ROM Flashcards

1
Q

Shoulder Flexion

A

Pt position: supine
stabilization: thorax to prevent extension of spine
end-feel: firm
axis: acromial process
sa: midaxillary line of the thorax
ma: lateral midline of the humerus using the lateral epicondyle of the humerus for reference

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2
Q

Shoulder extension

A

Pt position: prone
stabilization: thorax to prevent flexion of spine
end-feel: firm
axis: acromial process
sa: midaxillary line of the thorax
ma: lateral midline of the humerus using the lateral epicondyle of the humerus for reference

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3
Q

Shoulder abduction

A

pp: supine
stabilization: thorax to prevent lateral flexion of the spine
end-feel: firm
axis: anterior aspect of acromial process
sa: parallel to the midline of the anterior aspect of the sternum
ma: medial midline of the humerus

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4
Q

shoulder adduction

A

pp: supine
stabilization: thorax to prevent lateral flexion of the spine
end-feel: firm
axis: anterior aspect of acromial process
sa: parallel to the midline of the anterior aspect of the sternum
ma: medial midline of the humerus

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5
Q

shoulder medial rotation

A

pp: supine with shoulder abducted to 90 degrees and elbow flexed to 90 degrees
stabilization: distal end of the humerus to maintain the shoulder in 90
end-feel: firm
axis: olecranon process
sa: parallel or perpendicular to the floor
ma: ulna using the olecranon process and ulnar styloid process

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6
Q

shoulder lateral rotation

A

pp: supine with shoulder abducted to 90 degrees and elbow flexed to 90 degrees
stabilization: distal end of the humerus to maintain the shoulder in 90
end-feel: firm
axis: olecranon process
sa: parallel or perpendicular to the floor
ma: ulna using the olecranon process and ulnar styloid process

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7
Q

Elbow flexion

A

pp: supine
stabilization: humerus to prevent flexion of the shoulder
end-feel: soft
axis: lateral epicondyle of the humerus
sa: lateral midline of the jumerus using the center of the acromial process for reference
ma: lateral midline of the radius using the radial head and radial styloid process for reference

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8
Q

elbow extension

A

pp: supine
stabilization: humerus to prevent flexion of the shoulder
end-feel: hard
axis: lateral epicondyle of the humerus
sa: lateral midline of the jumerus using the center of the acromial process for reference
ma: lateral midline of the radius using the radial head and radial styloid process for reference

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9
Q

forearm pronation

A

pp: sitting with the elbow flexed to 90 degrees
stabilization: distal end of the humerus to prevent medial rotation and abduction of the humerus
ef: firm or hard
axis: lateral to ulnar styloid process
sa: parallel to the anterior midline of the humerus
ma: dorsal aspect of the forearm, just proximal to the styloid process of the radius and ulna

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10
Q

forearm supination

A

pp: sitting with the elbow flexed to 90 degrees
stabilization: distal end of the humerus to prevent lateral rotation and adduction of the humerus
ef: firm or hard
axis: medial to ulnar styloid process
sa: parallel to the anterior midline of the humerus
ma: ventral aspect of the forearm, just proximal to the styloid process of the radius and ulna

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11
Q

wrist flexion

A

pp: sitting next to a supporting surface with shoulder abducted to 90 degrees and the elbow flexed to 90 degrees
stabilization: radius and ulna to prevent supination or pronation
ef: firm
axis: lateral aspect of the wrist over the triquetrum
sa: lateral midline of the ulna using the olecranon process and ulnar styloid process for reference
ma: lateral midline of the fifth met

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12
Q

wrist extension

A

pp: sitting next to a supporting surface with shoulder abducted to 90 degrees and the elbow flexed to 90 degrees
stabilization: radius and ulna to prevent supination or pronation
ef: firm
axis: lateral aspect of the wrist over the triquetrum
sa: lateral midline of the ulna using the olecranon process and ulnar styloid process for reference
ma: lateral midline of the fifth met

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13
Q

radial deviation

A

pp: sitting next to a supporting surface with shoulder abducted to 90 degrees and the elbow flexed to 90 degrees
stabilization: radius and ulna to prevent supination or pronation
ef: firm or hard
axis: over the middle of the dorsal aspect of the wrist over the capitate
sa: dorsal midline of the forearm using the lateral epicondyle of the humerus for reference
ma: dorsal midline of the third met

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14
Q

ulnar deviation

A

pp: sitting next to a supporting surface with shoulder abducted to 90 degrees and the elbow flexed to 90 degrees
stabilization: radius and ulna to prevent supination or pronation
ef: firm
axis: over the middle of the dorsal aspect of the wrist over the capitate
sa: dorsal midline of the forearm using the lateral epicondyle of the humerus for reference
ma: dorsal midline of the third met

