Range of Motion Assessment Name of Patient: Erin Bernat . 1. Patient will be seated with good posture facing directly forward. This will be neutral position, 0°. Patient will then slowly bend head forward, bringing chin to their chest as far as they can. Have patient go back to neutral position, 0°, and slowly look up to the ceiling as far as possible. Motion 1: Flexion Motion 2: Extension Degrees Motion 1: 65° Segment: Cervical Segment: Cervical Normal: Yes Plane: Sagittal Plane: Sagittal Degrees Motion 2: 80° Axis: Mediolateral Axis: Mediolateral Normal: Yes 2. Patient will sit in the same neutral position, 0°, and bend their head to the right side, bringing ear to shoulder. After those degrees of motion are measured, patient will perform same motion on the left side. Motion : Lateral Flexion Degrees Right: 45° Segment: Cervical Normal: Yes Plane: Frontal Degrees Left: 50° Axis: Anteroposterior Normal: Yes 3. Patient will sit in the same neutral position, 0°, and turn their head to the right as far as they can. After those degrees of motion are measured, patient will perform same motion on the left side. Motion: Rotation Degrees Right: 85° Segment: Cervical Normal: Yes Plane: Transverse Degrees Left: 85° Axis: Vertical Normal: Yes 4. Patient will now stand against a wall with feet, pelvis, scapula, and head against the wall. Have patient in the anatomical position, 0°, and raise the right arm straight out to the side (palm up) as high as possible. After assessing those degrees of motion, patient will perform same motion on the left side. Motion: Abduction Degrees Right: 175° Segment: Glenohumeral Normal: Yes Plane: Frontal Degrees Left: 175° Axis: Anteroposterior Normal: Yes 5. Patient will stand in the same neutral position, 0°, and raise right arm straight in front of them with their forearm mid-supinated as high as they possibly can. After those degrees of motion are measured, patient will perform same motion on the left side. Motion: Abduction Degrees Right: 175° Segment: Glenohumeral Normal: Yes Plane: Frontal Degrees Left: 175° Axis: Anteroposterior Normal: Yes 6. Patient will stand in the same neutral position, 0°, and now lift their arm out to the side, 90°, and then bend their elbow to 90°. With palms facing down, rotate the shoulder joint as far down as possible. Making sure back and shoulder are against the wall while assessing, have the patient return to the same neutral position and rotate arm as far back as possible. After those degrees of motion are measured, patient will perform same motions on left side. Motion 1: Internal Rotation Motion 2: External Rotation Segment: Glenohumeral Segment: Glenohumeral M1 Degrees Right: 85 M2 Degrees Right: 90 Normal: Yes Normal: Yes Plane: Sagittal Plane: Sagittal M1 Degrees Left: 85 M2 Degrees Left: 90 Axis: Mediolateral Axis: Mediolateral Normal: Yes Normal: Yes 7. Patient will lie flat on their back with both knees completely extended, neutral position (0°), place hands behind the right knee and flex hip to 90°. Attempt to straighten out the knee as far as possible, or until they feel a strong stretch in the hamstring. Left leg must remain flat on the ground and fully extended. Completely straightened knee will be recorded as 0°, anything less will be (-) degrees. After those degrees of motion are measured, patient will perform same motion on the left side. Motion: Extension Degrees Right: -15 Segment: Patella Normal: No Plane: Sagittal Degrees Left: -15 Axis: Mediolateral Normal: No 8. Patient will lie in same neutral position and keep legs extended the entire time as they try to see how far they can flex their hip. While keeping left leg fully extended on the ground, patient will attempt to raise their fully extended right leg off the ground as high as possible. After those degrees of motion are measured, patient will perform same motion on the left side. Motion: Flexion Degrees Right: 90° Segment: Hip Normal: Yes Plane: Sagittal Degrees Left: 90° Axis: Mediolateral Normal: Yes 9. Patient will now sit on a bench where their feet do not touch the floor, with both knees and hips at 90°. This position will serve as the neutral position, 0°. Have patient rotate their right hip outward, so their leg and foot move inward (medially). Determine the angle that the lower leg makes. Have patient move back to the neutral position and have them rotate their right hip inward, so their leg and foot move outward (laterally). Determine the angle that the lower leg makes. After those degrees of motion are measured, patient will perform same motions on the left side. Motion: Rotation M1 Degrees Right: 25° M2 Degrees Right: 45° Segment: Hip Normal: No Normal: Yes Plane: Frontal M1 Degrees Left: 35° M2 Degrees Left: 45° Axis: Anteroposterior Normal: Yes Normal: Yes 10. Patient will lie prone, on their stomach, with hips and knees fully extended. This will serve as the neutral position, 0°. Have patient flex their right knee as far as possible, bringing their foot to their gluteus maximus. After those degrees of motion are measured, patient will perform same motion on the left side. Motion: Flexion Degrees Right: 145 Segment: Knee Normal: Yes Plane: Sagittal Degrees Left: 145 Axis: Mediolateral Normal: Yes Erin is a very physically fit individual, she plays field hockey for Rowan University and has had few injuries in her past. For the most part, assessing her range of motion on her joints was a breeze; however there were two motions where there were abnormal ranges of motion. Erin was unable to extend her knee to 0° in assessment exercise 7, this could be due to tight hamstrings. Playing field hockey is a constant running sport, so no wonder she has a little bit of tightness in her legs. To increase her flexibility in her hamstrings, Erin should sit on the ground and perform the sit and reach, attempting to touch her toes. Gradually, this will increase her flexibility. Her other abnormal range of motion were in her hip area. The internal rotation of her right hip was slightly poor, this is more than likely due to the fact she suffered a stress fracture on her hip years ago. She could perform simple stretches to increase the flexibility of her hip with exercises such as body weight lunges. By assessing Erin’s range of motion on various different body parts, it will be that much easier to achieve reaching her fitness goals.