ROM
What is the normal ROM for Wrist flexion? Wrist extension?
60-80 degrees
60-70 degrees
MCP flexion: 90 degrees
MCP extension: 20-45 degrees
PIP flexion: 100 degrees
PIP extension: 0 degrees
DIP flexion: 90 degrees
DIP extension: 0 degrees
What muscle has the potential to limit shoulder flexion ROM if unable to fully lengthen?
Latissimus Dorsi (shoulder extensor)
What motion is the has the most restriction in a capsular pattern? Which has the least?
Most: external rotation--> Abduction --> Internal rotation --> Flexion
Which of the following would help to ease bed mobility for a patient?
Cues to use bed rails
What is the normal ROM for radial deviation? Ulnar deviation?
Radial deviation: 20 degrees
Ulnar deviation: 30 degrees
What is the normal ROM for MCP Abduction?
45 degrees
How much shoulder external rotation and shoulder abduction ROM is required for grooming hair?
ER: 40-60 degrees
Abduction: 110-125 degrees
What are some contraindications and precautions of ROM?
Contraindications/Precautions: healing fracture or surgical site, severe and acute soft tissue trauma, cardiopulmonary dysfunction, Acute RA, joint pain/swelling
Your patient has a non-weight bearing left lower extremity. What technique is best for the patient to scoot up in bed?
Ask patient to bend right LE to bridge and assist with arms
CMC flexion: 15 degrees
CMC extension: 20-80 degrees
Which elbow ROM has a HARD end feel?
Elbow extension
How much shoulder flexion is needed to drink water?
35-80 degrees
If a person has restriction in AROM but can get full range in PROM, what is most likely causing the limitation?
Contractile tissue is the limiting factor
Which option is the most appropriate with assisting the patient to roll to the left?
Bend knees, push through the heels and reach across with right arm
What is the normal for Thumb MCP flexion and extension?
MCP flexion: 50-60 degrees
MCP extension: 40 degrees
Which wrist ROM end feel is HARD?
Radial deviation
How much shoulder extension and IR is needed to tuck back of shirt in?
Shoulder extension: 50 degrees
IR: >60 degrees
What is a possible indication that a patient may not be able to perform manual muscle testing against gravity?
Patient performs less than half of the range of motion during AROM
Which bed mobility will be the most difficult for the patient with hemiparesis after a cerebrovascular accident?
Rolling to the stronger side
What is the normal ROM for thumb CMC Abduction/Adduction?
CMC ABduction: 70 degrees
CMC Adduction: 0 degrees
What is the axis of rotation for the goniometer in shoulder flexion?
Greater tubercle
How much shoulder flexion does someone need to grab something from a shelf?
120 degrees
If both AROM and PROM are not within normal limits but strength is good what is most likely the cause of the deficit?
Mobility deficits due to pain/stiffness, decreased ROM/movement
Which of the following describes proper body mechanics when performing bed mobility?
Shift weight from front to back leg when assisting patient