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Assessment II > Spine ROM Process > Flashcards

Spine ROM Process Flashcards

1
Q

Cervical Flexion: Goniometer

A
  • Range: 0-(45-60)
  • Position: sitting, line between ear lobe and base nostrils parallel to floor
  • Stabilize: none
  • Axis: ear lobe
  • Stationary arm: perpendicular to floor
  • Moving arm: base of nostrils
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2
Q

Cervical Extension: Goniometer

A
  • Range: 0-(60-80)
  • Position: sitting, line between ear lobe and base nostrils parallel to floor
  • Stabilize: none
  • Axis: ear lobe
  • Stationary arm: perpendicular to floor
  • Moving arm: base of nostrils
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3
Q

Cervical Rotation: Goniometer

A
  • Range: 0- (50-70)
  • Position: sitting, measurement occurs from top of pt’s head
  • Stabilize: none
  • Axis: top/middle of head
  • Stationary arm: parallel to acromion processes
  • Moving arm: parallel to line of nose
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4
Q

Cervical Lateral Flexion/Sidebend: Goniometer

A
  • Range: 0-(25-50)
  • Position: sitting, DO NOT allow elevation of shoulders
  • Stabilize: none
  • Axis: C7 spinous process
  • Stationary arm: perpendicular to floor
  • Moving arm: posterior midline of skull
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5
Q

Cervical Flexion: Tape

A
  • Position: sitting erect
  • Stabilize: none
  • Alignment: tip of mandible (0 cm) to sternal notch
  • Initial measurement: look straight ahead
  • Final measurement: flex cervical spine
  • Documentation: final – initial (in cm)

* *If pt able to touch chin to chest, full ROM indicated-no further measurement*

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6
Q

Cervical Extension: Tape

A
  • Position: sitting erect
  • Stabilize: none
  • Alignment: tip of mandible (0 cm) to sternal notch
  • Initial measurement: look straight ahead
  • Final measurement: ext cervical spine
  • Documentation: final – initial (in cm)
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7
Q

Cervical Rotation: Tape

A
  • Position: sitting
  • Motion: cervical rotation; DO NOT rotate trunk; NO lateral flexion, flex/ext
  • Alignment: tip of mandible (0 cm) to lateral tip of acromion process
  • Initial measurement: look straight ahead
  • Final measurement: rotation toward side tape measure
  • Documentation: final – initial (in cm)
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8
Q

Cervical Lateral Flexion/Sidebend: Tape

A
  • Position: sitting
  • Motion: ear to shoulder; DO NOT elevate shoulder; NO rotation, flex/ext
  • Alignment: tip of mastoid process (0 cm) to lateral tip of acromion process
  • Initial measurement: look straight ahead
  • Final measurement: lateral flexion
  • Documentation: final – initial (in cm)
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9
Q

Cervical Flexion: Inclinometer

A
  • Range: 0 – (45-60) degrees
  • Position: sitting, inclinometers 0 degrees when on pt
  • Inferior: spinous process of T1
  • Superior: vertex of skull (1/2 distance b/t “bridge nose” and inion)
  • Documentation: superior landmark – inferior landmark
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10
Q

Cervical Extension: Inclinometer

A
  • Range: 0 – (60-80) degrees
  • Position: sitting, inclinometers 0 degrees when on pt
  • Inferior: spinous process of T1
  • Superior: vertex of skull (1/2 distance b/t “bridge nose” and inion)
  • Documentation: superior landmark – inferior landmark
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11
Q

Cervical Rotation: Inclinometer

A
  • Range: 0 –(50-70) degrees
  • Position: supine, head slightly over end of table, nose point to ceiling, inclinometer 0 degrees when on pt
  • Inclinometer: base of forehead, above eyebrows, hold in place as pt rotates head
  • Documentation: end measurement on inclinometer
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12
Q

Cervical Lateral Flexion/Sidebend: Inclinometer

A
  • Range: 0 –(25-50) degrees
  • Position: sitting, inclinometers 0 degrees when on pt, faces inclinometer posterior
  • Inferior: spinous process of T1
  • Superior: vertex of skull (1/2 distance b/t “bridge nose” and inion)
  • Documentation: superior landmark – inferior landmark
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13
Q

