ROM norms Flashcards
1
Q
what is the expected ROM of shoulder flexion?
A
0-180
2
Q
what is the expected ROM of shoulder extension ?
A
0-60?
3
Q
what is the expected ROM of shoulder abduction?
A
0-180
4
Q
what is the expected ROM of shoulder ER?
A
0-90
5
Q
what is the expected ROM of shoulder IR?
A
0-70
6
Q
what is the expected ROM of elbow flexion?
A
0-150
7
Q
what is the expected ROM of elbow extension?
A
0
8
Q
what is the expected ROM of forearm supination and pronation ?
A
0-80
9
Q
what is the expected ROM of wrist flexion
A
0-80
10
Q
what is the expected ROM of wrist extension
A
0-70
11
Q
what is the expected ROM of wrist radial deviation
A
0-20
12
Q
what is the expected ROM of wrist ulnar deviation
A
0-30
13
Q
How much motion is at the thumb for Abduction, flexion, Extension and for opposition?
A
Abduction: 0-70
flexion:0-15
Extension0-20
opposition tip of thumb to base of 5th digit
14
Q
how much flexion do we have at the MCP and interphalageal joints?
A
MCP: 0-50
Phal: 0-80
15
Q
what is the expected ROM of hip flexion
A
0-120
16
Q
what is the expected ROM of hip extension
A
0- 30
17
Q
what is the expected ROM of hip ABD
A
0-45
18
Q
what is the expected ROM of hip ADD
A
0-30
19
Q
what is the expected ROM of hip IR and ER
A
0- 45
20
Q
what is the expected ROM of knee flexion
A
0- 135
21
Q
what is the expected ROM of DF at talocrual ?
A
0-20
22
Q
what is the expected ROM of PF at talocrual ?
A
0-50
23
Q
what is the expected ROM of inversion at the transverse tarsal joint? subtalar?
A
transverse tarsal joint: 0-35
subtalar: 0-5
24
Q
what is the expected ROM of eversion at the transverse tarsal joint?
A
transverse tarsal joint: 0-15
subtalar: 0-5
25
what is the expected ROM of cervical flexion, lateral flexion and extension?
flexion 0-45
extension 0-45
lateral flexion 0-45
26
what is the expected ROM of cervical rotation?
0- 60
27
what is the expected ROM of thoracic and lumbar flexion
0-80
28
what is the expected ROM of thoracic and lumbar extensin
0-25
29
what is the expected ROM of thoracic and lumbar lateral flexion
0- 35
30
what is the expected ROM of thoracic and lumbar rotation
0-45
31
what are the gonio landmarks for shoulder flexion/ extension
Stationary arm: mid axillary line of the thorax
Moving arm: line up with the lateral humerus epicondyle along the lateral line midline of the shaft
Axis: acromial process
32
what are the gonio landmarks for shoulder abd/add?
Stationary arm: midline of anterior sternum
moving arm: medial midline of humerus
axis: anterior acromion
33
what are the gonio landmarks for shoulder IR/ER
Stationary arm: perpindicular or parralel to floor
moving arm: ulna using the olecranon process and styloid process
axis:olecranon process
34
what are the gonio landmarks for elbow flexion/ extension
Stationary arm: lateral midline of the humerus lining up to acromion process
moving arm: midline of the radius
axis: lateral epicondyle
35
what are the gonio landmarks for elbow supination and pronation
Stationary arm: parallel to the humerus
moving arm: dorsal aspect of forearm just proximal to syloid process (Ventral for supination)
axis: Lateral side of the ulnar process (medial side for supination)
36
what are the gonio landmarks for wrist flexion and extension?
Stationary arm: lateral midline of ulna using styloid process for refereance
moving arm: lateral midline of 5th digit
axis: lateral wrist over triquetrum
37
what are the gonio landmarks for wrist radial and ulnar deviation ?
