ROM Lab Flashcards
Shoulder ADduction
- crossing your arm over your chest to the opposite side, think of the classic outer shoulder stretch we do after a workout
- 130-140°
External shoulder rotation
- have the upper arms out straight elbows at 90°, like when the cops say “put your hands up!” and this is the likely pose everyone takes like “I’m unarmed!”
- 90°
Elbow Pronation
- Elbow when your palms face down
* 90°
Hip flexion (knee flexed)
- Laying on back. Lift up leg and flex knee at 90°
* 120-135°
Wrist flexion
- when you bend the wrist downwards with knuckles visible on the outside (think of when the queen of england gives her hand out to be kissed, shes flexing her status)
- 80-90°
What is Elastic barrier?
the range between the physiologic and
anatomic barrier of motion in which passive stretching occurs before tissue disruption; aka, the area that “warms up” with stretching
Plane and axis of sidebending/ lateral flexion/ abduction/adduction
- Frontal/ Coronal Plane
* Sagittal axis (anterior/ posterior) (think of a rod sticking in through your stomach and out the back)
Lumbar spine extension
- extend your back as far back as you can go while keeping your legs and knees straight and steady
- 20-45°
Wrist Ulnar/ADduction deviation
- Its when you bend the the ulnar side of the wrist. When done with palms facing up you are bringing the fingers towards the midline of your torso (think ADDduction you add the body)
- 30-40°
Wrist Radial/ABduction deviation
- When you bend the radial side of the wrist. When done with palms facing up you are bringing the fingers away from the midline of your torso
- 20-30°
Plane and axis of rotation
- Transverse/horizontal (R/L)
- vertical (superior/inferior) axis (think of a rod just going through you from the top of your head out the bottom of your feet like a human skewer)
Knee Flexion
- Flexing is bending of the knee
* 145-150°
Hip ADduction
- Laying on stomach. Take leg and pull it towards the inside
- 20-30°
Wrist extension
- When you bend the wrist upward (stop! hammer time…yeah thats what the hand looks)
- 70°
Elbow Extension
- Straightening the elbow
* 0 to -5° (usually negative in females)
Hip flexion (knee extended)
- Person must lay on their back. Make sure to block the opposite hip and pelvis from shifting up as you lift their leg up
- 90°
What is a anatomical barrier?
Limit of motion imposed by anatomic structure. Limit of passive motion, like when the physician moves the limb for the patient
Hip external rotation
- Laying on back. Take the foot and stabilize the knee and twist leg inwards
- 40-60°
Lumbar spine flexion
•bending down and touch your toes and don’t bend your knees! (or if you’re my OS partner who can literally palm the floor)
*40-90°
Internal shoulder rotation
- basically the opposite direction of external so now you have upper arms out straight but forearms going down and as far back as it that shoulder can handle
- 90°
Plane and axis of flexion/extension
- Sagittal plane
- Transverse/horizontal (right left) axis (a rod skewering you in from the left and out the right, so you can still bow and bend your back)
Ankle Dorsiflexion
- flexing the ankle and bringing the toes upward towards the shin
- 15-20°
Elbow Flexion
- Think of flexing your biceps. Bending arm towards you.
* 140-150°
End feel
The palpatory experience or perceived
quality of motion when a joint is moved to
its limit – a barrier is approached Normal
end feel
Shoulder flexion
- raising the arm all the way up knuckles of fingers facing laterally out
- 180°
Restrictive Barrier
a functional limit that abnormally
diminishes the normal physiologic range
Ankle Plantarflexion
- flexing the ankle bringing the toes downward (think of a ballerina on pointe)
- 55-65°
Ankle Eversion
- bending the ankle outward, trying to face the bottoms of your feet outward from the midline the body
- 10-20°
Shoulder horizontal ABduction
- That pretending to be an airplane look but with the arms pulled back further back
- 40-55°
C-spine Rotation
- rotating the neck to the right or left
* 70-90°
Lumbar spine rotation
- sitting straight and twisting the back right and left
* 3-18° (from a birds eye view)
What is a physiological barrier?
The limit of active motion. When the patient move tries to move the limb themselves
Shoulder ABduction
- extend arms all the up with palms facing the heavens
* 180°
Lumbar spine sidebending
- bending to the side…use those obliques!
* 15-30°
Quality of ROM
- Smooth – normal
- Ratcheting – ex. Parkinson’s disease
- Restricted – contracture or somatic dysfunction
- Exhibiting resistance to the motion induced-cerebral palsy
Tenderness
Discomfort or pain elicited by
an osteopath through
palpation.
AROM
Patient motivated and patient must give
maximum effort!
Ankle Inversion
- bending the ankle inward, the bottoms of your feet should be facing more inward toward the midline of the body
- 20°
Knee Extension
- Extending is straightening it
* 0°
C-spine Extension
- Basically looking up at the sky
* 45-90°
Hip internal rotation
- Laying on back. Take the foot and stabilize the knee and twist the leg outwards (I know its weird that pulling foot out is internal hip rotation)
- 30-40°
Hip extension
- Laying on stomach. Lift leg up but block the ROM by putting your fist on the upper bony region of the buttocks
- 15-30°
Types of end feel
•Elastic – like a rubber band •Abrupt – osteoarthritis or hinge joint •Hard – somatic dysfunction •Empty – stops due to guarding (patient doesn’t allow the motion due to pain) •Crisp – involuntary muscle guarding as in pinched nerve
PROM
Patient must relax fully and you must “block
the linkage” of associated structures
C-spine Sidebending
- bending the neck to the right and left
* 20-45°
C-spine Flexion
- Looking down at the ground
* 45-90°
How do you “Block the Linkage”
stabilization of associated and adjacent
structures to focus movement to only the joint/s being assessed
Shoulder extension
- bringing that arm back, I legit think of how all the ninja in Naruto run with that shoulder extended back
- 60°
Elbow Supination
- Elbow when your palms face up
* 90°
Hip ABduction
- Laying on stomach. Take leg and pull it up while blocking the lower bony buttocks region (im sure someone can explain this better lol)
- 45-50°
