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S5- Clinical > ROM UE > Flashcards

ROM UE Flashcards

1
Q

PART 1- SHOULDER ROM

A

PART 1- SHOULDER ROM

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2
Q

What are the 5 movements of the shoulder?

A
  1. ) Flexion
  2. ) Extension
  3. ) Abduction
  4. ) Medial (Internal) Rotation
  5. ) Lateral (External) Rotation
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3
Q

Shoulder Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 180 (115 GH)
  2. ) hook lying supine w/ palm facing body
  3. ) firm (firm GH)
  4. ) F=greater tubercle; S=midaxillary line; M=lateral midline of humerus
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4
Q

Shoulder Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 60 (20 GH)
  2. ) prone w/ face turned away w/ palm facing body
  3. ) firm (firm GH)
  4. ) F=greater tubercle; S=midaxillary line; M=lateral midline of humerus (lateral epicondyle)
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5
Q

Shoulder Abduction:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 180 (120-125 GH)
  2. ) supine w/ shoulder lateral rotation
  3. ) firm (firm GH)
  4. ) F=acromial process; S=parallel to midline of sternum; M=midline of humerus (medial epicondyle)
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6
Q

Shoulder Medial Rotation (IR):

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 70 (49 GH)
  2. ) supine w/ shoulder in 90 degrees ABD and humerus supported by towel
  3. ) firm (firm GH)
  4. ) F=olecranon process; S=perpendicular to floor; M=midline of ulna
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7
Q

Shoulder Lateral Rotation (ER):

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 90 (94 GH)
  2. ) supine w/ shoulder in 90 degrees ABD and humerus supported by towel
  3. ) firm (firm GH)
  4. ) F=olecranon process; S=perpendicular to floor; M=midline of ulna
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8
Q

PART 2- ELBOW AND WRIST ROM

A

PART 2- ELBOW AND WRIST ROM

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9
Q

What are the 2 movements of the elbow?

A
  1. ) Flexion

2. ) Extension

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10
Q

What are the 6 movements of the wrist?

A
  1. ) Pronation
  2. ) Supination
  3. ) Flexion
  4. ) Extension
  5. ) Radial Deviation
  6. ) Ulnar Deviation
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11
Q

Elbow Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 150
  2. ) supine w/ full supination and towel placed under distal humerus
  3. ) usually soft (can be hard w/ no muscle)
  4. ) F=lateral epicondyle; S=lateral midline of humerus; M=lateral midline of radius
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12
Q

Elbow Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 0
  2. ) supine w/ full supination and towel placed under distal humerus
  3. ) usually soft (can be hard w/ no muscle)
  4. ) F=lateral epicondyle; S=lateral midline of humerus; M=lateral midline of radius
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13
Q

Pronation:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 80
  2. ) sitting w/ elbow flexed to 90 degrees and forearm supported, begin w/ thumb pointed up
  3. ) hard (contact between ulna/radius) or firm (tension in IO membrane)
  4. ) F=lateral to ulnar styloid process; S=parallel to anterior midline of humerus; M=across dorsal aspect of forearm
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14
Q

Supination:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 80
  2. ) sitting w/ elbow flexed to 90 degrees and forearm supported, begin w/ thumb pointed up
  3. ) firm
  4. ) F=medial to ulnar styloid process; S=parallel to anterior midline of humerus; M=across ventral aspect of forearm
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15
Q

Wrist Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 80
  2. ) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table w/ arm hanging off
  3. ) firm
  4. ) F=lateral aspect of triquetrum; S=lateral midline of ulna; M=lateral midline of 5th metacarpal
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16
Q

Wrist Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 70
  2. ) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table w/ arm hanging off
  3. ) firm
  4. ) F=lateral aspect of triquetrum; S=lateral midline of ulna; M=lateral midline of 5th metacarpal
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17
Q

Wrist Radial Deviation:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 20
  2. ) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table
  3. ) hard
  4. ) F=dorsal aspect of capitate; S=dorsal midline of forearm; M=dorsal midline of 3rd metacarpal
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18
Q

Wrist Ulnar Deviation:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 30
  2. ) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table
  3. ) firm
  4. ) F=dorsal aspect of capitate; S=dorsal midline of forearm; M=dorsal midline of 3rd metacarpal
19
Q

PART 3- METACORPOPHALANGEAL (MCP) ROM

A

PART 3- METACORPOPHALANGEAL (MCP) ROM

20
Q

What are the 3 movements of the MCP joints?

