Shoulder Flexion ROM
Testing position: pt supine w/ knees flexed, shoulder 0 ABD, ADD, rotation
Normal End-Feel: firm
Goniometer Alignment:
Fulcrum - lateral greater tubercle
Proximal arm - midaxillary line of thorax
Distal arm - lateral midline humerus (lateral epicondyle)
Normal ROM: 0-180
Shoulder Extension ROM
Testing position: prone, face turned away from testing side, shoulder 0 ABD, ADD, rotation, elbow slight flexion, forearm neutral
Normal End-Feel: firm
Goniometer Alignment:
Fulcrum - lateral greater tubercle
Proximal arm - midaxillary line of thorax
Distal arm - lateral midline humerus (lateral epicondyle)
Normal ROM: 0-60
Shoulder Abduction ROM
Testing position: pt supine, shoulder in lateral rotation w/ o flex/ext (palm faces up)
Normal End-Feel: firm
Goniometer Alignment:
Fulcrum - ant aspect acromion
Proximal arm - parallel to midline of ant sternum
Distal arm - ant midline humerus (medial epicondyle)
Normal ROM: 0-180
Shoulder Adduction ROM
Return to 0 from full ABD
Normal ROM: 0-45
Medial Rotation ROM
Testing position: pt supine, arm in 90 shoulder ABD, elbow 90 flex, place towel under arm (allow elbow & forearm to hang off table)
Normal End-Feel: firm
Goniometer Alignment:
Fulcrum - olecranon process
Proximal arm - perpendicular or parallel to floor
Distal arm - align w/ ulna (ulnar styloid)
Normal ROM: 0-70
Lateral Rotation ROM
Testing position: pt supine, should 90 ABD, elbow 90 flex
Normal End-Feel: firm
Goniometer Alignment:
Fulcrum - olecranon
Proximal arm - parallel or perpendicular to floor
Distal arm - ulna (olecranon & ulnar styloid)
Normal ROM: 0-90
Elbow Flexion ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-150Elbow Extension ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-10(15) - children; 150-0 - adultForearm Pronation ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-80Forearm Supination ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-80Wrist Flexion ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-80Radial & Ulnar Deviation ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: radial - 0-20
ulnar - 0-30Finger MCP Flexion ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-90Finger MCP Extension ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-45Finger MCP Abduction ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-20Finger MCP Adduction ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 20-0Finger PIP Flexion ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-100Finger PIP Extension ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 100-0Finger DIP Flexion ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-90Finger DIP Extension ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 90-0Thumb CMC Flexion ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-15Thumb CMC Extension ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-20Thumb CMC Abduction ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 0-70Thumb CMC Adduction ROM
Testing position:
Stabilization:
Testing Motion:
Normal End-Feel:
Goniometer Alignment:
Fulcrum -
Proximal arm -
Distal arm -
Normal ROM: 70-0