ROM - UE Flashcards
glenohumeral flexion
0-180
GH: 100-120
pt position: supine - arm at side and palm facing trunk
axis: midpoint of lateral aspect of acromion
stationary arm: lateral midline of thorax
moving arm: lateral midline of humerus - using epicondyle
GH extension
0-60
GH: 20-25
pt position: prone - arm at side and palm facing trunk
axis: midpoint of lateral aspect of acromion process
stationary arm: lateral midline of throrax
moving arm: lateral midline of humerus - using epicondyle
GH abduction
0-180
GH: 90-125
pt position: supine - arms at side and palm face up
axis: anterior aspect of acromion process
stationary arm: parallel to sternum
moving arm: anterior midline of humerus - using medial epicondyle
GH adduction
return to 0
pt position: supine - arms at side and palm face up
axis: anterior aspect of acromion process
stationary arm: parallel to sternum
moving arm: anterior midline of humerus - using medial epicondyle
GH external rotation
0-90
GH: 80-90
pt position: supine
- shoulder abducted at 90
- elbow flexed at 90
- forearm pronated with towel under humerus
axis: olecranon process
stationary arm: perpendicular to floor
moving arm: ulnar border toward ulnar styloid process
GH internal rotation
0-70
pt position: supine
- shoulder abducted at 90
- elbow flexed at 90
- forearm pronated with towel under humerus
axis: olecranon process
stationary arm: perpendicular to floor
moving arm: ulnar border toward ulnar styloid process
elbow flexion
140-150
pt position: supine
- arm by side
- palm face up
- towel under distal humerus
axis: lateral epicondyle of humerus
stationary arm: lateral midline of humerus - toward acromion process
moving arm: lateral midline of radius - towards radial styloid process
elbow extension
0-15
pt position: supine
- arm by the side
- palm face up
- towel under distal humerus
axis: lateral epicondyle of humerus
stationary arm: lateral midline of humerus - toward acromion process
moving arm: lateral midline of radius - towards radial styloid process
forearm supination
80
pt position: seated or standing
- shoulder adducted
- elbow flexed at 90
- forearm neutral (thumb pointing up)
axis: in line with styloid process of ulna - on the inside
stationary arm: parallel with anterior midline of humerus
moving arm: palm surface of the wrist at level with ulnar styloid process
forearm pronation
75-80
pt position: seated or standing
- shoulder adducted
- elbow flexed at 90
- forearm neutral (thumb up)
axis: in line with - proximal to styloid process of ulna
stationary arm: parallel with anterior midline of humerus
moving arm: dorsum of forearm - proximal to ulnar styloid process
wrist flexion
60-80
pt position: seated
- shoulder abducted at 90
- elbow flexed at 90
- forearm pronated and supported on the table
- hand off table
- wrist in neutral position
axis: lateral aspect of the wrist
stationary arm: lateral midline of ulna - toward olecranon process
moving arm: lateral midline of 5th metacarpal
wrist extension
60-70
pt position: seated
- shoulder abducted at 90
- elbow flexed at 90
- forearm pronated and supported on the table
- hand off table
- wrist in neutral position
axis: lateral aspect of the wrist
stationary arm: lateral midline of ulna - toward olecranon process
moving arm: lateral midline of 5th metacarpal
ulnar deviation
30
pt position: seated
- shoulder abducted at 90
- elbow flexed 90
- forearm pronated
- full UE supported on the table, wrist and hand in neutral position
axis: capitate
stationary arm: dorsal midline of forearm toward lateral epicondyle of humerus
moving arm: dorsal midline of 3rd metacarpal
radial deviation
20
pt position: seated
- shoulder abducted at 90
- elbow flexed 90
- forearm pronated
- full UE supported on the table, wrist and hand in neutral position
axis: capitate
stationary arm: dorsal midline of forearm toward lateral epicondyle of humerus
moving arm: dorsal midline of 3rd metacarpal
