Chapter 7 Range of Motion Assessments Flashcards

Glenohumeral joint
Terms Definitions
Ankle
What is joint motion being assessed
dorsiflexion of the talocrural joint
What is passive range of motion?
the amount of motion obtained by examiner without any assistance
What is active range of motion?
motion obtained through voluntary contraction from the client
When using the dorsifexion assessment, what are the primary compensations to look for (on the table)
1. eversion of the ankle
2. and or flexing of the knee
When using the dorsifexion assessment what are common errors?
maintain subtalor neutral position
Ankle
During the dorsiflexion assessment, what are usual foot compensations noted? (overhead squat)
1. feet turning outward
2. flattening
3. heels rising
4. excessive learn forward
(during overhead squat)
Ankle
What degree of dorsiflexion is required for running?
20 degrees
Ankle
What degree of dorsiflexion is required for walking?
15 degrees
Ankle
Which muscles are being assessed in the ankle assessment?
1. plantaris
2. flexor hallucis longus & flexor digatorum longus
3. soleus and gastroc
4. peroneals longus & brevis
5. posterior tib
Ankle
What antagonists that potentially underactive
1. anterior tib
2. Extensor hallucis Longus, Extensor digitorum longus & brevis
3. peroneus tertius
Ankle
What is the normal doriflexion value of the ankle?
20 degrees
Knee
What is the joint motion be assessed for the knee
1. Extension of the tibiofemoral joint
2. flexion of iliofemoral joint
Knee
What are the muscles being assessed?
1. Gastroc
2. Hamstrings
3. neural tissue (sciatic nerve)
Knee
What antagonist muscles may be underactive?
1. quad complex
2. Hip flexor complex
Knee
What is the primary compensations on the table to look for?
1. posterior tilting of the pelvis
or
2. hip extension
Knee
What are the common joint compensations?
(overhead squat)
1. feet turned out
2. feet flattening
3. knees moving inward or outward
4. low back rounding
(squat assessment)
Hip Flexion
What is the joint motion being assessed?
Flexion of iliofemoral joint
Hip Flexion
Which muscles are being assessed?
1. Glutes Max
2. Adductor Magnus
3. Upper portion of hamstrings
Hip Flexion
If the client reports a pinching sensation in the front of the hip, which muscles may be overactive?
1. psoas
and/or
2. rectus femoris
Hip Flexion
What are the potentially underactive antagonists?
1. hip flexor complex
2. hip extensor complex (glute max)
Hip Flexion
What is normal value
120 degrees
Hip Flexion
What is the primary compensation to look for on the table?
1. posterior tilting of the pelvis
2. lifting of the contralateral leg off the table
or
3. abduction of the femur
Hip Flexion
What are the measurement restrictions
(overhead squat)
rounding of low back
Hip Flexion
Sitting in an average chair requires what degree of flexion?
112 degrees
Hip External Rotation
What is the joint motion being assessed?
1. External rotation of iliofemoral joint
Hip External Rotation
What are typical HMS impairments?
(overhead squat)
1. knees move inward or outward
2. asymmetrical weight shift
Hip External Rotation
What are the muscles and ligaments being assessed?
1. TFL
2. Adductor Magnus (longitudinal)
3. Gluteus min and medius (anterior)
4. iliofemoral ligament, pubofemoral ligament
Hip External Rotation
What are the muscles and ligaments being assessed?
I Play Tag
Which muscles make up the hip flexor "complex"
1. psois
2. TFL
3. Rectus Femoris
Hip External Rotation
What are the potentially underactive antagonists?
1. Gluteus medius & maximus
2. R
3. Adductor magnus
4. Piriformis
5. External hip rotators
Hip External Rotation
What are the potentially underactive antagonists?
I play tag with a grape
Hip External Rotation
What is the normal value?
45 degrees
Hip Abduction
What is the joint motion being assessed?
Abduction of iliofemoral joint
Hip Abduction
Which muscles and ligaments are being assessed?
1. Medial Hamstring Complex
2. Medial Hip Capsule
3. Adductor Complex
4. pubofemoral ligament
5. iliofemoral ligament
Hip Abduction
What antagonist muscles are potentially underactive if ROM is limited?
1. Gluteus medius and minimus
2. TFL
3. sartorius
4. biceps femoris
Hip Abduction
What is the normal value?
40 degrees
Hip Abduction
What are primary compensations to note while the client is on the table?
1. motion in the opposite ASIS
2. hip hike on the side of measurement
Hip Abduction
What is HMS impairment?
(squat assessment)
1. knees moving inward
or
2. asymmetric weight shift
(during squat)
Hip Internal Rotation
What is the joint motion being assessed?
Internal rotation of iliofemoral joint
Hip Internal Rotation
What are the muscles and ligaments being assessed?
1. piriformis
2. external hip flexor
3. Glutes Max
4. Glutes Medius (posterior)
5. ischiofemorial ligament
6. Adductor Magnus-oblique
Hip Internal Rotation
What are the muscles and ligaments being assessed?
peggi a on the table
Hip Internal Rotation
What are the antagonists that are potentially underactive if ROM is limited?
1. Median Hamstrings
2. Adductor Longus and brevis
3. glutes (all)
4. pectinius, gracilis, TFL
Hip Internal Rotation
What are the antagonists that are potentially underactive if ROM is limited?
Mag Pie
Hip Internal Rotation
What is the normal value?
45 degrees
Hip Internal Rotation
What is the primary compensation to look for while the client is on the table?
1. Hip hike on the side of the measurement
Hip Internal Rotation
What is the HMS restriction?
1. knees moving inward or outward
or
2. asymmetric weight shift
(during squat assessment)
Hip Extension
What is the joint motion being assessed?
Extension of ilofemoral joint
Hip Extension
What are the muscles and tissues being assessed?
1. Psoas
3. liacus
3. rectus femoris
4. adductor complex
5. anterior hip capsule
6. TFL
7. Sartorius
Hip Extension
What are the muscles and tissues being assessed?
piraates
Hip Extension
What are the potentially underactive antagonists if ROM is limited?
1. Gluteus maximus and medius
2. Hamstring complex
3. Adductor magnus
Hip Extension
What is the normal value?
0-10 degrees
Hip Extension
What is the primary compensation to look for on the table?
1. anterior tilting of the pelvis

