ROM UE Flashcards by Chance Lee Cauble

PART 1- SHOULDER ROM

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What are the 5 movements of the shoulder?

) Flexion
) Extension
) Abduction
) Medial (Internal) Rotation
) Lateral (External) Rotation

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Shoulder Flexion:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 180 (115 GH)
) hook lying supine w/ palm facing body
) firm (firm GH)
) F=greater tubercle; S=midaxillary line; M=lateral midline of humerus

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Shoulder Extension:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 60 (20 GH)
) prone w/ face turned away w/ palm facing body
) firm (firm GH)
) F=greater tubercle; S=midaxillary line; M=lateral midline of humerus (lateral epicondyle)

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Shoulder Abduction:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 180 (120-125 GH)
) supine w/ shoulder lateral rotation
) firm (firm GH)
) F=acromial process; S=parallel to midline of sternum; M=midline of humerus (medial epicondyle)

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Shoulder Medial Rotation (IR):

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 70 (49 GH)
) supine w/ shoulder in 90 degrees ABD and humerus supported by towel
) firm (firm GH)
) F=olecranon process; S=perpendicular to floor; M=midline of ulna

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Shoulder Lateral Rotation (ER):

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 90 (94 GH)
) supine w/ shoulder in 90 degrees ABD and humerus supported by towel
) firm (firm GH)
) F=olecranon process; S=perpendicular to floor; M=midline of ulna

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PART 2- ELBOW AND WRIST ROM

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What are the 2 movements of the elbow?

) Flexion

2. ) Extension

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What are the 6 movements of the wrist?

) Pronation
) Supination
) Flexion
) Extension
) Radial Deviation
) Ulnar Deviation

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Elbow Flexion:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 150
) supine w/ full supination and towel placed under distal humerus
) usually soft (can be hard w/ no muscle)
) F=lateral epicondyle; S=lateral midline of humerus; M=lateral midline of radius

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Elbow Extension:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 0
) supine w/ full supination and towel placed under distal humerus
) usually soft (can be hard w/ no muscle)
) F=lateral epicondyle; S=lateral midline of humerus; M=lateral midline of radius

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Pronation:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 80
) sitting w/ elbow flexed to 90 degrees and forearm supported, begin w/ thumb pointed up
) hard (contact between ulna/radius) or firm (tension in IO membrane)
) F=lateral to ulnar styloid process; S=parallel to anterior midline of humerus; M=across dorsal aspect of forearm

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Supination:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 80
) sitting w/ elbow flexed to 90 degrees and forearm supported, begin w/ thumb pointed up
) firm
) F=medial to ulnar styloid process; S=parallel to anterior midline of humerus; M=across ventral aspect of forearm

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Wrist Flexion:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 80
) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table w/ arm hanging off
) firm
) F=lateral aspect of triquetrum; S=lateral midline of ulna; M=lateral midline of 5th metacarpal

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Wrist Extension:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 70
) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table w/ arm hanging off
) firm
) F=lateral aspect of triquetrum; S=lateral midline of ulna; M=lateral midline of 5th metacarpal

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Wrist Radial Deviation:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 20
) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table
) hard
) F=dorsal aspect of capitate; S=dorsal midline of forearm; M=dorsal midline of 3rd metacarpal

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Wrist Ulnar Deviation:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 30
) sitting w/ shoulder ABD to 90 and elbow flexed to 90, supported on table
) firm
) F=dorsal aspect of capitate; S=dorsal midline of forearm; M=dorsal midline of 3rd metacarpal

PART 3- METACORPOPHALANGEAL (MCP) ROM

What are the 3 movements of the MCP joints?

) Flexion
) Extension
) Abduction

MCP Flexion:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 90
) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination
) hard or firm
) F=dorsal aspect of MCP joint; S=dorsal midline of metacarpal; M=dorsal midline of proximal phalanx

MCP Extension:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 45
) 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
) firm
) F=dorsal aspect of MCP joint; S=dorsal midline of metacarpal; M=dorsal midline of proximal phalanx

MCP Abduction:

) What is the ROM norm?
) What is the testing position?
) What is the end feel?
) What is the alignment (fulcrum, stationary, moving)?

) 20
) sitting w/ forearm and hand resting on surface, wrist in neutral ulnar/radial deviation and pro/supination
) firm
) F=dorsal aspect of MCP joint; S=dorsal midline of metacarpal; M=dorsal midline of proximal phalanx

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

What are the 2 movements of the PIP joints?

1. ) Flexion | 2. ) Extension

What are the 2 movements of the DIP joints?

1. ) Flexion | 2. ) Extension

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)?

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

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)?

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

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)?

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

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)?

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

PART 5- CARPOMETACARPAL (CMC) ROM

What are the 4 movements of the CMC joint?

1. ) Flexion 2. ) Extension 3. ) Abduction 4. ) Opposition

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)?

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

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)?

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

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)?

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

CMC Opposition: | 1.) How is CMC opposition measured?

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

PART 6- 1ST MCP AND IP ROM

What are the 2 movements of the 1st MCP?

1. ) Flexion | 2. ) Extension

What are the 2 movements of the 1st IP?

1. ) Flexion | 2. ) Extension

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)?

1. ) 2. ) 3. ) 4. )

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)?

1. ) 2. ) 3. ) 4. )

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)?

1. ) 2. ) 3. ) 4. )

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)?

1. ) 2. ) 3. ) 4. )