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Joint ROM numbers, fulcrum, position for goniometry

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lenoremorr's version from 2011-10-20 23:16

source Therapeutic Test and Measures, Weaver and Ferg

no ROM listed

Question Answer
what ROM test joints have no ROM listedMCP abduction/adduction; thumb CMC opposition; lumbar flexion; thoracolumbar extension, lateral flexion and rotation
MCP abduction/adduction fulcrumover dorsal aspect of MCP joint
MCP abduction/adduction positionshort sit, forearm pronated, palm resting on table
thumb CMC opposition techniquetips of thumb and little finger touch or measure gap with ruler
lumbar flexion tape measure markingsLine between PSIS and at line 15 cm superior
lumber flexion positionstand, bend forward and stop before anterior tilt
thoracolumbar extension tape measure markingsC7 and S1
thoracolumbar and lumbar extension positionstanding, bend backwards, stop before posterior tilt
lumbar extension tape measure markingsPSIS line and 15 cm above
what's another name for the tape measure testmodified modified Schober test
thoracolumbar lateral flexion positionstanding, bend to one side
thoracolumbar lateral flexion fulcrumover S1
thoracolumbar rotation positionsitting, feet flat on floor, rotate upper body to one side
thoracolumbar rotation fulcrumcenter of superior cranium
memorize

0 degrees

Question Answer
PIP finger extension fulcrumdorsal aspect of PIP
PIP and DIP finger extension positionshort sit, forearm neutral resting on table
DIP extension fulcrumdorsal aspect of DIP
thumb MCP extension positionshort sit, forearm supinated, wrist neutral
thumb MCP extension fulcrumdorsal aspect of MCP
memorize
what joints have 0 degrees of ROM ; finger PIP, DIP and MCP extension

4 centimeters

Question Answer
thoraco-lumbar flexion positionstand then bend forward and stop before pelvic tilt
thoraco-lumbar flexion measuring tape alignmentC7 and S1 pencil/tape markings
what joints have a 4 cm measure for normal ROMthoracolumbar flexion
memorize

15 degrees

Question Answer
Thumb CMC flexion fulcrumpalmar aspect of CMC joint
thumb CMC flexion positionshort sit, neutral wrist, forearm supinated and supported on table
what joint has 15 degrees of normal ROMthumb CMC flexion
memorize

20 degrees

Question Answer
wrist radial deviation fulcrumon capitate at base of 3rd metacarpal, back of hand
wrist radial deviation positionshort sit, forearm pronated, hand supported on table
thumb CMC extension fulcrumpalmar aspect of CMC joint
thumb CMC extension positionshort sit, forearm supinated on table, wrist neutral
thumb IP extension fulcrumdorsal aspect of IP joint
thumb IP extension positionshort sit, forearm supinated, wrist neutral
what joints have 20 degrees normal ROMwrist radial deviation, thumb CMC extension and thumb IP extension
memorize

30 degrees

Question Answer
wrist ulnar deviation fulcrumon capitate at base of 3rd metacarpal, back of hand
wrist ulnar deviation positionshort sit, forearm pronated, hand supported on table
what joint has 30 degrees range of motionulnar deviation
memorize

45 degrees

Question Answer
MCP extension fulcrumover dorsal MCP joint
MCP extension positionshort sit with forearm neutral resting on table
cervical flexion positionsitting, tilt chin toward chest
cervical flexion/ extension fulcrumexternal auditory meatus
cervical extension positionsitting, lift chin toward ceiling
cervical lateral flexion fulcrumspinous process of C7
cervical lateral flexion positionsit, tilt head to one shoulder
what joints have 45 degree ROMMCP extension, cervical flexion, extension and lateral flexion
memorize

50 degrees

Question Answer
thumb MCP flexion fulcrumpalmar aspect of MCP
thumb MCP flexion positionshort sit with forearm supinated, wrist neutral
what joint has 50 degree ROMthumb MCP flexion
memorize

60 degrees

Question Answer
shoulder extension fulcrumlateral aspect of greater tubercle
shoulder extension ROM positionprone with arm along body, extend arm with slightly flexed elbow
cervical rotation fulcrumcenter of superior cranium (top of head)
cervical rotation positionsit, turn to look over shoulder
what joint movements have 60 degree ROMshoulder extension and cervical rotation
memorize

70 degrees

Question Answer
shoulder medial rotation fulcrumcentered on olecranon
shoulder medial rotation positionsupine with shoulder abducted to 90, elbow flexed 90, move palm toward floor
wrist extension fulcrumover triquetrum on lateral wrist
wrist extension positionshort sit, arm forearm pronated, wrist over table edge, then extend
thumb CMC abduction fulcrumlateral aspect of syloid process of radius
thumb CMC abduction positionshort sit with arm in neutral resting on table
what joint movements have 70 degree ROMshoulder medial rotation, wrist extension, thumb CMC abduction
memorize

80 degrees

Question Answer
forearm supination fulcrummedially to ulnar styloid process
forearm supination positionshort sit, elbow at 90, forearm neutral, then supinate
forearm pronation fulcrumlateral to ulnar styloid process
forearm pronation positionshort sit, elbow at 90, forearm neutral, then pronate
wrist flexion fulcrumover triquetrum on lateral wrist
wrist flexion positionshort sit, forearm pronated, wrist over table edge, then flex wrist
thumb IP flexion fulcrumover dorsal aspect of IP joint
thumb IP flexion positionshort sit, forearm supinated, wrist neutral
what joint movements have 80 degree ROMforearm supination and pronation; wrist flexion, thumb IP flexion
memorize

90 degrees

Question Answer
shoulder lateral rotation fulcrumcentered on olecranon
shoulder lateral rotation positionsupine with shoulder abducted to 90, elbow flexed 90, move dorsal side of hand toward floor
shoulder horizontal abduction positionshort sit, arm and elbow abduct to 90, palm toward floor, move elbow back
MCP flexion fulcrumover dorsal MCP joint
MCP flexion positionshort set, forearm in neutral resting on table
DIP flexion fulcrumdorsal DIP joint
DIP flexion positionshort sit with neutral forearm on table
what joint movements have 90 degree ROMshoulder lateral rotation, horizontal abduction; MCP flexion; DIP flexion
memorize

100 degrees

Question Answer
PIP finger flexion fulcrumdorsal aspect of PIP joint
PIP finger flexion positionshort sit with forearm neutral and resting on table
what joint movement has 100 degree ROMPIP finger flexion
memorize

135 degrees

Question Answer
shoulder horizontal abduction fulcrumsuperior process of acromion process
shoulder horizontal adduction position short sit, arm and elbow abduct to 90, palm toward floor, move arm across body to touch other shoulder
memorize

150 degrees

Question Answer
elbow flexion and extension positionsupine with supinated arm at side of body, pad under elbow
elbow flexion and extension fulcrumlateral epicondyle of humerus
what joint movement has 150 degree ROMelbow flexion
memorize

180 degrees

Question Answer
shoulder flexion fulcrumlateral aspect of greater tubercle
shoulder flexion ROM positionsupine with arm along body, lift to overhead to end range
shoulder abduction fulcrumlateral to acromion process
shoulder abduction positionsupine with arm along body, palm upward, move arm laterally away from body
what joint movements have 180 degree ROMshoulder flexion and abduction
memorize