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Assessment II > Upper Extremity ROM Process > Flashcards

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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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16
Q

Wrist Adduction: Ulnar 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: 0-30
  • END FEEL: Firm
17
Q

MCP Flexion

A
  • POSITION: SITTING
  • STABILIZE: metacarpal
  • AXIS: dorsal aspect of MCP
  • STATIONARY ARM: dorsal midline of metacarpal
  • MOVING ARM: dorsal midline of proximal phalanx
  • STANDARD ROM: 0-90
  • END FEEL: Firm or Hard
18
Q

MCP Extension

A
  • POSITION: SITTING
  • STABILIZE: metacarpal
  • AXIS: dorsal aspect of MCP
  • STATIONARY ARM: dorsal midline of metacarpal
  • MOVING ARM: dorsal midline of prox phalanx
  • STANDARD ROM: 0-40
  • END FEEL: Firm
19
Q

PIP Flexion (Manus)

A
  • POSITION: SITTING
  • STABILIZE: proximal phalanx
  • AXIS: dorsal aspect of PIP
  • STATIONARY ARM: dorsal midline of proximal phalanx
  • MOVING ARM: dorsal midline of middle phalanx
  • STANDARD ROM: 0-100
  • END FEEL: Soft
20
Q

PIP Extension (Manus)

A
  • POSITION: SITTING
  • STABILIZE: proximal phalanx
  • AXIS: dorsal aspect of PIP
  • STATIONARY ARM: dorsal midline of proximal phalanx
  • MOVING ARM: dorsal midline of middle phalanx
  • STANDARD ROM: 0
  • END FEEL: Hard
21
Q

DIP Flexion (Manus)

A
  • POSITION: SITTING
  • STABILIZE: middle phalanx
  • AXIS: dorsal aspect of DIP
  • STATIONARY ARM: dorsal midline of middle phalanx
  • MOVING ARM: dorsal midline of distal phalanx
  • STANDARD ROM: 0-70
  • END FEEL: Firm
22
Q

DIP Extension (Manus)

A
  • POSITION: SITTING
  • STABILIZE: middle phalanx
  • AXIS: dorsal aspect of DIP
  • STATIONARY ARM: dorsal midline of middle phalanx
  • MOVING ARM: dorsal midline of distal phalanx
  • STANDARD ROM: 0-20
  • END FEEL: Firm
23
Q

Finger ABduction

A
  • POSITION: SITTING
  • STABILIZE: metacarpals
  • AXIS: dorsal surface of MCP
  • STATIONARY ARM: dorsal midline of metacarpal
  • MOVING ARM: dorsal midline of proximal phalanx
  • STANDARD ROM: 0-20
  • END FEEL: Firm
24
Q

Finger Adduction

A
  • POSITION: SITTING
  • STABILIZE: metacarpals
  • AXIS: dorsal surface of MCP
  • STATIONARY ARM: dorsal midline of metacarpal
  • MOVING ARM: dorsal midline of proximal phalanx
  • STANDARD ROM: 0-20
  • END FEEL: Firm
25
Q

Thumb CMC Flexion

A
  • POSITION: SITTING
  • STABILIZE: ventral surface of wrist
  • AXIS: ventral surface of 1st CMC joint
  • STATIONARY ARM: ventral midline of radius toward radial head
  • MOVING ARM: ventral midline of 1st metacarpal
  • STANDARD ROM: 0-20
  • END FEEL: Soft or Firm
26
Q

Thumb CMC Extension

A
  • POSITION: SITTING
  • STABILIZE: ventral surface of wrist
  • AXIS: ventral surface of 1st CMC joint
  • STATIONARY ARM: ventral midline of radius toward radial head
  • MOVING ARM: ventral midline of 1st metacarpal
  • STANDARD ROM: 0-20
  • END FEEL: Firm
27
Q

Thumb MCP Flexion

A
  • POSITION: SITTING
  • STABILIZE: metacarpal
  • AXIS: dorsal aspect of 1st MCP
  • STATIONARY ARM: dorsal midline of 1st
  • MCP MOVING ARM: dorsal midline of proximal MCP
  • STANDARD ROM: 0-50
  • END FEEL: Firm
28
Q

Thumb MCP Extension

A
  • POSITION: SITTING
  • STABILIZE: metacarpal
  • AXIS: dorsal aspect of 1st MCP
  • STATIONARY ARM: dorsal midline of 1st MCP
  • MOVING ARM: dorsal midline of proximal MCP
  • STANDARD ROM: 0
  • END FEEL: Hard
29
Q

Thumb IP Flexion

A
  • POSITION: SITTING
  • STABILIZE: interphalangeal (IP)
  • AXIS: dorsal aspect of IP joint
  • STATIONARY ARM: dorsal aspect of proximal phalanx of IP joint
  • MOVING ARM: dorsal midline of distal phalanx of IP joint
  • STANDARD ROM: 0-65
  • END FEEL: Soft
30
Q

Thumb IP Extension

A
  • POSITION: SITTING
  • STABILIZE: interphalangeal (IP)
  • AXIS: dorsal aspect of IP joint
  • STATIONARY ARM: dorsal aspect of proximal phalanx of IP joint
  • MOVING ARM: dorsal midline of distal phalanx of IP joint
  • STANDARD ROM: 0-20
  • END FEEL: Firm
31
Q

Thumb Opposition

A
  • POSITION: SITTING
  • STABILIZE: over the 5th metacarpal with one hand; over MCP and IP joints of thumb with other hand
    • Move 1st MC and 5th MC toward each other - measure with goni like a ruler from thumb IP to little finger MCP
  • STANDARD ROM: None
  • END FEEL: Soft
32
Q

Thumb ABduction

A
  • POSITION: SITTING
  • STABILIZE: 2nd metacarpal
  • AXIS: radial styloid process
  • STATIONARY ARM: lateral midline of 2nd metacarpal
  • MOVING ARM: dorsal midline of 1st metacarpal
  • STANDARD ROM: 0-50
  • END FEEL: Firm
33
Q

Shoulder Horizontal ABduction

A
  • POSITION: SITTING
    • PT: Standing
  • STABILIZE: Clavicle, scapula and trunk
  • AXIS: Mid Acromion (top)
  • STATIONARY ARM: C7 (keep in line with starting point)
  • MOVING ARM: Lateral epicondyle of humerus
  • STANDARD ROM: 0-45
  • END FEEL: Firm
  • Note: Shoulder Abd 90 deg, elbow flexed 90 deg
34
Q

Shoulder Horizontal ADduction

A
  • POSITION: SITTING
    • PT: Standing
  • STABILIZE: Clavicle, scapula and trunk
  • AXIS: Mid Acromion (top)
  • STATIONARY ARM: C7 (keep in line with starting point)
  • MOVING ARM: Lateral epicondyle of humerus
  • STANDARD ROM: 0-135
  • END FEEL: Firm
  • Note: Shoulder Abd 90 deg, elbow flexed 90 deg

Assessment II (6 decks)

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