A
  1. ) Flexion
  2. ) Extension
  3. ) Abduction
21
Q

MCP Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 90
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination
  3. ) hard or firm
  4. ) F=dorsal aspect of MCP joint; S=dorsal midline of metacarpal; M=dorsal midline of proximal phalanx
22
Q

MCP Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 45
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination, avoid full flex/ext of DIP and PIP joints
  3. ) firm
  4. ) F=dorsal aspect of MCP joint; S=dorsal midline of metacarpal; M=dorsal midline of proximal phalanx
23
Q

MCP Abduction:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 20
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination
  3. ) firm
  4. ) F=dorsal aspect of MCP joint; S=dorsal midline of metacarpal; M=dorsal midline of proximal phalanx
24
Q

PART 4- PROXIMAL (PIP) AND DISTAL (DIP) INTERPHALANGEAL ROM

A

PART 4- PROXIMAL (PIP) AND DISTAL (DIP) INTERPHALANGEAL ROM

25
Q

What are the 2 movements of the PIP joints?

A
  1. ) Flexion

2. ) Extension

26
Q

What are the 2 movements of the DIP joints?

A
  1. ) Flexion

2. ) Extension

27
Q

PIP Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 100
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination
  3. ) hard (sometimes soft/firm)
  4. ) F=dorsal aspect of PIP joint; S=dorsal midline of proximal phalanx; M=dorsal midline of middle phalanx
28
Q

PIP Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 0
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination
  3. ) firm
  4. ) F=dorsal aspect of PIP joint; S=dorsal midline of proximal phalanx; M=dorsal midline of middle phalanx
29
Q

DIP Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 90
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination, PIP in 70-90 degrees of flexion
  3. ) firm
  4. ) F=dorsal aspect of DIP joint; S=dorsal midline of middle phalanx; M=dorsal midline of distal phalanx
30
Q

DIP Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 0
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination, PIP in 70-90 degrees of flexion
  3. ) firm
  4. ) F=dorsal aspect of DIP joint; S=dorsal midline of middle phalanx; M=dorsal midline of distal phalanx
31
Q

PART 5- CARPOMETACARPAL (CMC) ROM

A

PART 5- CARPOMETACARPAL (CMC) ROM

32
Q

What are the 4 movements of the CMC joint?

A
  1. ) Flexion
  2. ) Extension
  3. ) Abduction
  4. ) Opposition
33
Q

CMC Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 15
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and full supination
  3. ) soft or firm
  4. ) F=palmar aspect of CMC joint; S=anterior midline of radius; M=anterior midline of 1st metacarpal
34
Q

CMC Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 20
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and full supination
  3. ) firm
  4. ) F=palmar aspect of CMC joint; S=anterior midline of radius; M=anterior midline of 1st metacarpal
35
Q

CMC Abduction:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. ) 70
  2. ) sitting w/ forearm and hand resting on surface, wrist in neutral radial/ulnar deviation and pro/supination
  3. ) firm
  4. ) F=lateral aspect of radial styloid process; S=lateral midline of the 2nd metacarpal; M=lateral midline of the 1st metacarpal
36
Q

CMC Opposition:

1.) How is CMC opposition measured?

A

1.) Measure the linear distance between the tip of the thumb and the center of the proximal digital crease of the little finger.

37
Q

PART 6- 1ST MCP AND IP ROM

A

PART 6- 1ST MCP AND IP ROM

38
Q

What are the 2 movements of the 1st MCP?

A
  1. ) Flexion

2. ) Extension

39
Q

What are the 2 movements of the 1st IP?

A
  1. ) Flexion

2. ) Extension

40
Q

1st MCP Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. )
  2. )
  3. )
  4. )
41
Q

1st MCP Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. )
  2. )
  3. )
  4. )
42
Q

1st IP Flexion:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. )
  2. )
  3. )
  4. )
43
Q

1st IP Extension:

  1. ) What is the ROM norm?
  2. ) What is the testing position?
  3. ) What is the end feel?
  4. ) What is the alignment (fulcrum, stationary, moving)?
A
  1. )
  2. )
  3. )
  4. )

S5- Clinical (7 decks)

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