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    N1J02 Week #2 Musculoskeletal Handout ROM For Students

    Uploaded by

    Natalie Urquhart
    This document outlines the normal ranges of motion for major joints in the body, including: 1) Cervical spine - Flexion 45°, hyperextension 55°, lateral bending 40°, rotation 70° 2) Spine - Flexion 75-90°, lateral bending 35°, hyperextension 30°, rotation 30° 3) Shoulders - Forward flexion 180°, hyperextension 50°, internal/external rotation 90°, abduction 180° It provides the expected degrees of movement for joints like the elbows, wrists, hips, knees, and ankles. Muscle testing techniques are also described to evaluate strength.

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    © All Rights Reserved
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    N1J02 Week #2 Musculoskeletal Handout ROM For Students

    Uploaded by

    Natalie Urquhart
    101 views4 pages
    This document outlines the normal ranges of motion for major joints in the body, including: 1) Cervical spine - Flexion 45°, hyperextension 55°, lateral bending 40°, rotation 70° 2) Spine - Flexion 75-90°, lateral bending 35°, hyperextension 30°, rotation 30° 3) Shoulders - Forward flexion 180°, hyperextension 50°, internal/external rotation 90°, abduction 180° It provides the expected degrees of movement for joints like the elbows, wrists, hips, knees, and ankles. Muscle testing techniques are also described to evaluate strength.

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    N1J02 Week #2 Musculoskeletal Handout ROM for students

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    This document outlines the normal ranges of motion for major joints in the body, including: 1) Cervical spine - Flexion 45°, hyperextension 55°, lateral bending 40°, rotation 70° 2) Spine - Flexion 75-90°, lateral bending 35°, hyperextension 30°, rotation 30° 3) Shoulders - Forward flexion 180°, hyperextension 50°, internal/external rotation 90°, abduction 180° It provides the expected degrees of movement for joints like the elbows, wrists, hips, knees, and ankles. Muscle testing techniques are also described to evaluate strength.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    101 views4 pages

    N1J02 Week #2 Musculoskeletal Handout ROM For Students

    Uploaded by

    Natalie Urquhart
    This document outlines the normal ranges of motion for major joints in the body, including: 1) Cervical spine - Flexion 45°, hyperextension 55°, lateral bending 40°, rotation 70° 2) Spine - Flexion 75-90°, lateral bending 35°, hyperextension 30°, rotation 30° 3) Shoulders - Forward flexion 180°, hyperextension 50°, internal/external rotation 90°, abduction 180° It provides the expected degrees of movement for joints like the elbows, wrists, hips, knees, and ankles. Muscle testing techniques are also described to evaluate strength.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    MS System: Motion and Expected Range

    Jarvis, C. (2019). Physical examination & health assessment (3rd Canadian ed.). A.J. Browne, J.
    MacDonald-Jenkins, & M. Luctkar-Flude, (Eds.). Toronto, ON: Elsevier Canada.

    1. Cervical spine

     Flexion – 45 degrees.
     Hyperextension- 55 degrees.
     Lateral bending - 40 degrees
     Rotation - 70 degrees
     Muscle testing: Ask the client to repeat
    these actions while applying opposing
    force. This also tests cranial nerve XI
    (spinal).

    2. Spine (standing)

     Flexion (touch toes) – 75-90 degrees


    and smoothness and symmetry

     Lateral bending - 35 degrees

     Hyperextension - 30 degrees.

     Rotation - 30 degrees, bilaterally

    3. Shoulders

     Forward flexion (arms up) - 180 deg


     Hyperextension - up to 50 degrees
     Internal and external rotation - 90 degrees
     Abduction - 180 degrees. Adduction - 50 degrees
     Muscle testing - ask the client to shrug the shoulders, flex them forward and up, and abduct them
    against your resistance.

    4. Elbows

     Flexion - 150 to 160 degrees; extension 0 deg.


    Some healthy people may be missing 5 to 10
    degrees of full extension. Hyperextension of 5 to
    10 degrees may occur as well.

     Pronation and supination - 90 degrees– touch


    palmar and dorsal aspects of hands to the table

     Muscle testing: Have the client flex the elbow


    against your resistance applied just proximal to the
    wrist. Ask the client to extend the elbow against your resistance.

    5. Wrists and hands

     Hyperextension (wrist) - 70 degrees.

     Palmar flexion (wrist) - 90 degrees.

     Flexion at knuckles (metacarpophalangeal or MCP joints) of 90 degrees.


    Hyperextension - 30 degrees.

     Ulnar deviation of 50-60 degrees, and radial deviation of 20 degrees


    (“waving”)
     Abduction of fingers - 20 degrees (spread fingers); fist tight.

     Touch the thumb to each finger and to the base of the little finger (opposition)

     Muscle testing: Position the person's forearm supinated (palm up) and resting on a table.
    Stabilize by holding your hand at the person's mid-forearm. Ask client to flex the wrist against
    your resistance at the palm.

    6. Hips (lie on back)

     Hip flexion - 90 degrees

     Hip flexion - 120 degrees with leg


    bent. The opposite thigh should
    remain on the table

     Internal rotation - 40 degrees.


    External rotation - 45 degrees
    (bent knee, foot on table)

     Abduction - 40 to 45 degrees.
    Adduction - 20 to 30 degrees.

     Muscle testing – repeat flexion and


    extension with each test

    7. Knee (standing)

     Flexion - 130 to 150 degrees.

     Extension: 0 degrees (straight line); up to 15


    hyperextension normal in some

     (Seated)

     Muscle strength – ask the client to keep knee


    flexion while you oppose strength by trying to pull
    the leg forward.

     Muscle extension - demonstrated by client


    successfully standing from sitting in a low chair, or rising from a squat without using the
    hands for support.

    8. Ankles and feet


     Plantar flexion - 45 degrees (point). Dorsiflexion - 20 degrees (flex)

     Eversion - 20 degrees (roll ankle – bottom of foot facing out). Inversion - 30 degrees (roll ankle
    – bottom of foot facing in)

     Muscle testing – Ask client to maintain dorsiflexion and plantar flexion against your resistance.

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