ROM/capsular Patterns shoulder/elbow

Question 1

Sterno-clavicular/acromioclavicular capsular pattern

Answer 1

Pain at extremes of ranges

Question 2

Shoulder capsular pattern

Answer 2

ER>abduction>IR

Question 3

Elbow capsular pattern

Answer 3

Flexion>extension

In early arthritis, rotation is painless

Question 4

Distal radio-ulnar capsular pattern

Answer 4

Pain w extremes of rotation

Question 5

Shoulder flexion/extension axis, SA, MA

Answer 5

Axis: midpoint of lateral aspect of acromion process
SA: lateral midline of thorax
MA: lateral midline of humerus toward lateral epi

Question 6

Shoulder flex sub

Answer 6

Trunk extension

Question 7

Shoulder flex PROM and end feel

Answer 7

0-180 firm

Question 8

Shoulder ext sub

Answer 8

Trunk rotation/flexion

Scap elevation

Question 9

Shoulder ext PROM and end feel

Answer 9

0-50/60º

Firm

Question 10

Shoulder abduction/adduction axis, SA, MA

Answer 10

Axis: anterior aspect of acromion
SA: parallel to sternum
MA: anterior midline of humerus toward medial epi

Question 11

Shoulder ab/ad sub

Answer 11

Trunk lateral flexion

Question 12

Shoulder abd/add normal PROM and end feel

Answer 12

Abd 0-180º
Add 0-30º

Both firm

Question 13

Shoulder ER/IR axis, SA, MA

Answer 13

Axis: olecranon
SA: perpendicular to floor
MA: ulnar border of forearm toward ulnar styloid

Question 14

Shoulder ER/IR sub

Answer 14

Trunk extension

Scap elevation

Question 15

Shoulder ER/IR PROM and end feel

Answer 15

IR 0-70/90º
ER 0-70/90º

Both firm

Question 16

Elbow flex/ext axis, SA, MA

Answer 16

Axis: lateral epi
SA: lateral midline of humerus
MA: lateral midline of radius toward radial styloid

Question 17

Elbow flex/ex PROM and end feels

Answer 17

0-140/150º
Flexion firm
Extension hard

Question 18

Forearm pronation axis, SA, MA

Answer 18

Axis: dorsal surface of wrist in line with ulnar styloid
SA: parallel to ant midline of humerus
MA: dorsal surface of wrist

Question 19

Pronation sub

Answer 19

Shoulder AB/IR

Question 20

Pronation PROM and end feel

Answer 20

0-80º

Firm or hard

Question 21

Supination axis, SA, MA

Answer 21

Axis: ventral surface of wrist in line & prox to the ulnar styloid
SA: parallel to anterior midline of humerus
MA: ventral surface of wrist

Question 22

Supination sub

Answer 22

Shoulder add/ER

Question 23

Supination ROM and end feel

Answer 23

0-80º

Firm

Question 24

Pec major muscle length test positions (3)

Answer 24

1. 90º flexion - all fibers
2. 120º flexion - sternal fibers
3. 45-60º flexion - clav fibers

Question 25

Lat dorsi muscle length test position

Answer 25

Supine, bring shoulder into flexion

- measure shoulder flexion angle

Question 26

Biceps muscle length position

Answer 26

Supine

Arm overhangs edge of support surface, forearm pronated

Question 27

What to measure for biceps muscle length test

Answer 27

Shoulder extension angle

Question 28

Biceps muscle length subs

Answer 28

Trunk movement

Elbow flexion

Question 29

Triceps muscle length test position

Answer 29

Sitting

Shoulder in full flexion, bring elbow into flexion

Question 30

What to measure for triceps muscle length test

Answer 30

Elbow flexion angle

Question 31

Triceps muscle length test subs

Answer 31

Trunk movement

Loss of shoulder flexion