ROM Flashcards
What is the patient position when measuring shoulder flexion? With or without a towel?
Supine without a towel
The axis of the goniometer is placed where when measuring shoulder flexion?
The greater tubercle of the humerus
The stationary arm is bisecting what when measuring shoulder flexion?
The thorax
The moving arm is pointing towards what bony landmark when measuring shoulder flexion?
The lateral epicondyle
What is normal ROM for shoulder flexion?
0-180 degrees
What is the patient position when measuring shoulder extension? With or without a towel?
Prone without a towel
The axis of the goniometer is placed where when measuring shoulder extension?
The greater tubercle of the humerus
The stationary arm is bisecting what when measuring shoulder extension?
The thorax
The moving arm is pointing towards what bony landmark when measuring shoulder extension?
The lateral epicondyle
What is the normal ROM for shoulder extension?
0-60 degrees
What is the patient position when measuring shoulder abduction? With or without a towel?
Supine without a towel
The axis of the goniometer is placed where when measuring shoulder abduction?
The anterior acromion
The stationary arm is placed parallel to what structure when measuring shoulder abduction?
The sternum
The moving arm is bisecting what structure when measuring shoulder abduction?
The humerus
What is the normal ROM for shoulder abduction?
0-180 degrees
What is the patient position when measuring shoulder internal rotation? With or without a towel?
Supine with a towel
When measuring shoulder internal rotation, what do you have to do with the shoulder and elbow before taking a measurement?
Abduct the shoulder to 90 degrees and flex the elbow to 90 degrees
The axis of the goniometer is placed where when measuring shoulder internal rotation?
On the olecranon of the ulna
Where is the stationary arm pointing when measuring shoulder internal rotation?
To the ground
The moving arm is pointing towards what bony landmark when measuring shoulder internal rotation?
The styloid process of the ulna
What is the normal ROM for shoulder internal rotation?
0-70 degrees
What is the patient position when measuring shoulder external rotation? With or without a towel?
Supine with a towel
When measuring shoulder external rotation, what do you have to do with the shoulder and elbow before taking a measurement?
Abduct the shoulder to 90 degrees and flex the elbow to 90 degrees
The axis of the goniometer is placed where when measuring shoulder external rotation?
The olecranon of the ulna
Where is the stationary arm pointing when measuring shoulder external rotation?
To the ground
The moving arm is pointing towards what bony landmark when measuring shoulder external rotation?
The styloid process of the ulna
What is the normal ROM for shoulder external rotation?
0-90 degrees
What is the patient position when measuring elbow flexion? With or without a towel?
Supine with a towel
The axis of the goniometer is placed where when measuring elbow flexion?
On the lateral epicondyle of the humerus
Where is the stationary arm bisecting when measuring elbow flexion?
The humerus
The moving arm is pointing towards what bony landmark when measuring elbow flexion?
The styloid process of the radius
What is the normal ROM for flexion of the elbow?
0-150 degrees
What is the patient position when measuring elbow extension? With or without a towel?
Supine with a towel
The axis of the goniometer is placed where when measuring elbow extension?
The lateral epicondyle of the humerus
What is the stationary arm bisecting when measuring elbow extension?
The humerus
The moving arm is pointing towards what bony landmark when measuring elbow extension?
The styloid process of the radius
What is the normal ROM for extension of the elbow?
0 degrees
What size goniometer do you use for measuring supination and pronation of the forearm?
The small one (“rectangle one”)
What is the patient position when measuring elbow supination?
Seated
When measuring elbow supination, the patient has to have their elbow in what position and maintain their humerus against what structure?
Flexed to 90 degrees and in a mid pronated position. The humerus has to be against the thorax.
Where is the axis of rotation when measuring elbow supination? Is the goniometer going to be on the medial or lateral side of the patient?
The styloid process. Medial.
What is the stationary arm parallel with when measuring elbow supination?
The midline of the humerus
Where is the moving arm lined up with when measuring elbow supination?
The styloid processes
What is the patient position when measuring elbow pronation?
Seated
When measuring elbow pronation, the patient has to have their elbow in what position and maintain their humerus against what structure?
Flexed to 90 degrees and in a mid pronated position. The humerus has to be against the thorax.
Where is the axis of rotation when measuring elbow pronation? Is the goniometer going to be on the medial or lateral side of the patient?
The styloid process. Lateral.
What is the stationary arm parallel with when measuring elbow pronation?
The midline of the humerus
Where is the moving arm lined up with when measuring elbow pronation?
The styloid process
What is the normal ROM for elbow supination?
0-80 degrees
What is the normal ROM for elbow pronation?
0-80 degrees
What is the patient position when measuring wrist flexion? Are the wrist and hands both on the table?
Seated on the side of the table with the elbow on the table and wrist off of the table
Where is the axis of rotation when measuring wrist flexion?
The styloid process of the ulna
Where is the stationary arm pointing towards when measuring wrist flexion?
The olecranon of the ulna
Where is the moving arm pointing towards when measuring wrist flexion?
The 5th metacarpal
What is the normal ROM for wrist flexion?
0-80 degrees
What is the patient position when measuring wrist extension? Are the wrist and elbows both on the table?
Seated on the side of the table with the elbow on the table and wrist on the table
Where is the axis of rotation when measuring wrist extension?
