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    Upper Extremity Rom Norms

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    api-336924644
    This document provides norms and instructions for measuring range of motion of the upper extremities. It lists the movement being measured, the normal range in degrees, the bony landmarks used as fulcrums, how the stationary and movable arms should be positioned, and any special notes. Norms are provided for shoulder flexion, extension, abduction, external and internal rotation, elbow flexion, forearm supination and pronation, and wrist extension and flexion. Alternative positions are described for some motions.

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    Upper Extremity Rom Norms

    Uploaded by

    api-336924644
    396 views3 pages
    This document provides norms and instructions for measuring range of motion of the upper extremities. It lists the movement being measured, the normal range in degrees, the bony landmarks used as fulcrums, how the stationary and movable arms should be positioned, and any special notes. Norms are provided for shoulder flexion, extension, abduction, external and internal rotation, elbow flexion, forearm supination and pronation, and wrist extension and flexion. Alternative positions are described for some motions.

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    This document provides norms and instructions for measuring range of motion of the upper extremities. It lists the movement being measured, the normal range in degrees, the bony landmarks used as fulcrums, how the stationary and movable arms should be positioned, and any special notes. Norms are provided for shoulder flexion, extension, abduction, external and internal rotation, elbow flexion, forearm supination and pronation, and wrist extension and flexion. Alternative positions are described for some motions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    396 views3 pages

    Upper Extremity Rom Norms

    Uploaded by

    api-336924644
    This document provides norms and instructions for measuring range of motion of the upper extremities. It lists the movement being measured, the normal range in degrees, the bony landmarks used as fulcrums, how the stationary and movable arms should be positioned, and any special notes. Norms are provided for shoulder flexion, extension, abduction, external and internal rotation, elbow flexion, forearm supination and pronation, and wrist extension and flexion. Alternative positions are described for some motions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    At a glance
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    The document outlines standard range of motion measurements for the upper extremities including positions, locations, and normal ranges.

    Shoulder range of motion is usually measured with the therapist stabilizing the shoulder 1 inch below the acromion process and moving the arm in the direction being measured while keeping the trunk parallel.

    Some alternatives for measuring shoulder internal and external rotation involve positioning the arm at 90 degrees of abduction first before moving the forearm inward or outward rather than keeping the arm at the side.

    Upper Extremity ROM Norms/How to Measure

    Movement

    Norm

    Fulcrum

    Stationary Arm

    Movable Arm

    Special notes

    Shoulder flexion

    zero to 170
    (or 180)

    1 below
    acromion
    process

    Parallel to trunk

    Along
    humerus

    Shoulder extension

    Zero to 60

    1 below
    acromion
    process

    Parallel to trunk

    Along
    humerus

    Shoulder abduction

    Zero to 170
    (or 180)

    1 below
    acromion
    process on the
    back, posterior
    shoulder

    Parallel to trunk

    Along
    humerus

    Shoulder external
    rotation
    *alternative
    position

    Zero to 90

    On olecranon
    process

    Perpendicular to
    forearm

    Along forearm

    Shoulder external
    rotation
    *traditional position

    Zero to 80
    (or 60
    depending
    on source)
    just be sure

    On olecranon
    process

    Perpendicular to
    forearm

    Along forearm

    Ignore what the


    wrist and elbow do
    during this just
    focus on the
    humerus, goni
    moves more lateral
    Arm going
    backward behind
    the body, will not
    exceed 60 degrees
    or rotation of
    shoulder is taking
    place, optimal
    position is prone
    You want the
    person to be
    standing in
    anatomical
    position when you
    do this because the
    shoulder is already
    externally rotated
    so they dont have
    to flip and rotate it
    on the way up;
    gravity eliminated
    in prone
    Arm out to the side
    at 90 degrees
    abduction and
    moving forearm up
    and down like a
    flagger on the
    airplane landing
    strip *alternative
    position
    Arm at side and
    flexed at 90
    degrees
    (gunslinger), move
    hand away from

    to say where
    you got the
    norm value
    form
    Shoulder internal
    rotation
    *alternative
    position

    Zero to 70

    Olecranon
    process

    Perpendicular to
    forearm

    Along forearm

    Shoulder internal
    rotation *traditional
    position

    Zero to 60

    Olecranon
    process

    Perpendicular to
    forearm

    Along forearm

    Elbow flexion

    Zero to 135

    On the lateral
    epicondyle

    Along the
    humerus

    Along
    forearm/radius

    Forearm supination

    Zero to 80
    (or 90)

    Proximal to
    ulnar styloid
    (volar)

    Perpendicular to
    floor

    Resting on top
    of wrist

    Forearm supination
    *alternate position

    Zero to 80
    (or 90)

    Knuckle of
    middle finger

    Perpendicular to
    floor

    Parallel to
    pencil

    the body (toward


    the therapist) with
    the arm remaining
    in contact with the
    trunk
    Arm out to the side
    at 90 degrees
    abduction and
    moving forearm
    down like a
    scarecrow (toward
    the person in front
    of them)
    *alternative
    position
    Arm at side and
    flexed at 90
    degrees
    (gunslinger), move
    hand toward body
    (across stomach)
    with the arm
    remaining in
    contact with the
    trunk
    Being in
    anatomical
    position; begin
    with the goni
    starting open at
    180 degrees;
    measuring flexion
    and extension at
    the same time; can
    start at negative
    value if pt.
    hyperextends
    8 goni; forearm
    resting in
    midposition; inside
    of wrist; begin
    with goni open to
    180
    Pencil being held
    in neutral position

    (3rd MCP joint)

    Forearm pronation

    Zero to 80
    (or 90)

    Proximal to
    ulnar styloid
    (dorsal)

    Perpendicular to
    floor

    Resting on top
    of wrist

    Forearm pronation
    *alternate position

    Zero to 80
    (or 90)

    Knuckle of
    middle finger
    (3rd MCP joint)

    Perpendicular to
    floor

    Parallel to
    pencil

    Wrist extension

    Zero to 70

    Distal to radial
    stylus
    (anatomical
    snuff box)

    Parallel to
    radius

    Parallel to
    index finger
    metacarpal

    Wrist flexion

    Zero to 80

    Distal to radial
    stylus
    (anatomical
    snuff box)

    Parallel to
    radius

    Parallel to
    index finger
    metacarpal

    in your fist
    pointing to the
    ceiling; begin with
    goni open at 180
    and then trace
    pencil movement
    with moveable arm
    of goni
    8 goni; forearm
    resting in
    midposition;
    outside of wrist;
    begin with goni
    opened to 180
    Pencil being held
    in neutral position
    in your fist
    pointing to the
    ceiling; begin with
    goni open at 180
    and then trace
    pencil movement
    with moveable arm
    of goni
    This is done
    without any
    influence of
    gravity, sit in a seat
    and rest hand in
    neutral
    midposition (like
    a fence with your
    hand); begin with
    goni open to 180
    This is done
    without any
    influence of
    gravity, sit in a seat
    and rest hand in
    neutral
    midposition (like a
    fence with your
    hand); begin with
    goni open to 180

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