ROM Lab

Question 1

Shoulder ADduction

Answer 1

• crossing your arm over your chest to the opposite side, think of the classic outer shoulder stretch we do after a workout
• 130-140°

Question 2

External shoulder rotation

Answer 2

• have the upper arms out straight elbows at 90°, like when the cops say “put your hands up!” and this is the likely pose everyone takes like “I’m unarmed!”
• 90°

Question 3

Elbow Pronation

Answer 3

• Elbow when your palms face down

* 90°

Question 4

Hip flexion (knee flexed)

Answer 4

• Laying on back. Lift up leg and flex knee at 90°

* 120-135°

Question 5

Wrist flexion

Answer 5

• when you bend the wrist downwards with knuckles visible on the outside (think of when the queen of england gives her hand out to be kissed, shes flexing her status)
• 80-90°

Question 6

What is Elastic barrier?

Answer 6

the range between the physiologic and
anatomic barrier of motion in which passive stretching occurs before tissue disruption; aka, the area that “warms up” with stretching

Question 7

Plane and axis of sidebending/ lateral flexion/ abduction/adduction

Answer 7

• Frontal/ Coronal Plane

* Sagittal axis (anterior/ posterior) (think of a rod sticking in through your stomach and out the back)

Question 8

Lumbar spine extension

Answer 8

• extend your back as far back as you can go while keeping your legs and knees straight and steady
• 20-45°

Question 9

Wrist Ulnar/ADduction deviation

Answer 9

• Its when you bend the the ulnar side of the wrist. When done with palms facing up you are bringing the fingers towards the midline of your torso (think ADDduction you add the body)
• 30-40°

Question 10

Wrist Radial/ABduction deviation

Answer 10

• When you bend the radial side of the wrist. When done with palms facing up you are bringing the fingers away from the midline of your torso
• 20-30°

Question 11

Plane and axis of rotation

Answer 11

• Transverse/horizontal (R/L)
• vertical (superior/inferior) axis (think of a rod just going through you from the top of your head out the bottom of your feet like a human skewer)

Question 12

Knee Flexion

Answer 12

• Flexing is bending of the knee

* 145-150°

Question 13

Hip ADduction

Answer 13

• Laying on stomach. Take leg and pull it towards the inside
• 20-30°

Question 14

Wrist extension

Answer 14

• When you bend the wrist upward (stop! hammer time…yeah thats what the hand looks)
• 70°

Question 15

Elbow Extension

Answer 15

• Straightening the elbow

* 0 to -5° (usually negative in females)

Question 16

Hip flexion (knee extended)

Answer 16

• Person must lay on their back. Make sure to block the opposite hip and pelvis from shifting up as you lift their leg up
• 90°

Question 17

What is a anatomical barrier?

Answer 17

Limit of motion imposed by anatomic structure. Limit of passive motion, like when the physician moves the limb for the patient

Question 18

Hip external rotation

Answer 18

• Laying on back. Take the foot and stabilize the knee and twist leg inwards
• 40-60°

Question 19

Lumbar spine flexion

Answer 19

•bending down and touch your toes and don’t bend your knees! (or if you’re my OS partner who can literally palm the floor)
*40-90°

Question 20

Internal shoulder rotation

Answer 20

• basically the opposite direction of external so now you have upper arms out straight but forearms going down and as far back as it that shoulder can handle
• 90°

Question 21

Plane and axis of flexion/extension

Answer 21

• Sagittal plane
• Transverse/horizontal (right left) axis (a rod skewering you in from the left and out the right, so you can still bow and bend your back)

Question 22

Ankle Dorsiflexion

Answer 22

• flexing the ankle and bringing the toes upward towards the shin
• 15-20°

Question 23

Elbow Flexion

Answer 23

• Think of flexing your biceps. Bending arm towards you.

* 140-150°

Question 24

End feel

Answer 24

The palpatory experience or perceived
quality of motion when a joint is moved to
its limit – a barrier is approached Normal
end feel

Question 25

Shoulder flexion

Answer 25

* raising the arm all the way up knuckles of fingers facing laterally out * 180°

Question 26

Restrictive Barrier

Answer 26

a functional limit that abnormally | diminishes the normal physiologic range

Question 27

Ankle Plantarflexion

Answer 27

* flexing the ankle bringing the toes downward (think of a ballerina on pointe) * 55-65°

Question 28

Ankle Eversion

Answer 28

* bending the ankle outward, trying to face the bottoms of your feet outward from the midline the body * 10-20°

Question 29

Shoulder horizontal ABduction

Answer 29

* That pretending to be an airplane look but with the arms pulled back further back * 40-55°

Question 30

C-spine Rotation

Answer 30

* rotating the neck to the right or left | * 70-90°

Question 31

Lumbar spine rotation

Answer 31

* sitting straight and twisting the back right and left | * 3-18° (from a birds eye view)

Question 32

What is a physiological barrier?

Answer 32

The limit of active motion. When the patient move tries to move the limb themselves

Question 33

Shoulder ABduction

Answer 33

* extend arms all the up with palms facing the heavens | * 180°

Question 34

Lumbar spine sidebending

Answer 34

* bending to the side...use those obliques! | * 15-30°

Question 35

Quality of ROM

Answer 35

* Smooth – normal * Ratcheting – ex. Parkinson’s disease * Restricted – contracture or somatic dysfunction * Exhibiting resistance to the motion induced-cerebral palsy

Question 36

Tenderness

Answer 36

Discomfort or pain elicited by an osteopath through palpation.

Question 37

AROM

Answer 37

Patient motivated and patient must give | maximum effort!

Question 38

Ankle Inversion

Answer 38

* bending the ankle inward, the bottoms of your feet should be facing more inward toward the midline of the body * 20°

Question 39

Knee Extension

Answer 39

* Extending is straightening it | * 0°

Question 40

C-spine Extension

Answer 40

* Basically looking up at the sky | * 45-90°

Question 41

Hip internal rotation

Answer 41

* Laying on back. Take the foot and stabilize the knee and twist the leg outwards (I know its weird that pulling foot out is internal hip rotation) * 30-40°

Question 42

Hip extension

Answer 42

* Laying on stomach. Lift leg up but block the ROM by putting your fist on the upper bony region of the buttocks * 15-30°

Question 43

Types of end feel

Answer 43

``` •Elastic – like a rubber band •Abrupt – osteoarthritis or hinge joint •Hard – somatic dysfunction •Empty – stops due to guarding (patient doesn’t allow the motion due to pain) •Crisp – involuntary muscle guarding as in pinched nerve ```

Question 44

PROM

Answer 44

Patient must relax fully and you must “block | the linkage” of associated structures

Question 45

C-spine Sidebending

Answer 45

* bending the neck to the right and left | * 20-45°

Question 46

C-spine Flexion

Answer 46

* Looking down at the ground | * 45-90°

Question 47

How do you “Block the Linkage"

Answer 47

stabilization of associated and adjacent | structures to focus movement to only the joint/s being assessed

Question 48

Shoulder extension

Answer 48

* bringing that arm back, I legit think of how all the ninja in Naruto run with that shoulder extended back * 60°

Question 49

Elbow Supination

Answer 49

* Elbow when your palms face up | * 90°

Question 50

Hip ABduction

Answer 50

* Laying on stomach. Take leg and pull it up while blocking the lower bony buttocks region (im sure someone can explain this better lol) * 45-50°