[Therapeutic Exercise] 3. Range Of Motion

Front 1

Shoulder: Flexion and Extension

Grasp the patient’s arm under the elbow with your lower hand.
With the top hand, cross over nd grasp the wrist and palm of the patient’s hand.
Lift the arm through the available range and return.

Back 1

Shoulder: Flexion and Extension

Front 2

Shoulder

Flexion

Back 2

Shoulder

Flexion

Front 3

Shoulder

Hyperextension of the shoulder
with the patient at the edge of the bed

Back 3

Shoulder

Hyperextension of the shoulder
with the patient side-lying

Front 4

Shoulder

Abduction

Back 4

Abduction of the shoulder with the elbow flexed.

Front 5

Shoulder

Internal (Medial) and External (Lateral) Rotation

Back 5

The 90/90 position for initiating (A) internal and (B) external rotation of the shoulder

Front 6

Shoulder

Horizontal Abduction (Extension)

Back 6

Shoulder

Horizontal Adduction (Flexion)

Front 7

Scapula

ROM of the scapula with the patient prone

Back 7

Scapula

ROM of the scapula with the patient side-lying.

Front 8

Elbow: Flexion and Extension

Back 8

Elbow flexion and extension with the forearm supinated.

Front 9

Elongation of Two-Joint Long Head of the Triceps Brachii Muscle

Back 9

End ROM for the long head of the triceps brachii muscle.

Front 10

Forearm: Pronation and Supination

Back 10

Pronation of the forearm.

Front 11

Wrist:

Flexion (Palmar Flexion) and Extension (Dorsiflexion); Radial (Abduction) and Ulnar (Adduction) Deviation

Back 11

ROM at the wrist. Shown is wrist flexion; note that the fingers are free to move in response to passive tension in the extrinsic tendons.

Front 12

Hand

Cupping and Flattening the Arch of the Hand at the Carpometacarpal and Intermetacarpal Joints

Back 12

ROM to the arch of the hand.

Front 13

Joints of the Thumb and Fingers

Flexion and Extension and Abduction and Adduction

Back 13

ROM to the metacarpophalangeal joint of the thumb.

Front 14

Elongation of Extrinsic Muscles of the Wrist and Hand:

End of range for the extrinsic finger flexors

Back 14

Elongation of Extrinsic Muscles of the Wrist and Hand:

End of range for the extrinsic finger extensors.

Front 15

Hip and Knee Flexion initiating

Back 15

Combined hip and knee flexion.

Front 16

Hip

Extension (Hyperextension)

Back 16

Hip extension with the patient side-lying.

Front 17

Elongation of the Two-Joint Hamstring Muscle Group

Back 17

ROM to the hamstring muscle group.

Front 18

Hip

Abduction of the hip, maintaining the hip in extension and neutral to rotation.

Back 18

Hip Abduction and Adduction

Front 19

Hip

Rotation of the hip with the hip positioned in 90 of flexion.

Back 19

Hip Internal (Medial) and External (Lateral) Rotation

Front 20

Ankle

Dorsiflexion

Back 20

Dorsiflexion of the ankle.

Front 21

Subtalar (Lower Ankle) Joint:

Inversion

Back 21

Inversion of the subtalar joint.

Front 22

Joints of the Toes:

Flexion and Extension and Abduction and Adduction (Metatarsophalangeal and Interphalangeal Joints)

Back 22

Extension of the metatarsophalangeal joint of the large toe.

Front 23

Cervical Spine

Flexion (Forward Bending)

Back 23

Cervical Spine

Lateral Flexion (Side Bending) and Rotation

Front 24

Lumbar Spine

Lumbar flexion is achieved by bringing the patient’s hips into flexion until the pelvis rotates posteriorly.

Back 24

Lumbar Spine

Flexion

Front 25

Lumbar Spine

Rotation of the lumbar spine results when the thorax is stabilized and the pelvis lifts off the table as far as allowed.

Back 25

Lumbar Spine

Rotation

Front 26

Self-Assistance

Patient giving self-assisted ROM to shoulder flexion and extension.
Horizontal abduction and adduction can be applied with the same hand placement.

Back 26

Shoulder flexion and extension

Front 27

Self-Assistance

Arm position of patient for giving self-assisted ROM to internal and external rotation of shoulder

Back 27

Shoulder rotation

Front 28

Self-Assistance

Patient applying self-assisted wrist flexion and extension, with no pressure against the fingers.

Back 28

Wrist flexion and extension

Front 29

Self-Assistance

Patient applying self-assisted finger flexion and extension.

Back 29

Finger flexion and extension

Front 30

Self-Assistance

Patient applying self-assisted thumb extension.

Back 30

Thumb flexion with opposition and extension with
reposition

Front 31

Self-Assistance

Self-assisted flexion of the hip.

Back 31

Hip and knee flexion

Front 32

Self-Assistance

Self-assisted hip abduction and external rotation.

Back 32

Combined hip abduction with external rotation

Front 33

Self-Assistance

Position of patient and hand placement for self-assisted ankle and toe motions; shown is inversion and eversion

Back 33

Ankle into dorsiflexion, plantarflexion, inversion, and eversion, and toe flexion and extension

Front 34

Self-Assistance

Patient using a wand for self-assisted shoulder flexion

Back 34

Self-Assistance

Patient using a wand for self-assisted shoulder flexion

Front 35

Self-Assistance

Patient using a wand for self-assisted shoulder horizontal abduction/adduction

Back 35

Self-Assistance

Patient using a wand for self-assisted shoulder horizontal abduction/adduction

Front 36

Self-Assistance

Patient using a wand for self-assisted shoulder rotation

Back 36

Self-Assistance

Patient using a wand for self-assisted shoulder rotation

Front 37

Self-Assistance

Wall climbing for shoulder elevation

Back 37

Self-Assistance

Wall climbing for shoulder elevation

Front 38

Self-Assistance

Use of overhead pulleys to assist shoulder elevation

Back 38

Self-Assistance

Use of overhead pulleys to assist shoulder elevation

Front 39

Self-Assistance

Continuous Motion Device.

Back 39

Self-Assistance

Continuous Motion Device.