Stationary arm: dorsal midline of the forearm
moving arm: midline of the 3rd metacarpal
axis: over capitiate
38
what are the gonio landmarks for thumb (carpometacarpal) abd/ add
like holding a match box btwn index and thumb
Stationary arm: lateral midline of the 2nd MC
moving arm: midline of dorsal 1st MC
axis: base of CMC joint/ lateral aspect of radial styloid
39
.what are the gonio landmarks for thumb (carpometacarpal) flex and extension
Stationary arm: ventral aspect of the radius
moving arm: vental midline of 1st mcp
axis: palmar aspect of CMC joint
40
how do you measure finger flexion with IP DIP and PIP flexion
use hinge joint as fulcrum and use moving arm to adjust to degree that fingers bend. The gonio should be over the dorsal aspect. Looks like a tent.
41
What are the gonio landmarks for hip flexion/ extension
Stationary arm: lateral midline of the pelvis
moving arm: midline of the femur using lateral epicondyle as referance point
axis:lateral midline of the femur, in in line with the greater trochanter
42
.What are the gonio landmarks for hip adduction and abduction
Stationary arm: across an imaginary line of the L R ASIS
moving arm: anterior midline of fmeur using the medline of patella
axis: ASIS
43
What are the gonio landmarks for hip IR and ER
Patient in sitting
Stationary arm: anterior mid line of lwoer leg using cret of tibia and a poin midway btwn malleoli
moving arm: perpendicular to floor, or parallel to surface (if laying)
axis: anterior patella
44
What are the gonio landmarks for knee flexion/ ext
Stationary arm: lateral midline of the femur using GT for reference
moving arm: lateral midline of fibula using lateral malleolus and fib head for reference
axis: lateral epicondyle of the femur
45
What are the gonio landmarks for ankle DF and PF at the talocrual joint
Stationary arm: lateral midline of the fibular shaft, head of fib for reference
moving arm: parallel to the shaft of the 5th
axis: lateral axis of the lateral malleolus
46
What are the steps to measure ROM for a patient?
1. place subject in postion
2. stabilize proximal segment
3. move distal joint segment thro available range of motion to make sure PROM is available, make note of end feel
4. estimate the ROM clinically
5. return distal segment to start postion
6. palpate bony landmarks
7. align goni
8. read and record start position
9. stabilize proximal joint
10. move distal segmetn to end range
11. replace and realign goni + palpate landmark if needed
12. read measurement
47
What are the gonio landmarks for ankle inversion and eversion at the transverse tarsals ?
Stationary arm: anterior midline of the lower leg, tibial tuberosity for reference
moving arm : anterior midline of the 2nd metatarsal
axis: anterior aspect of ankle midway btwn L R malleoli
48
What are the gonio landmarks for subtalar inversion and eversion
Pt is prone with feet hanging off table
Stationary arm : posterior midline of the lower leg (middle of calf)
moving arm: posterior midline of the calcaneous
axis: posterior ankle btwn maleoli
49
What are the gonio landmarks for cervical flexion and extension ?
Stationary arm : perpendicular to floor, or parallel to ground
moving arm : along base of the nares or align with tounge depressor if holding btwn teeth
axis: external auditory meatus
50
What are the gonio landmarks for cervical lateral flexion
Stationary arm : goni arm is perpendicular to the ground in line with t-spine SP
moving arm : dorsal midline of head, occipital protruberance for referance
axis: over SP of C7
51
What are the gonio landmarks for cervical rotation?
Stationary arm : parallel to imaginary line btwn L R acromion processes
moving arm : tip of nose or tongue depressor if using
axis: center of top of head
52
how do you measure thoracic extension and flexion
using a tape measure btwn T1 and S2. Distance is calculated from the length btwn the 3 points in standing and then flexion/ext
53
What are the gonio landmarks for thoracolumbar lateral flexion?
Stationary arm : perpendicular to floor (up and down btwn but crack)
moving arm : SP of T1
axis: SP of S2
54
What are the gonio landmarks for thoracolumbar rotation
Stationary arm : imaginary line btwn L R acromion processes
moving arm: imaginary line btwn PSIS
axis: center of top of head
55
How should you document ROM
example for knee flexion 10-0-105
this means that hyperextension of 10* and 105* for knee flexion for total of 115*
using 10-105 would imply the ROM began at 10 of knee flexion, to 105 for a total motion of 95*
put a 0 if moving from one measuremetn to another like ext into flexion.
