normal ROM → Pronation = 0-80 °
→ Supination = 0-90 °
- CP → Across the ring or little finger
- SP → Sitting, Arm in shoulder abd., forearm supported on table, Hand in vertical position, thumb pointing upwards
- Stationary arm is parallel to the table
- Moving arm is parallel to the line between the 2nd and 5th MP joints

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12
Q

Wrist Flexion and Extension

A
  • Normal ROM → flexion = 0-80°
    → Extension = 0-70°
  • CP→ palpate the articular cavity and distal wrist told on the medial side of the wrist
  • SP → sitting, forearm on table, wrist hanging free
  • Stationory arm is parallel to long axis of forearm
  • Moving arm is parallel to 5th metacarpal
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13
Q

wrist Radial and Ulnar deviation

A
  • Normal ROM → Radial dev = 0-20 °
    → Uinor dev =0-30°
  • CP → Articular cavity at the proximal section of the 3rd metacarpal bone
  • SP → sitting,hand placed flat on supporting surface
  • Stationary arm is parallel to axis of forearm
  • Moving arm is parallel to 3rd metacarpal
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14
Q

Hip Flexion

A
  • Normal ROM → 0-110/120°
  • CP → Draw a like from AlSIS to the symphysis pubis. Divide it in half and measure 2.5 cm inferior to that point. Lengthen the point to the lateral aspect of the hip joint (greater trochanter)
  • SP → Supine
  • Stationary is parallel to axial line of the trunk
  • Moving arm is parallel to long axis of the femur
    → Eliminate passive Insufficiency of the hamstrings by knee flexion
    → Ensure that the opposite hip doesn’t fleex
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15
Q

Hip Extension

A
  • Normal ROM → 0-30 °
  • CP → Draw line to find mid-point between ASIS and pubis symphysis,measure 2.5 cm Inferior and lengthen to lateral aspect of the hip joint (greater trochanter)
  • SP → prone
  • Stationarry arm is parallel to axial lime of the trunk
  • Moving arm 18 parallel to long axis of the femur
    → Eliminate passive insufficiency of the rectus femoris by means of knee extension
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16
Q

Hip Abduction and Adduction

A
  • Normal ROM → Abduction = 0-45/50 °
    → Adduction =0-45°
  • CP → Draw a line from the ASIS to the pubis symphysis,alvade in half and go 2.5 cm inferiorly I find centre part on both sides
  • sp → supine, Stabilize pelvis by putting other legon the opposite side on a bench over the side of the bed
  • Stationary arm is parallel to the line between the 2 centre points of both hips
  • Moving arn is parallel to long axis of the femur
17
Q

Hip Medial and Lateral rotation

A
  • Normal ROM → Medial rotation = 0-35 °
    → Lateral Rotation = 0-48°
  • CP → Tibial tuberosity
  • SP → sitting over the end of the bed with 90 ° knee flexion
  • Stationary arm is parallel to the edge of the bed
  • Moving arm is parallel to long axis of tibia
18
Q

Knee Joint (Patella]

A
  • Measured by means of estimation by passive movements of the patella
19
Q

knee Flexion

A
  • Normal ROM → 0-134°
  • CP → Palpate the articular cavity between the femur and tibia on the medial side or la terally measure 2.5 cm superior to the fibular head
  • SP → prone or supine
  • Stationary arm is parallel to long axis of the femur
  • Moving arm is parallel to long axis of the tibia
    → Passive insufficiency of the quadriceps may reduce ROM in prone, therefor It is best to test in both positions
20
Q

Ankle Dorsiflexion and Planterflexion

A
  • Normal ROM → Dorsiflexion = 0-18 °
    → Plantar flexion =0-48 °
  • CP → From the cristal boarder of the lateral malleoli - 1:7 cm Superiorly or distal boarder of the medial melleoli - 1.3 cm Superiorly
  • SP → Half lying, Pillow under knee to eliminate passive insufficiency of gastrocnemius
  • Stationary arm Is parallel to lower leg
  • Moving arm is parallel to the heel not the foot 5 th metatarsal
21
Q

Ankle inversion and eversion

A
  • Normal ROM → Inversion = 0-30/35°
    → Eversion =0-20°
    Measured with a flexo meter