. (low back arching off the table)
Hip Extension
If the pelvis rotates anteriorly (low back begins to arch) the thigh stays in neutral position, and the knee remains flexed what muscle is the restriction?
psoas
Hip Extension
If the pelvis rotates anteriorly and the thigh remains neutral and the knee extends, what is the restrictive muscle?
rectus femoris
Hip Extension
If the pelvis rotates anteriorly, the thigh abducts and internally rotates, and the knee extends what is the restrictive muscle?
TFL
Hip Extension
If the pelvis rotates anteriorly, the thigh abducts and externally rotates, and the knee remains flexed, what is the restrictive muscle?
sartorius
Hip Extension
If the pelvis rotates anteriorly, the thigh adducts and the knee remains flexed, what is the restrictive muscle?
adductor complex
Hip Extension
What is measurement restriction?
(squat assessment)
1. arching of the back
or
2. excessive forward lean
Shoulder Flexion
What are joints being assessed?
Flexion of the shoulder complex
Shoulder Flexion
What are the muscles being assessed?
1. subscapularis
2. pectoralis major (lower)
3. lats
4. Infraspinitus
5 teres major & minor
6. triceps (long head)
Shoulder Flexion
What are the muscles being assessed?
splitt
Shoulder Flexion
What are the potentially underactive muscles is ROM is limited?
1. anterior deltiod, pectoralis major, middle deltiod
2. Lower and middle trapezius, rhombiods
Shoulder Flexion
What is the normal value?
160 degrees
Shoulder Flexion
Under what conditions may measurement by restricted?
(squat)
arching of the back or arms falling forward
Glenohumeral Joint internal Rotation
What is the joint motion being assessed?
Internal rotation of the glenohumeral joint
Glenohumeral Joint Internal Rotation
What muscles are being assessed?
1. Teres minor
2 infraspinatus
3. posterior glenohumeral joint capsule
Glenohumeral Joint Internal Rotation
What muscles are being assessed?
TIP
Glenohumeral Joint Internal Rotation
What are potentially underactive muscles if ROM is limited?
1. Subscapularis,
2. Pectoralis Major
3. Lattisimus dorsi
4. Anterior deltoid
5. Teres Major
Glenohumeral Joint Internal Rotation
What are potentially underactive muscles if ROM is limited?
Splat
Glenohumeral Joint Internal Rotation
What is the normal value?
45 degrees
Glenohumeral Joint Internal Rotation
What is the primary compensation to look for on the table?
Upward migration of the humeral head into the hand over the anterior shoulder
Glenohumeral Joint Internal Rotation
What is the movement restriction from the squat assessment?
1. arms falling forward
or
2. restrictions in the rotation wall test
Glenohumeral Joint External Rotation
What is the joint motion being assessed?
External rotation of glenohumeral joint
Glenohumeral Joint External Rotation
What are the muscles and tissues being assessed?
1. Subscapularis,,
2. pectoralis major
3. lattissimus dorsi
4 anterior deltoid
5. anterior glenohumeral joint capsule
6. teres major.
.
Glenohumeral Joint External Rotation
What are the muscles and tissues being assessed?
Splaat
Glenohumeral Joint External Rotation
What are potentially underactive muscles of ROM is limited
1. infraspinatus
2. teres major
Glenohumeral Joint External Rotation
What is the normal value?
90 degrees
Glenohumeral Joint External Rotation
What is the primary compensation to look for on the table?
Upward migration of the humeral head into the hand over the anterior shoulder.
Glenohumeral Joint External Rotation
What is primary movement restriction?
(squat)
1. arms falling forward
2. restriction in the shoulder in the rotation wall test
/ 79
Term:
Definition:
Definition:

Leave a Comment ({[ getComments().length ]})

Comments ({[ getComments().length ]})

{[comment.username]}

{[ comment.comment ]}

View All {[ getComments().length ]} Comments
Ask a homework question - tutors are online