ROM upper extremities

Question 1

arthrokinematics

Answer 1

it is the movement of joint surfaces

Question 2

how are arthrokinematics described

Answer 2

they are described as
slide or glide
spin
roll

Question 3

a translatory motion in which one object slides into the other

Answer 3

slide or glide

Question 4

osteokinematics

Answer 4

gross movements of shaft of the bones rather than joint surfaces

Question 5

where does osteokinematics take place

Answer 5

in one of the three cardinal planes and around axes

Question 6

measurements of angles

Answer 6

goniometry

Question 7

what is ROM

Answer 7

arc of motion that occurs at a joint or series of joint

Question 8

why PROM is greater than AROM

Answer 8

Because each joint has a small amount of available motion that cannot be reached voluntarily

Question 9

what pain mean during arom

Answer 9

due to stretching or contracting contractile tissues such as muscles tendons and their attachment to the bones

Question 10

what pain mean during prom

Answer 10

due to moving, stretching or pinching noncontractile [inert] tissues

Question 11

normal end feels

Answer 11

soft= soft tissue approximation
firm= muscular, ligamentous and capsular stretch
hard = bone contacting bone

Question 12

hip flexion with straight knee [passive elastic stretch of hamstring]

Answer 12

firm muscular stretch end feel

Question 13

extension of metacarpophalangeal of fingers [tension in anterior capsule]

Answer 13

firm capsular stretch

Question 14

forearm supination

Answer 14

firm ligamentous stretch

Question 15

shoulder flexion ROM

Answer 15

Fulcrum= lateral aspect of greater tubercle
stationary arm = parallel to midaxillary line of thorax
moving arm = lateral epicondyle of the humerus
ROM = 180

Question 16

shoulder extension ROM

Answer 16

fulcrum = lateral aspect of greater tubercle
stationary arm= parallel to midaxillary line of thorax
moving arm = lateral epicondyle of the humerus
ROM= 60

Question 17

shoulder abd ROM

Answer 17

fulcrum= anterior aspect of acromion
stationary arm = parallel to the anterior aspect of midline of sternum
moving arm = anterior midline of humerus
ROM= 180

Question 18

shoulder add ROM

Answer 18

fulcrum= anterior aspect of acromion
stationary arm= sternum
moving arm= midline humerus
ROM= not normally measured

Question 19

shoulder IR/ER ROM

Answer 19

fulcrum= Over olecranon process
stationary arm= perpendicular to the floor
moving arm= with the ulna using olecranon process and styloid process for reference
ROM IR= 70
ROM ER =90

Question 20

Elbow flexion ROM

Answer 20

f = lateral epicondyle of the humerus
s = lateral midline of the humerus, center of acromion for reference
m= lateral midline of radius with styloid process as reference
ROM= 150

Question 21

elbow supination ROM

Answer 21

F= volar side of ulnar styloid process
S= perpendicular to the ground
M= parallel to styloid process of radial and ulna
ROM= 80

Question 22

elbow pronation ROM

Answer 22

F= dorsal side of ulnar styloid process
S= perpendicular to the ground
M= parallel to the styloid process of ulna and radius
ROM= 80

Question 23

Wrist flexion/ extension ROM

Answer 23

F= lateral aspect of the wrist over triquetrum
S= lateral midline of the ulna styloid
M= lateral midline of 5th metacarpal
EXT ROM= 70
FLE ROM= 80