Upper Extremity ROM Process Flashcards
1
Q
Shoulder Flexion
A
- POSITION: SUPINE or sitting
- PT: Sitting
- STABILIZE: ipsilateral shoulder proximal to humeral head
- AXIS: midpoint of lateral aspect of acromion process
- At end range, use index fingers to draw line through shoulder jt for new axis in arm pit area
- STATIONARY ARM: parallel to lateral midline of trunk
- MOVING ARM: parallel to lateral midline of humerus toward lateral epicondyle (thumb side)
- STANDARD ROM: 0-165
- END FEEL: Firm
- Note: Arm and hand Neutral. Do not let shoulder or back rise off table
2
Q
Shoulder Extension
A
- POSITION: PRONE or sitting
- PT: Sitting
- STABILIZE: lateral midline of thorax
- AXIS: midpoint of lateral aspect of acromion process
- STATIONARY ARM: parallel to lateral midline of trunk
- MOVING ARM: parallel to lateral midline of humerus toward lateral epicondyle
- STANDARD ROM: 0-60
- END FEEL: Firm
Note: Arm and hand Neutral. Do not let shoulder or back rise off table
3
Q
Shoulder ABduction
A
- POSITION: SIDE/SUPINE of sitting
- PT: Sitting
- STABILIZE: Ipsilateral shoulder proximal to humeral head
- AXIS: anterior aspect of acromion process
- Will divot in full ABd - where it moves is new axis
- STATIONARY ARM: parallel to sternum
- MOVING ARM: parallel to the anterior midline of the humerus toward medial epicondyle* (pinky side)*
- STANDARD ROM: 0-165
- END FEEL: Firm
- Note: Thumb points to ceiling, Stop before ipsilateral rib rise
4
Q
Shoulder ADduction
A
- POSITION: SUPINE
- PT:
- STABILIZE: Ipsilateral shoulder proximal to humeral head
- AXIS: anterior aspect of acromion process
- Will divot in full ABd - where it moves is new axis
- STATIONARY ARM: parallel to sternum
- MOVING ARM: parallel to the anterior midline of the humerus toward medial epicondyle (pinky side)
- STANDARD ROM: 0-40
- END FEEL: Firm
- Note: Flex shoulder and pull across body while externally rotating.
5
Q
Shoulder External Rotation
A
- POSITION: SUPINE
- PT: Sitting
- STABILIZE: heel of hand over ipsilateral shoulder with fingers over scapula* - no shoulder movement*
- *towel under humerus** - keep level with table*
- AXIS: olecranon process of ulna
- STATIONARY ARM: perpendicular to floor (holding moving arm, stationary arm hangs down to floor)
- MOVING ARM: parallel to ulnar border of forearm toward ulnar styloid process
- STANDARD ROM: 0-90
- END FEEL: Firm
-
Note: starting position - shoulder abd 90 deg and elbow flexed 90 deg
- Watch for substitutions
6
Q
Shoulder Internal Rotation
A
- POSITION: SUPINE
- PT: Sitting
- STABILIZE: heel of hand over ipsilateral shoulder with fingers over scapula* - no shoulder movement*
- *towel under humerus* - keep level with table
- AXIS: olecranon process of ulna
- STATIONARY ARM: perpendicular to floor (holding moving arm, stationary arm hangs down to floor)
- MOVING ARM: parallel to ulnar border of forearm toward ulnar styloid process
- STANDARD ROM: 0-70
- END FEEL: Firm
-
Note: starting position - shoulder abd 90 deg and elbow flexed 90 deg
- Watch for substitutions
7
Q
Elbow Flexion
A
- POSITION: SUPINE or sitting
- STABILIZE: posterior proximal humerus *towel under axilla*
- AXIS: lateral epicondyle of humerus
- STATIONARY ARM: parallel to lateral midline of humerus toward acromion process
- MOVING ARM: parallel to lateral midline of radius toward radial styloid process
- STANDARD ROM: 0-140
- END FEEL: Soft or Hard
8
Q
Elbow Extension
A
- POSITION: SUPINE or sitting
- STABILIZE: *towel under axilla*
- AXIS: lateral epicondyle of humerus
- STATIONARY ARM: parallel to lateral midline of humerus toward acromion process
- MOVING ARM: parallel to lateral midline of radius toward radial styloid process
- STANDARD ROM: 140-0
- END FEEL: Hard or Firm
9
Q
Forearm Supination
A
- POSITION: SITTING
- STABILIZE: lateral aspect of distal humerus
- AXIS: volar surface of wrist in line with the ulnar styloid process
- STATIONARY ARM: parallel with the antierior midline of humerus
- MOVING ARM: volar surface of wrist at the level of ulnar styloid process
- STANDARD ROM: 0-80
- END FEEL: Firm
10
Q
Forearm Pronation
A
- POSITION: SITTING
- STABILIZE: lateral aspect of distal humerus
- AXIS: in line with and just proximal to ulnar styloid process
- STATIONARY ARM: parallel with anterior midline of humerus
- MOVING ARM: dorsum of forearm, just proximal to ulnar styloid process
- STANDARD ROM: 0-80
- END FEEL: Hard
11
Q
Wrist Flexion Dorsal
A
- POSITION: SITTING hand off table
- STABILIZE: dorsal surface of forearm
- AXIS: lunate bone
- STATIONARY ARM: dorsal midline of forearm toward lateral epicondyle
- MOVING ARM: dorsally, parallel to long axis of 3rd metacarpal
- STANDARD ROM: 0-80
- END FEEL: Firm
12
Q
Wrist Flexion Lateral
A
- POSITION: SITTING hand off table
- STABILIZE: dorsal surface of forearm
- AXIS: triquetrum bone
- STATIONARY ARM: lateral midline of ulna toward olecranon process
- MOVING ARM: lateral midline of 5th metacarpal
- STANDARD ROM: 0-80
- END FEEL: Firm
13
Q
Wrist Extension Volar
A
- POSITION: SITTING hand off table
- STABILIZE: ventral surface of forearm
- AXIS: lunate bone
- STATIONARY ARM: volar midline of forearm toward bicipital tendon at the elbow
- MOVING ARM: volar midline of the 3rd metacarpal
- STANDARD ROM: 0-70
- END FEEL: Firm
14
Q
Wrist Extension Lateral
A
- POSITION: SITTING hand off table
- STABILIZE: dorsal surface of foremarm
- AXIS: triquetrum bone
- STATIONARY ARM: lateral midline of ulna toward olecranon process
- MOVING ARM: lateral midline of 5th metacarpal
- STANDARD ROM: 0-70
- END FEEL: Firm
15
Q
Wrist ABduction: Radial Deviation
A
- POSITION: SITTING hand off table
- STABILIZE: dorsal surface of distal forearm
- AXIS: capitate bone
- STATIONARY ARM: dorsal midline of forearm toward lateral epicondyle
- MOVING ARM: dorsal midline of 3rd metacarpal
- STANDARD ROM: 0-20
- END FEEL: Hard