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15
Q

Thumb carpometacarpal flexion

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: carpals, radius, and ulna to prevent wrist motion
ef: firm
axis: over the palmar aspect of the first carpometacarpal joint
sa: ventral midline of the radius using the ventral surface of the radial head and radial styloid process for reference
ma: ventral midline of the first metacarpal

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16
Q

Thumb carpometacarpal extension

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: carpals, radius, and ulna to prevent wrist motion
ef: firm
axis: over the palmar aspect of the first carpometacarpal joint
sa: ventral midline of the radius using the ventral surface of the radial head and radial styloid process for reference
ma: ventral midline of the first metacarpal

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17
Q

thumb carpometacarpal abduction

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: carpals, radius, and ulna to prevent wrist motion
ef: firm
axis: over the lateral aspect of the radial styloid process
sa: lateral midline of the second metacarpal using the center of the second metacarpal to prevent wrist motion
ma: lateral midline of the first met using the center of teh first metacarpophalangeal joint for reference

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18
Q

thumb carpometacarpal adduction

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: carpals, radius, and ulna to prevent wrist motion
ef: firm
axis: over the lateral aspect of the radial styloid process
sa: lateral midline of the second metacarpal using the center of the second metacarpal to prevent wrist motion
ma: lateral midline of the first met using the center of teh first metacarpophalangeal joint for reference

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19
Q

metacarpophalangeal flexion

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: metacarpal to prevent wrist motion
ef: firm or hard
axis: over the dorsal aspect of the metacarpophalangeal joint
sa: over the dorsal midline of the metacarpal
ma: over the dorsal midline of the proximal phalanx

20
Q

metacarpophalangeal extension

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: metacarpal to prevent wrist motion
ef: firm
axis: over the dorsal aspect of the metacarpophalangeal joint
sa: over the dorsal midline of the metacarpal
ma: over the dorsal midline of the proximal phalanx

21
Q

metacarpophalangeal abduction

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: metacarpal to prevent wrist motion
ef: firm
axis: over the dorsal aspect of the metacarpophalangeal joint
sa: over the dorsal midline of the metacarpal
ma: over the dorsal midline of the proximal phalanx

22
Q

metacarpophalangeal adduction

A

pp: sitting with the forearm and hand on a supporting surface
stabilization: metacarpal to prevent wrist motion
ef: firm
axis: over the dorsal aspect of the metacarpophalangeal joint
sa: over the dorsal midline of the metacarpal
ma: over the dorsal midline of the proximal phalanx

23
Q

proximal interphalangeal flexion

A

pp: sitting with the forearm and hand on supporting surface
stabilization: proximal phalanx to prevent motion at the metacarpophalangeal joint
ef: soft, firm, hard
axis: over dorsal aspect of the proximal interphalangeal joint
sa: over the dorsal midline of the proximal phalanx
ma: over the dorsal midline of the middle phalanx

24
Q

proximal interphalangeal flexion

A

pp: sitting with the forearm and hand on supporting surface
stabilization: proximal phalanx to prevent motion at the metacarpophalangeal joint
ef: firm
axis: over dorsal aspect of the proximal interphalangeal joint
sa: over the dorsal midline of the proximal phalanx
ma: over the dorsal midline of the middle phalanx

