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
Q

distal interphalangeal flexion

A

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
Q

distal interphalangeal extension

A

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
Q

hip flexion

A

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
Q

hip extension

A

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
Q

hip abduction

A

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
Q

Hip adduction

A

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
Q

hip medial rotation

A

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
Q

hip lateral rotation

A

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
Q

knee flexion

A

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
Q

knee extension

A

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
Q

ankle dorsiflexion

A

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
Q

ankle PF

A

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
Q

mid tarsal inversion

A

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
Q

midtarsal eversion

A

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
Q

subtalar inversion

A

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
Q

subtalar eversion

A

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
Q

cervical flexion

A

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
Q

cervical extension

A

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
Q

cervical lateral flexion

A

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
Q

cervical rotation

A

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
Q

thoracolumbar lateral flexion

A

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
Q

thoracolumbar rotation

A

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