The styloid process of the ulna
Where is the stationary arm pointing towards when measuring wrist extension?
The olecranon of the ulna
Where is the moving arm pointing towards when measuring wrist extension?
The 5th metacarpal
What is the normal ROM for wrist extension?
0-70 degrees
What is the patient position when measuring wrist radial deviation? What position will the shoulder and elbow be in? Is the hand face up or face down?
Seated on the side of the table with shoulder abducted and elbow flexed to 90 degrees on the table face down
Where is the axis of rotation pointing when measuring wrist radial deviation?
The capitate
Where is the stationary arm bisecting when measuring wrist radial deviation?
The forearm
Where is the moving arm pointing towards when measuring wrist radial deviation?
The midline of the 3rd metacarpal
What is the normal ROM for wrist radial deviation?
0-20 degrees
What is the patient position when measuring wrist ulnar deviation? What position will the shoulder and elbow be in? Is the hand face up or face down?
Seated on the side of the table with the shoulder abducted and elbow flexed to 90 degrees on the table face down
Where is the axis of rotation when measuring wrist ulnar deviation?
The capitate
Where is the stationary arm bisecting when measuring wrist ulnar deviation?
The forearm
Where is the moving arm pointing towards when measuring wrist ulnar deviation?
The midline of the 3rd metacarpal
What is the normal ROM for wrist ulnar deviation?
0-30 degrees
Do all ROM measurements at the wrist use a medium sized goniometer?
Yes
What size goniometer do you use for measuring ROM for flexion of the MCP, PIP, & DIP joints?
The smallest
When measuring flexion for the MCP, PIP, & DIP joints you put the axis of rotation over the (dorsal/ventral) surfaces of the joint itself.
dorsal
In all measurements for flexion of the MCP, PIP, & DIP the stationary arm is going to be more (distal/proximal) to the joint you are measuring and the moving arm is going to be more (distal/proximal) to the joint you are measuring.
proximal; distal
What is the patient position for measuring MCP, PIP, & DIP flexion? What position is their elbow going to be in?
Seated on the side of the table with their elbow in a mid pronated position
What is the normal ROM for MCP flexion?
0-90 degrees
What is the normal ROM for PIP flexion?
0-100 degrees
What is the normal ROM for DIP flexion?
0-90 Degrees
What size goniometer do you use for measuring ROM for extension of the MCP, PIP, & DIP joints?
The smallest
What is the patient position for measuring MCP, PIP, & DIP extension? What position is their elbow going to be in?
Seated on the side of the table with their elbow in a mid pronated position
When measuring extension for the MCP, PIP, & DIP joints you put the axis of rotation over the (dorsal/palmar) surfaces of the joint itself.
palmar
In all measurements for extension of the MCP, PIP, & DIP the stationary arm is going to be more (distal/proximal) to the joint you are measuring and the moving arm is going to be more (distal/proximal) to the joint you are measuring.
proximal; distal
What is the normal ROM for MCP extension?
45 degrees
What is the normal ROM for PIP extension?
0 degrees
What is the normal ROM for DIP extension?
0 degrees
What size goniometer do you use for measuring MCP abduction?
The small one (not rectangle)
What is the patient position for measuring MCP abduction?
Seated with the hand flat on the table
Where is the axis of rotation placed when measuring MCP abduction?
Over the dorsal surface of the MCP joint
When measuring MCP abduction the stationary arm is going to be (proximal/distal) to the MCP joint bisecting the metacarpal and the moving arm is going to be (proximal/distal) to the MCP joint bisecting the proximal phalanx.
proximal; distal
What is the normal ROM for MCP abduction?
0-45 degrees
What is the patient position when measuring composite flexion of the fingers?
Elbow on the table, forearm supinated, and hand relaxed
To measure the composite flexion of the fingers you measure the perpendicular distance between the ____ and the point where the ___ meets the ____
distal palmar crease; skin; finger nail
What is the patient position when measuring thumb carpometacarpal extension?
Patient seated with hand face up on the table
What size goniometer do you use for thumb CMC extension?
The small one (not the rectangle)
Are there two measurements you have to take when measuring thumb CMC extension?
Yes, a resting measurement and a final measurement
Where is the axis of rotation when measuring thumb CMC extension?
Over the palmar aspect of the CMC joint
Where is the stationary arm pointing towards when measuring thumb CMC extension?
Towards the radius
What is the moving arm bisecting when measuring thumb CMC extension?
The 1st metacarpal
How do you calculate thumb CMC extension?
It is the difference between the end range measurement and the resting measurement
What is the normal ROM for thumb CMC extension?
20-80 degrees
What size goniometer do you use to measure thumb CMC abduction?
The smallest
What is the patient position when measuring thumb CMC abduction?
Seated with patient’s elbow on the table in a mid pronated position
Where is the axis of rotation when measuring thumb CMC abduction?
The styloid process of the radius
What is the stationary arm parallel with when measuring thumb CMC abduction?
The 2nd metacarpal
What is the moving arm in alignment with when measuring thumb CMC abduction?
The first metacarpal
Normal adduction of the thumb is the ability for the first metacarpal to do what?
To be able to stack your thumb on top of the 2nd metacarpal
What is the normal ROM for thumb CMC abduction?
0-70 degrees