ROM Flashcards

1
Q

What is the patient position when measuring shoulder flexion? With or without a towel?

A

Supine without a towel

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2
Q

The axis of the goniometer is placed where when measuring shoulder flexion?

A

The greater tubercle of the humerus

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3
Q

The stationary arm is bisecting what when measuring shoulder flexion?

A

The thorax

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4
Q

The moving arm is pointing towards what bony landmark when measuring shoulder flexion?

A

The lateral epicondyle

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5
Q

What is normal ROM for shoulder flexion?

A

0-180 degrees

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6
Q

What is the patient position when measuring shoulder extension? With or without a towel?

A

Prone without a towel

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7
Q

The axis of the goniometer is placed where when measuring shoulder extension?

A

The greater tubercle of the humerus

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8
Q

The stationary arm is bisecting what when measuring shoulder extension?

A

The thorax

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9
Q

The moving arm is pointing towards what bony landmark when measuring shoulder extension?

A

The lateral epicondyle

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10
Q

What is the normal ROM for shoulder extension?

A

0-60 degrees

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11
Q

What is the patient position when measuring shoulder abduction? With or without a towel?

A

Supine without a towel

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12
Q

The axis of the goniometer is placed where when measuring shoulder abduction?

A

The anterior acromion

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13
Q

The stationary arm is placed parallel to what structure when measuring shoulder abduction?

A

The sternum

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14
Q

The moving arm is bisecting what structure when measuring shoulder abduction?

A

The humerus

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15
Q

What is the normal ROM for shoulder abduction?

A

0-180 degrees

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16
Q

What is the patient position when measuring shoulder internal rotation? With or without a towel?

A

Supine with a towel

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17
Q

When measuring shoulder internal rotation, what do you have to do with the shoulder and elbow before taking a measurement?

A

Abduct the shoulder to 90 degrees and flex the elbow to 90 degrees

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18
Q

The axis of the goniometer is placed where when measuring shoulder internal rotation?

A

On the olecranon of the ulna

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19
Q

Where is the stationary arm pointing when measuring shoulder internal rotation?

A

To the ground

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20
Q

The moving arm is pointing towards what bony landmark when measuring shoulder internal rotation?

A

The styloid process of the ulna

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21
Q

What is the normal ROM for shoulder internal rotation?

A

0-70 degrees

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22
Q

What is the patient position when measuring shoulder external rotation? With or without a towel?

A

Supine with a towel

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23
Q

When measuring shoulder external rotation, what do you have to do with the shoulder and elbow before taking a measurement?

A

Abduct the shoulder to 90 degrees and flex the elbow to 90 degrees

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24
Q

The axis of the goniometer is placed where when measuring shoulder external rotation?

A

The olecranon of the ulna

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25
Q

Where is the stationary arm pointing when measuring shoulder external rotation?

A

To the ground

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26
Q

The moving arm is pointing towards what bony landmark when measuring shoulder external rotation?

A

The styloid process of the ulna

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27
Q

What is the normal ROM for shoulder external rotation?

A

0-90 degrees

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28
Q

What is the patient position when measuring elbow flexion? With or without a towel?

A

Supine with a towel

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29
Q

The axis of the goniometer is placed where when measuring elbow flexion?

A

On the lateral epicondyle of the humerus

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30
Q

Where is the stationary arm bisecting when measuring elbow flexion?

A

The humerus

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31
Q

The moving arm is pointing towards what bony landmark when measuring elbow flexion?

A

The styloid process of the radius

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32
Q

What is the normal ROM for flexion of the elbow?

A

0-150 degrees

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33
Q

What is the patient position when measuring elbow extension? With or without a towel?

A

Supine with a towel

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34
Q

The axis of the goniometer is placed where when measuring elbow extension?

A

The lateral epicondyle of the humerus

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35
Q

What is the stationary arm bisecting when measuring elbow extension?

A

The humerus

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36
Q

The moving arm is pointing towards what bony landmark when measuring elbow extension?

A

The styloid process of the radius

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37
Q

What is the normal ROM for extension of the elbow?

A

0 degrees

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38
Q

What size goniometer do you use for measuring supination and pronation of the forearm?

A

The small one (“rectangle one”)

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39
Q

What is the patient position when measuring elbow supination?

A

Seated

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40
Q

When measuring elbow supination, the patient has to have their elbow in what position and maintain their humerus against what structure?

A

Flexed to 90 degrees and in a mid pronated position. The humerus has to be against the thorax.

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41
Q

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?

A

The styloid process. Medial.

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42
Q

What is the stationary arm parallel with when measuring elbow supination?

A

The midline of the humerus

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43
Q

Where is the moving arm lined up with when measuring elbow supination?

A

The styloid processes

44
Q

What is the patient position when measuring elbow pronation?

A

Seated

45
Q

When measuring elbow pronation, the patient has to have their elbow in what position and maintain their humerus against what structure?

A

Flexed to 90 degrees and in a mid pronated position. The humerus has to be against the thorax.

46
Q

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?

A

The styloid process. Lateral.

47
Q

What is the stationary arm parallel with when measuring elbow pronation?

A

The midline of the humerus

48
Q

Where is the moving arm lined up with when measuring elbow pronation?

A

The styloid process

49
Q

What is the normal ROM for elbow supination?

A

0-80 degrees

50
Q

What is the normal ROM for elbow pronation?

A

0-80 degrees

51
Q

What is the patient position when measuring wrist flexion? Are the wrist and hands both on the table?

A

Seated on the side of the table with the elbow on the table and wrist off of the table

52
Q

Where is the axis of rotation when measuring wrist flexion?

A

The styloid process of the ulna

53
Q

Where is the stationary arm pointing towards when measuring wrist flexion?

