spinal ROM

Question 1

how to perform

Answer 1

flex/extend/side flex

cervical - tape measure from chin to sternum/acromion

lumbar - tape measure from fingers to floor
Schobers test: mark PSIS, measure from 5cm below + 10cm above
rotation - visual estimate

Question 2

contraindications / precautions

Answer 2

MSK: fracture, eptopic ossification, joint dislocation & infection & inflammation
CR:
CV:
N: pain
fragile bone conditions, bony ankylosis, cancer, acute soft tissue injury, hypermobility, prolonged immobilisation, haemotoma, haemophilia

Question 3

purpose

Answer 3

measure joint ROM to get them moving & decide whether healthy enough to be discharged
know effectiveness of treatment, identify changes
functional mobility
determine structures affecting movement
decide baseline limitations

Question 4

how to know if normal

Answer 4

flexion - 50°
extension - 15°
lateral flexion - 20°
rotation - 5°

observe willingness to move, quality of movement, where movement occurs, range, pain, deviations

Question 5

structures

Answer 5

cervical/lumbar spine

Question 6

principles

Answer 6

measure x3, take average
isolate the movement
tape measure is straight
correct positioning, no trick movements