Range of Motion Assessment

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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.
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