ROM upper extremities Flashcards
arthrokinematics
it is the movement of joint surfaces
how are arthrokinematics described
they are described as
slide or glide
spin
roll
a translatory motion in which one object slides into the other
slide or glide
osteokinematics
gross movements of shaft of the bones rather than joint surfaces
where does osteokinematics take place
in one of the three cardinal planes and around axes
measurements of angles
goniometry
what is ROM
arc of motion that occurs at a joint or series of joint
why PROM is greater than AROM
Because each joint has a small amount of available motion that cannot be reached voluntarily
what pain mean during arom
due to stretching or contracting contractile tissues such as muscles tendons and their attachment to the bones
what pain mean during prom
due to moving, stretching or pinching noncontractile [inert] tissues
normal end feels
soft= soft tissue approximation
firm= muscular, ligamentous and capsular stretch
hard = bone contacting bone
hip flexion with straight knee [passive elastic stretch of hamstring]
firm muscular stretch end feel
extension of metacarpophalangeal of fingers [tension in anterior capsule]
firm capsular stretch
forearm supination
firm ligamentous stretch
shoulder flexion ROM
Fulcrum= lateral aspect of greater tubercle
stationary arm = parallel to midaxillary line of thorax
moving arm = lateral epicondyle of the humerus
ROM = 180
shoulder extension ROM
fulcrum = lateral aspect of greater tubercle
stationary arm= parallel to midaxillary line of thorax
moving arm = lateral epicondyle of the humerus
ROM= 60
shoulder abd ROM
fulcrum= anterior aspect of acromion
stationary arm = parallel to the anterior aspect of midline of sternum
moving arm = anterior midline of humerus
ROM= 180
shoulder add ROM
fulcrum= anterior aspect of acromion
stationary arm= sternum
moving arm= midline humerus
ROM= not normally measured
shoulder IR/ER ROM
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
Elbow flexion ROM
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
elbow supination ROM
F= volar side of ulnar styloid process
S= perpendicular to the ground
M= parallel to styloid process of radial and ulna
ROM= 80
elbow pronation ROM
F= dorsal side of ulnar styloid process
S= perpendicular to the ground
M= parallel to the styloid process of ulna and radius
ROM= 80
Wrist flexion/ extension ROM
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
