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13 Cards in this Set

  • Front
  • Back
ROM 1: Pelvic Approximation

• Make sure they are not pushing or bracing their knee with the foot for more range. Motion comes from only the trunk.
• Shoulders should stay on the table.
• Check if adductor's are cramping, if they are limited and cramping it probably an issue.
• This ROM is what a lot of people do for a “back stretch” and is not good for the lumbar spine if stretched in this position.
ROM 2: 120º Hip Flexion

• Sit on ischial tuberosity(s)
• Flexion between femur and hip
• Rotate trunk 25º and then flex trunk.
ROM 3: 90º Hip Flexion & Full Rotation

• Trunk extended (sit tall) at 90º
• Look at which side has more rotation
ROM 4: 90º Hip Flexion, Full Rotation & Side Bend (Anteriorly)

• Sidebend anteriorly
• Treating the things that can rotate you to the right and sidebend you to the left.
• Keep trunk extended as you sidebend.
• If you rotate to right, side bend to left.
• If you rotate to the left, side bend to the right.
ROM 5: 90º Hip Flexion with Full Side Bend

• Sidebend with no rotation.
• Neutral sidebend
• If they can’t extend the legs while keeping 90º hip flexion, slightly move legs off table until they can (microprogression to neutral position in time).
• Make “L” at ribs to show where they need to sidebend over.
• Could mean tight hamstrings.
ROM 6: Full Hip Flexion, Full Rotation & Full Sidebend

• Sidebend anteriorly
• Looking more at hip flexion.
• Extend spine some, rotate to the right and side bend anteriorly to the left & vice versa for opposite side.
• Monitor sacrum.
• If you rotate to the left and side bend to the right: You will muscle test the right side (side that is shortening).
ROM 7: 30º Hip Flexion:

• Start them at 90º hip flexion, drop them back to 30º, extend spine and rotate 25º (to left and right).
• Inversion of action: Hip Flexion
• Place forearm across legs to brace them.
• As you bring them back to 30º flexion, place a hand under their back, hold them as much as you have to (microprogression to pos.) or consider it weakness possibilities if it just hurts.
ROM 8: Straight Legs and Full Side Bend:

• Make sure they go back to neutral and pause before they side-bend to the opposite side.
• Reach hand towards knee so they sidebend and don’t move neck.
• Make sure the hips aren’t compensating
• Shoulders and hips must stay against table.
ROM 9: Straight Legs and Full Side Bend With Hip Internal Rotation

• Same as before but sidebend while holding internal rotation.
• Side bending to side that you are internally rotating in.
• You can grab their tibia after they internally/externally rotate.
ROM 10: Straight Legs and Full Sidebend with Hip External Rotation
ROM 10

• Same thing as before but this time external rotation.
• Sidebend to the side you are externally rotating.
ROM 11: Straight Legs and Hip Hike
ROM 11

• Instead of bringing trunk to hip, bring hip to your trunk.
• Inverse action: sidebend
• Hike the hip in the frontal plane toward the rib cage of the same side.
ROM 12: Prone Spinal Extension
ROM 12

• Don’t tell them anything about their legs, observe what happens.
• Vision a “pole” through their head, and they are rotating to each side through that “pole”.
• After they rotate to one side, have them re-do the test and repeat to the other side.
• ALWAYS: “Re-set” them, so they do not lose extension.
Trunk/Spine ROM:
• All trunk ROM Exams are active
• Try to keep neutral cervical spine (Especially side-bend).
• Closely pay attention to all movements throughout the active ROM’s, people do little things to compensate (like cervical rotation).
• Always “re-set” them during each test before they rotate to the opposite side.
• DON’T FORGET: Straight leg: internal and external rotation (LowerBody ROM Exams that correlate to TVA).