Spine Flexion: Goniometer

A
  • Range: 0- (80-110)
  • Position: standing, feet shoulder width apart, knees extended
  • Stabilize: none
  • Axis: mid-axillary line at level of lowest rib
  • Stationary arm: vertical to floor
  • Moving arm: mid-axillary line
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14
Q

Spine Extension: Goniometer

A
  • Range: 0-(30-45)
  • Position: standing, feet shoulder width apart, knees extended, arms crossed across chest
  • Stabilize: none
  • Axis: mid-axillary line at level of lowest rib
  • Stationary arm: vertical to floor
  • Moving arm: mid-axillary line
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15
Q

Thoraco-Lumbar Lateral Flexion/Sidebend: Goniometer

A
  • Range: 0-(30-45)
  • Position: standing, feet shoulder width apart, knees extended
  • Movement: no flexion/extension or rotation
  • Axis: spinous process of S1
  • Stationary arm: vertical to floor
  • Moving arm: spinous process of C7
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16
Q

Lumbar Flexion: Tape

A
  • Position: standing, feet shoulder width apart, knees extended
  • Stabilize: none
  • Alignment: midline of spine in line with PSIS (0 cm) to 15 cm above base line landmark
  • Technique: hold firmly against skin, keep superior landmark – allow tape measure to expand
  • Documentation: final – initial (15 cm) (in cm)
17
Q

Thoarco-Lumbar Flexion: Tape

A
  • Position: standing, feet shoulder width apart, knees extended
  • Stabilize: none
  • Alignment: midline of spine in line with PSIS (0 cm) to C7 spinous process
  • Technique: hold firmly against skin, keep superior landmark – allow tape measure to expand
  • Documentation: final – initial (in cm)
18
Q

Lumbar Extension: Tape

A
  • Position: standing, feet shoulder width apart, hands on hips, knees extended
  • Stabilize: none
  • Alignment: midline of spine in line with PSIS (0 cm) to 15 cm above base line landmark
  • Technique: hold firmly against skin, keep superior landmark – allow tape measure to retract
  • Documentation: initial (15 cm) – final (in cm)
19
Q

Thoraco-Lumbar Rotation: Tape

A
  • Position: sitting erect, arms crossed and hands on opposite shoulders
  • Motion: lumbar rotation; NO lateral flexion, flex/ext
  • Alignment: lateral tip of acromion (0 cm) to contralateral greater trochanter, on pt back
  • Initial measurement: look straight ahead, pt can help hold tape measure
  • Final measurement: rotation, allow tape to expand
  • Documentation: final – initial (in cm)
20
Q

Thoraco-Lumbar Lateral Flexion/Sidebend: Tape

A
  • Position: standing, feet shoulder width apart, palm on thigh, knees extended
  • Motion: run hand down side of leg, NO flexion/extension or rotation
  • Alignment: tip of middle finger standing erect (0 cm) to tip of middle finger when sidebent
  • Documentation: final – initial (in cm)
21
Q

Lumbar Flexion: Inclinometer

A
  • Position: standing, feet shoulder width apart, knees extended
  • Inferior: midline of spine in line with PSIS
  • Superior: 15 cm above base line landmark
  • Documentation: superior landmark – inferior landmark
22
Q

Lumbar Extension: Inclinometer

A
  • Position: standing, feet shoulder width apart, knees extended, hands on hips
  • Inferior: midline of spine in line with PSIS
  • Superior: 15 cm above base line landmark
  • Documentation: superior landmark – inferior landmark
23
Q

Thoracic Rotation: Inclinometer

A
  • Position: standing, feet shoulder width apart, flex until thoracic spine is parallel to floor, ask pt to rotate trunk
  • Inferior Landmark: spinous process of T12
  • Superior Landmark: spinous process of T1
  • Documentation: reading at T1 – reading at T12
24
Q

Lumbar Lateral Flexion/Sidebend: Inclinometer

A
  • Position: standing, feet shoulder width apart, arms at sides, knees extended
  • Inferior: midline of spine in line with PSIS
  • Superior: 15 cm above base line landmark
  • Hold inclinometers against skin!
  • Documentation: superior landmark – inferior landmark

Assessment II (6 decks)

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