25
distal interphalangeal flexion
pp: sitting with the forearm and hand on supporting surface stabilization: middle and proximal phalanx to prevent motion at the metacarpophalangeal joint ef: firm axis: over dorsal aspect of the distal interphalangeal joint sa: over the dorsal midline of the middle phalanx ma: over the dorsal midline of the distal phalanx
26
distal interphalangeal extension
pp: sitting with the forearm and hand on supporting surface stabilization: middle and proximal phalanx to prevent motion at the metacarpophalangeal joint ef: firm axis: over dorsal aspect of the distal interphalangeal joint sa: over the dorsal midline of the middle phalanx ma: over the dorsal midline of the distal phalanx
27
hip flexion
pp: supine stabilization: pelvis to prevent posterior tilting ef: soft or firm axis: over the lateral aspect of the hip joint using the greater trochanter of the femur for reference sa: lateral midline of the pelvis ma: lateral midline of the femur using the lateral epicondyle for reference
28
hip extension
pp: prone stabilization: pelvis to anterior posterior tilting ef: firm axis: over the lateral aspect of the hip joint using the greater trochanter of the femur for reference sa: lateral midline of the pelvis ma: lateral midline of the femur using the lateral epicondyle for reference
29
hip abduction
pp: supine stabilization: pelvis to prevent lateral tilting and rotation; trunk to prevent lateral flexion ef: firm axis: over the ASIS of the extremity being measured sa: align with imaginary horizontal line extending from one ASIS to other ASIS ma: anterior midline of the femur using midline of the patella for reference
30
Hip adduction
pp: supine stabilization: pelvis to prevent lateral tilting ef: firm axis: over the ASIS of the extremity being measured sa: align with imaginary horizontal line extending from one ASIS to other ASIS ma: anterior midline of the femur using midline of the patella for reference
31
hip medial rotation
pp: sitting stabilization: distal end of femur ef: firm axis: anterior aspect of the patella sa: perpendicular to the floor or parallel to the supporting surface ma: anterior midline of the lower leg using the crest of the tibia and a point midway between the two malleoli for reference
32
hip lateral rotation
pp: sitting stabilization: distal end of femur ef: firm axis: anterior aspect of the patella sa: perpendicular to the floor or parallel to the supporting surface ma: anterior midline of the lower leg using the crest of the tibia and a point midway between the two malleoli for reference
33
knee flexion
pp: supine stabilization: femur to prevent rotation, abduction, and adduction of hip ef: soft or firm axis: lateral epicondyle of the femur sa: lateral midline of femur using the greater trochanter for reference ma: lateral midline of the fibula using the lateral malleolus and fib head for reference
34
knee extension
pp: supine stabilization: femur to prevent rotation, abduction, and adduction of hip ef: firm axis: lateral epicondyle of the femur sa: lateral midline of femur using the greater trochanter for reference ma: lateral midline of the fibula using the lateral malleolus and fib head for reference
35
ankle dorsiflexion
pp: sitting with the knee flexed to 90 degrees stabilization: tibia and fibula to prevent knee and hip motion ef: firm axis: lateral aspect of the lateral malleolus sa: lateral midline of the fibula using the head of the fibula for reference ma: parallel to the lateral aspect of the fifth met
36
ankle PF
pp: sitting with the knee flexed to 90 degrees stabilization: tibia and fibula to prevent knee and hip motion ef: firm or hard axis: lateral aspect of the lateral malleolus sa: lateral midline of the fibula using the head of the fibula for reference ma: parallel to the lateral aspect of the fifth met
37
mid tarsal inversion
pp: sitting with the knee flexed to 90 degrees stabilization: tibia and fibula to prevent knee and hip motion ef: firm axis: anterior aspect of ankle midway between malleoli sa: anterior midline of the lower leg using the tibial tuberosity for reference ma: anterior midline of second met
38
midtarsal eversion
pp: sitting with the knee flexed to 90 degrees stabilization: tibia and fibula to prevent knee and hip motion ef: firm or hard axis: anterior aspect of ankle midway between malleoli sa: anterior midline of the lower leg using the tibial tuberosity for reference ma: anterior midline of second met
39
subtalar inversion
pp: prone with foot extended over supporting surface stabilization: tibia and fibula to prevent knee and hip motion ef: firm axis: posterior aspect of the ankle midway between the malleoli sa: posterior midline of the lower leg ma: posterior midline of calcaneus
40
subtalar eversion
pp: prone with foot extended over supporting surface stabilization: tibia and fibula to prevent knee and hip motion ef: firm or hard axis: posterior aspect of the ankle midway between the malleoli sa: posterior midline of the lower leg ma: posterior midline of calcaneus
41
cervical flexion
pp: sitting with the thoracic and lumbar spine supported stabilization: shoulder girdle and chest; the patient's hands should be placed on their knees ef: firm axis: over external meatus sa: perpendicula or parallel to the ground ma: along the base of the nares or if using a tongue depressor, align the goni parallel with the tongue depressor
42
cervical extension
pp: sitting with the thoracic and lumbar spine supported stabilization: shoulder girdle and chest; the patient's hands should be placed on their knees ef: firm axis: over external meatus sa: perpendicula or parallel to the ground ma: along the base of the nares or if using a tongue depressor, align the goni parallel with the tongue depressor
43
cervical lateral flexion
pp: sitting stabilization: shoulder girdle and chest to prevent lateral flexion of the thoracic and lumbar spines ef: firm axis: over spinous process of C7 as: with the spinous processes of the thoracic vertebra so that the arm is perpendicular to the ground ma: along the dorsal midline of the head using the occipital protuberance for reference
44
cervical rotation
pp: sitting with thoracic and lumbar spine supported stabilization: shoulder girdle and chest to prevent rotation of the thoracic and lumbar spines ef: firm axis: over the center of the cranial aspect of the head sa: parallel to an imaginary line between the two acromial processes ma: with the tip of the nose
45
thoracolumbar lateral flexion
pp: standing with feet shoulder width apart stabilization: pelvis to prevent lateral tilting ef: firm axis: over the posterior aspect of the spinous process of s2 sa: perpendicular to the ground ma: along the posterior aspect of the spinous process of T1
46
thoracolumbar rotation
pp: sitting in chair without back with feet positioned on floor for pelvic stabilization stabilization: pelvis to prevent rotation ef: firm axis: over the center of the cranial aspect of the head sa: parallel to an imaginary line between the two prominent tubercles on the illiac crest ma: along an imaginary line between the two acromial processes