Normal ROM values
MMT grades
Goniometry
Manual muscle tests
Therapeutic exercise
100

What is the normal ROM of shoulder ER?

90 degrees

100

This muscle grade is given for full ROM against gravity without resistance?

3

100
This is where the axis goes when measuring shoulder IR/ER
Olecranon process
100

This is the position you place your patient in to test the triceps against gravity

Patient supine, shoulder IR and flexed to 90°, elbow flexed, forearm supinated

100

Name an exercise to work your anterior deltoid concentrically

shoulder flexion

200

What is normal ROM for wrist extension?

70 degrees

200

This grade is given for full available ROM against gravity and against moderate-maximum resistance

4+

200

This is where the stationary arm is lined up for wrist radial and ulnar deviation

Midline of the forearm

200

This is the position you place your patient in to test latissimus dorsi and teres major for gravity eliminated

Patient in sidelying on non-test side arm by side and shoulder in IR (therapist supports the weight of the arm)

200

Name an exercise to strengthen your extensor carpi radialis longus and brevis

wrist ext.  

300

What is normal ROM for radial deviation?  

20 degrees

300

This grade is given for full ROM in a gravity eliminated position

2

300

This is where the moveable arm is lines up when measuring elbow extension

Parallel to the longitudinal axis of the radius

300

This is the position you place your patient in to measure their middle trap against gravity

Patient prone, shoulder ABD to 90°, ER so thumb pointing towards ceiling.  Elbow extended

300

Name an exercise to strengthen your lower trap

I's, scap depression and retraction

400

What is normal ROM of forearm supination?  

80-90 degrees

400

This grade is given for when the subject doesn’t complete full ROM against gravity but completes more than half the range. 

3-

400

This is the axis point when measuring forearm pronation/supination

head of the 3rd metacarpal

400

This is the position you place your patient in to test the brachialis and brachioradialis muscles against gravity

Supine or sitting, arm at the side, elbow extended, and forearm pronated

400

Name an exercise to work your serratus anterior

Scap protraction

500

What is normal ROM of shoulder extension?

60 degrees

500

This grade is given for a patient who moves less than ½ the available ROM against gravity

2+

500

This is where you place the axis when measuring wrist flexion/extension

Ulnar styloid process

500

This is the position you place your patient in to test the flexor carpi radialis against gravity

Patient sitting or supine, forearm supinated and supported on table.  Wrist ext, UD, fingers relaxed

500

Name a closed chain exercise to work your triceps

Tricep push ups

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