A

The olecranon of the ulna

54
Q

Where is the moving arm pointing towards when measuring wrist flexion?

A

The 5th metacarpal

55
Q

What is the normal ROM for wrist flexion?

A

0-80 degrees

56
Q

What is the patient position when measuring wrist extension? Are the wrist and elbows both on the table?

A

Seated on the side of the table with the elbow on the table and wrist on the table

57
Q

Where is the axis of rotation when measuring wrist extension?

A

The styloid process of the ulna

58
Q

Where is the stationary arm pointing towards when measuring wrist extension?

A

The olecranon of the ulna

59
Q

Where is the moving arm pointing towards when measuring wrist extension?

A

The 5th metacarpal

60
Q

What is the normal ROM for wrist extension?

A

0-70 degrees

61
Q

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?

A

Seated on the side of the table with shoulder abducted and elbow flexed to 90 degrees on the table face down

62
Q

Where is the axis of rotation pointing when measuring wrist radial deviation?

A

The capitate

63
Q

Where is the stationary arm bisecting when measuring wrist radial deviation?

A

The forearm

64
Q

Where is the moving arm pointing towards when measuring wrist radial deviation?

A

The midline of the 3rd metacarpal

65
Q

What is the normal ROM for wrist radial deviation?

A

0-20 degrees

66
Q

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?

A

Seated on the side of the table with the shoulder abducted and elbow flexed to 90 degrees on the table face down

67
Q

Where is the axis of rotation when measuring wrist ulnar deviation?

A

The capitate

68
Q

Where is the stationary arm bisecting when measuring wrist ulnar deviation?

A

The forearm

69
Q

Where is the moving arm pointing towards when measuring wrist ulnar deviation?

A

The midline of the 3rd metacarpal

70
Q

What is the normal ROM for wrist ulnar deviation?

A

0-30 degrees

71
Q

Do all ROM measurements at the wrist use a medium sized goniometer?

A

Yes

72
Q

What size goniometer do you use for measuring ROM for flexion of the MCP, PIP, & DIP joints?

A

The smallest

73
Q

When measuring flexion for the MCP, PIP, & DIP joints you put the axis of rotation over the (dorsal/ventral) surfaces of the joint itself.

A

dorsal

74
Q

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.

A

proximal; distal

75
Q

What is the patient position for measuring MCP, PIP, & DIP flexion? What position is their elbow going to be in?

A

Seated on the side of the table with their elbow in a mid pronated position

76
Q

What is the normal ROM for MCP flexion?

A

0-90 degrees

77
Q

What is the normal ROM for PIP flexion?

A

0-100 degrees

78
Q

What is the normal ROM for DIP flexion?

A

0-90 Degrees

79
Q

What size goniometer do you use for measuring ROM for extension of the MCP, PIP, & DIP joints?

A

The smallest

80
Q

What is the patient position for measuring MCP, PIP, & DIP extension? What position is their elbow going to be in?

A

Seated on the side of the table with their elbow in a mid pronated position

81
Q

When measuring extension for the MCP, PIP, & DIP joints you put the axis of rotation over the (dorsal/palmar) surfaces of the joint itself.

A

palmar

82
Q

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.

A

proximal; distal

83
Q

What is the normal ROM for MCP extension?

A

45 degrees

84
Q

What is the normal ROM for PIP extension?

A

0 degrees

85
Q

What is the normal ROM for DIP extension?

A

0 degrees

86
Q

What size goniometer do you use for measuring MCP abduction?

A

The small one (not rectangle)

87
Q

What is the patient position for measuring MCP abduction?

A

Seated with the hand flat on the table

88
Q

Where is the axis of rotation placed when measuring MCP abduction?

A

Over the dorsal surface of the MCP joint

89
Q

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.

A

proximal; distal

90
Q

What is the normal ROM for MCP abduction?

A

0-45 degrees

91
Q

What is the patient position when measuring composite flexion of the fingers?

A

Elbow on the table, forearm supinated, and hand relaxed

92
Q

To measure the composite flexion of the fingers you measure the perpendicular distance between the ____ and the point where the ___ meets the ____

A

distal palmar crease; skin; finger nail

93
Q

What is the patient position when measuring thumb carpometacarpal extension?

A

Patient seated with hand face up on the table

94
Q

What size goniometer do you use for thumb CMC extension?

A

The small one (not the rectangle)

95
Q

Are there two measurements you have to take when measuring thumb CMC extension?

A

Yes, a resting measurement and a final measurement

96
Q

Where is the axis of rotation when measuring thumb CMC extension?

A

Over the palmar aspect of the CMC joint

97
Q

Where is the stationary arm pointing towards when measuring thumb CMC extension?

A

Towards the radius

98
Q

What is the moving arm bisecting when measuring thumb CMC extension?

A

The 1st metacarpal

99
Q

How do you calculate thumb CMC extension?

A

It is the difference between the end range measurement and the resting measurement

100
Q

What is the normal ROM for thumb CMC extension?

A

20-80 degrees

101
Q

What size goniometer do you use to measure thumb CMC abduction?

A

The smallest

102
Q

What is the patient position when measuring thumb CMC abduction?

A

Seated with patient’s elbow on the table in a mid pronated position

103
Q

Where is the axis of rotation when measuring thumb CMC abduction?

A

The styloid process of the radius

104
Q

What is the stationary arm parallel with when measuring thumb CMC abduction?

A

The 2nd metacarpal

105
Q

What is the moving arm in alignment with when measuring thumb CMC abduction?

A

The first metacarpal

106
Q

Normal adduction of the thumb is the ability for the first metacarpal to do what?

A

To be able to stack your thumb on top of the 2nd metacarpal

107
Q

What is the normal ROM for thumb CMC abduction?

A

0-70 degrees