Range of Movement Flashcards
Scapular Movement
- 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
Neck Movements
- Sitting
- Flexion, Extension, Rotation (L +R) and side flexion (L+ R)
- Take notes of any trick movements
Thoracic Movements
- SP → sitting (Stabalize pelvis)
- Flexion, Extension, Rotation ( L+ R) and side flexion (L +R)
Lumbar Movements
- SP → Standing and sitting
- Flexion, Extension, Rotation (L+R) and side flexion (L+ R)
- Take note of any trick movements
Shoulder Flexion
- 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
Shoulder Extension
- 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
shoulder Abduction
- 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
Shoulder Horizontal flexion and extension
- 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
Shoulder Medical and Lateral rotation
- 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
Elbow flexion
- 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
superior and Inferior radio-ulnar pronation and supination
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
Wrist Flexion and Extension
- 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
wrist Radial and Ulnar deviation
- 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
Hip Flexion
- 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
Hip Extension
- 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