Capsular Patterns & Open/Close Pack Positions

Question 1

List open/close pack position:
Vertebrae

Answer 1

Open: neutral (slight flexion and extension)
Closed: maximum extension

Question 2

List open/close pack position: SC and AC joint

Answer 2

Open: arms be side
Closed: 90 deg of abd (AC), full shoulder elevation (SC)

Question 3

List open/close pack position: TMJ

Answer 3

Open: Mouth slightly open
Closed: Full retrusion

Question 4

List open/close pack position: Glenohumeral joint

Answer 4

Open: 40-55 deg of abd, 30 deg of horizontal add, slight external rotation
Closed: Full abduction and ER

Question 5

List open/close pack position: Hip joint

Answer 5

Open: 30 deg of flexion, 30 deg of abd, slight ER
Close: full extension, adduction, and internal rotation

Question 6

List open/close pack position: Midtarsal joint

Answer 6

Open: Neutral (midway) between available ROM
Closed: Full supination

Question 7

List open/close pack position: Interphalangeal joint

Answer 7

Open: slightly flexed
Closed: Full extended

Question 8

List open/close pack position: Talocrual joint

Answer 8

Open: 10 deg of plantar flexion
Closed: Full DF

Question 9

List open/close pack position: Proximal/Distal Radioulnar Joint

Answer 9

Open (Prox): 70 deg of flexion, 35 deg of supination
Open (Distal): 10 deg of supination
Closed (both): 5 deg of supination

Question 10

List open/close pack position: Knee joint

Answer 10

Open: 25 deg of flexion
Closed: (bony) 90 deg of flexion, abd, and ER; and ext and ER

Question 11

List open/close pack position: Midcarpal joint

Answer 11

Open: Neutral and slightly ulnar deviated
Closed: extension and ulnar deviation

Question 12

List open/close pack position: Carpometacarpal joint

Answer 12

Open: Midway between adduction/abduction, flexion/ext, 2-5 slightly flexed
Closed: Full thumb opposition and fully flexed

Question 13

List open/close pack position: Humeroulnar and humeroradial joint

Answer 13

Open (radial): full extension and supination
Closed (radial): 90 deg of flexion and 5 deg of supination
Open (ulnar): 70 deg of flexion and 10 deg of supination
Closed (ulnar): full extension and supination

Question 14

List open/close pack position: Subtalar

Answer 14

Open: Slightly between flexion and extension
Closed: Inversion

Question 15

List open/close pack position: Metatarsalphalangeal joint

Answer 15

Open: 10 deg of extension
Closed: full extension

Question 16

Capsular pattern: TMJ

Answer 16

limited mouth opening

Question 17

Capsular pattern: Hip

Answer 17

limited hip internal rotation and flexion, some limitations with hip abduction

Question 18

Capsular pattern: AC and SC joint

Answer 18

fully elevated above head

Question 19

Capsular pattern: GH

Answer 19

ER > abduction > IR

Question 20

Capsular pattern: Atlantoccipital

Answer 20

flexion > extension

Question 21

Capsular pattern: Atlantoaxial joint

Answer 21

Rotation

Question 22

Capsular pattern: C2-C7

Answer 22

limited rotation, lateral flexion, and extension

Question 23

Capsular pattern: T-spine

Answer 23

limited rotation and lateral flexion > extension > flexion

Question 24

Capsular pattern: L-spine

Answer 24

limited rotation and lateral flexion > extension > flexion

Question 25

Capsular pattern: Subtalar

Answer 25

Supination > Pronation

Question 26

Capsular pattern: Midtalar

Answer 26

Inverson > Eversion

Question 27

Capsular pattern: Talocrual joint

Answer 27

Plantar flexion > DF

Question 28

Capsular pattern: Knee

Answer 28

Flexion > Ext

Question 29

Capsular pattern: Distal/proximal radioulnar joint

Answer 29

Pronation = supination

Question 30

Capsular pattern: Humeroradial and Humeroulnar

Answer 30

flexion = extension

Question 31

Capsular pattern: Radiocarpal

Answer 31

flexion > extension

Question 32

Capsular pattern: Midcarpal

Answer 32

all directions equally

Question 33

Capsular pattern: Trapeziometacarpal

Answer 33

ABD and extension limited

Question 34

Capsular pattern: Carpometacarpal

Answer 34

all directions equally

Question 35

Capsular pattern: Interphalangel joint (UE)

Answer 35

Flexion > ER

Question 36

Capsular pattern: First metatarsophalangel and metatarsophalangeal

Answer 36

1st: Limited extension > flexion 2-5: flexion > extension

Question 37

Capsular pattern: Interphalangeal joint (LE)

Answer 37

Extension