Joint ROM

Created by risarobertson 

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Shoulder flexion

0-170*
Goni: Axis at humeral head, parallel to trunk
**As the arm moves up, the goni's axis will be on the posterior surface of the shoulder

Shoulder extension

0-60*
Goni: Axis at humeral head, parallel to trunk

Shoulder abduction

0-170*
Goni: Acromion process posteriorly, parallel to trunk

Shoulder internal rotation

0-60*
Shoulder abducted
Goni: Axis is olecranon process of elbow; parallel to forearm

Shoulder external rotation

0-80*
Shoulder abducted
Goni: Axis is olecranon process; parallel to forearm

Horizontal abduction

0-40*
Shoulder abducted 90*, elbow extended
Goni: open w axis over acromion

Horizontal adduction

0-130*
Shoulder abducted 90*, elbow extended
Goni: open w axis over acromion

Elbow extension to flexion

0-135/150*
Humerus adducted an externally rotated
Goni: Axis is lateral epicondyle,
parallel to midline of humerus
movable bar is parallel to radius

Forearm supination

0-80/90*
Use pencil method
Humerus adducted, elbow at 90*, forearm in midposition
Goni: Axis is head of third metacarpal, stationary bar is perpendicular to the floor

Forearm pronation

0-80/90*
Use pencil method
Humerus adducted, elbow at 90*, forearm in midposition
Goni: Axis is head of third metacarpal, stationary bar is perpendicular to the floor

Wrist flexion

0-80*
Forearm in neutral (on ulnar border) resting on table
Goni: axis is lateral (radial) aspect of wrist, distal to radial styloid process in the anatomical snuffbox. Stationary bar is parallel to metacarpal of index finger

Wrist extension

0-90*
Forearm in neutral (on ulnar border) resting on table
Goni: axis is lateral (radial) aspect of wrist, distal to radial styloid process in the anatomical snuffbox. Stationary bar is parallel to metacarpal of index finger

Ulnar deviation

0-30*
Seated with forearm pronated and resting on table
Goni: Axis is dorsum of wrist at base of third metacarpal, over capitate

Radial deviation

0-20*
Seated with forearm pronated and resting on table
Goni: Axis is dorsum of wrist at base of third metacarpal, over capitate

Metacarpophalangeal (MP) flexion of fingers

0-90*
Seated with elbow flexed, forearm and wrist neutral
Goni: Axis is centered on dorsal aspect of MP, Stationary bar is on top of metacarpal, moveable bar is on top of proximal phalanx

Metacarpophalangeal (MP) hyperextension

0-45*
Seated with elbow flexed, forearm and wrist neutral
Goni: Axis is over lateral aspect of MP joint of index finger. Stationary bar is parallel to metacarpal and movable bar is parallel to proximal phalanx

Metacarpophalangeal abduction

0-25*
Forearm is pronated, wrist at 0-degree neutral deviation, fingers straight, hand resting on a firm surface
Goni: Axis is over MP joint being measured. stationary bar is over corresponding metacarpal. Movable bar is over the proximal phalanx

Proximal interphalangeal flexion

0-110*
Wrist and forearm neutral. At table
Goni: Axis is dorsal surface of proximal interphalangeal (PIP) joint being measured. Stationary bar over proximal phalanx, Movable bar over middle phalanx

Distal interphalangeal flexion

0-80*
Wrist and forearm neutral. At table
Goni: Axis is dorsal surface of distal interphalangeal (PIP) joint being measured. Stationary bar over proximal phalanx, Movable bar over middle phalanx

Metacarpophalangeal (MCP) flexion of thumb

0-50*
Forearm 45* supination, MP and interphalangeal joints extended
Goni: Axis is dorsal surface of MP joint. Stationary bar is over thumb metacarpal and movable bar over proximal phalanx

Thumb interphalangeal flexion

0-90*
Forearm 45* supination, MP and interphalangeal joints extended
Goni: Axis is dorsal surface of IP joint. Stationary bar over proximal phalanx, movable bar is over distal phalanx

Thumb radial abduction

0-50*
Palm face down on table
Goni: Axis over CMC joint at base of thumb. Stationary bar is parallel to radiu and movable bar is parallel to thumb metacarpal

Thumb Palmar Abduction

0-50*
Forearm, wrist neutral, resting on ulnar border
Goni: Axis is at junction of thumb and index finger metacarpals. Stationary bar over radius, Movable bar parallel to thumb and index finger metacarpals

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