Capsular Patterns & Open & Closed Packed Positions

Front 1

Capsular Pattern for Temporomandibular Joint (TMJ)

Back 1

Limitation of mouth opening

Front 2

Capsular Pattern for Atlanto-occiptal (AO) Joint

Back 2

Extension & SB equally limited

Front 3

Capsular Pattern for Cervical Spine

Back 3

SB & Rotation equally limited > Extension

Front 4

Capsular Pattern for Glenohumeral (GH) Joint

Back 4

ER > ABD > IR

Front 5

Capsular Pattern for Sternoclavicular (SC) Joint

Back 5

P! at extreme ROM

Front 6

Capsular Pattern for Acromioclavicular (AC) Joint

Back 6

P! at extreme ROM

Front 7

Capsular Pattern for Ulnohumeral Joint

Back 7

Flexion > Extension

Front 8

Capsular Pattern for Radiohumeral Joint

Back 8

Flexion > Extension > Supination > Pronation

Front 9

Capsular Pattern for Proximal Radiounlar Joint

Back 9

Supination & Pronation equally limited

Front 10

Capsular Pattern for Distal Radioulnar Joint

Back 10

P! at extremes of rotation (full ROM)

Front 11

Capsular Pattern for Wrist

Back 11

Flexion & Extension equally limited

Front 12

Capsular Pattern for Trapeziometacarpal (Thumb CMC) Joint

Back 12

ABD > Extension

Front 13

Capsular Pattern for Metacarpophalangeal (MCP) and Interphalangeal (IP, PIP, & DIP) Joints of the Thumb and Fingers

Back 13

Flexion > Extension

Front 14

Capsular Pattern for Thoracic Spine

Back 14

SB & Rotation equally limited > Extension

Front 15

Capsular Pattern for Lumbar Spine

Back 15

SB & Rotation equally limited > Extension

Front 16

Capsular Pattern for Sacroiliac (SI), Symphysis Pubic, and Sacrococcygeal Joints

Back 16

P! when joints are stressed

Front 17

Capsular Pattern for Hip

Back 17

Flexion > ABD > IR
(in some cases IR is most limited; these 3 movements are always the most limited but the order can vary)

Front 18

Capsular Pattern for Knee

Back 18

Flexion > Extension

Front 19

Capsular Pattern for Tibiofibular Joint

Back 19

P! when joint stressed

Front 20

Capsular Pattern for Talocrural Joint

Back 20

Plantar Flexion > Dorsiflexion

Front 21

Capsular Pattern for Talocalcaneal (Subtalar) Joint

Back 21

Limitation of Varus (inversion) ROM

Front 22

Capsular Pattern for Midtarsal Joint

Back 22

Dorsiflexion > Plantarflexion > Adduction > IR (medial rotation)

Front 23

Capsular Pattern for 1st Metatarsophalangeal (great toe MTP) Joint

Back 23

Extension > Flexion

Front 24

Capsular Pattern for 2nd-5th Metatarsophalangeal (MTP) Joints

Back 24

Variable

Front 25

Capsular Pattern for Interphalangeal (IP, PIP, & DIP) Joints of the Toes

Back 25

Flexion > Extension

Front 26

Open (Loose) Packed position for Facet (spine) Joints

Back 26

Midway between Flexion & Extension

Front 27

Open (Loose) Packed position for Temporomandibular Joint (TMJ)

Back 27

Mouth slightly open (freeway space)

Front 28

Open (Loose) Packed position for Glenohumeral (GH) Joint

Back 28

55° ABD
30° Horizontal ADD

Front 29

Open (Loose) Packed position for Acromioclavicular (AC) Joint

Back 29

Arm resting by side in normal physiological position

Front 30

Open (Loose) Packed position for Sternoclavicular (SC) Joint

Back 30

Arm resting by side in normal physiological position

Front 31

Open (Loose) Packed position for Ulnohumeral (elbow) Joint

Back 31

70° Flexion
10° Supination

Front 32

Open (Loose) Packed position for Radiohumeral Joint

Back 32

Full Extension
Full Supination

Front 33

Open (Loose) Packed position for Proximal Radioulnar Joint

Back 33

70° Flexion
35° Supination

Front 34

Open (Loose) Packed position for Distal Radioulnar Joint

Back 34

10° Supination

Front 35

Open (Loose) Packed position for Radiocarpal (wrist) Joint

Back 35

Neutral with slight Ulnar Deviation

Front 36

Open (Loose) Packed position for Thumb Carpometacarpal (CMC) Joint

Back 36

Midway between ABD-ADD & Flexion-Extension

Front 37

Open (Loose) Packed position for Finger Carpometacarpal (CMC) Joints

Back 37

Midway between Flexion & Extension

Front 38

Open (Loose) Packed position for Metacarpophalangeal (MCP) Joints

Back 38

Slight Flexion

Front 39

Open (Loose) Packed position for Interphalangeal (IP, PIP, and DIP) of the Thumb and Fingers

Back 39

Slight Flexion

Front 40

Open (Loose) Packed position for Hip

Back 40

30° Flexion
30° ABD
Slight ER

Front 41

Open (Loose) Packed position for Knee

Back 41

25° Flexion

Front 42

Open (Loose) Packed position for Talocrural (ankle) Joint

Back 42

10° Plantarflexion
Midway between max inversion & eversion

Front 43

Open (Loose) Packed position for Subtalar Joint

Back 43

Midway between extremes of ROM

Front 44

Open (Loose) Packed position for Midtarsal Joint

Back 44

Midway between extremes of ROM

Front 45

Open (Loose) Packed position for Tarsometatarsal Joint

Back 45

Midway between extremes of ROM

Front 46

Open (Loose) Packed position for Metatarsophalangeal (MTP) Joints

Back 46

10° Extension

Front 47

Open (Loose) Packed position for Interphalangeal (IP, PIP, and DIP) Joints of the Toes

Back 47

Slight Flexion

Front 48

Closed Packed position for Facet (spine) Joints

Back 48

Extension

Front 49

Closed Packed position for Temporomandibular Joint (TMJ)

Back 49

Clenched Teeth

Front 50

Closed Packed position for Glenohumeral (GH) Joint

Back 50

ABD and ER

Front 51

Closed Packed position for Acromioclavicular (AC) Joint

Back 51

Arm ABD to 90°

Front 52

Closed Packed position for Sternoclavicular (SC) Joint

Back 52

Maximum shoulder Elevation & Protraction

Front 53

Closed Packed position for Ulnohumeral (elbow) Joint

Back 53

Extension with Supination

Front 54

Closed Packed position for Radiohumeral Joint

Back 54

90° elbow Flexion
5° forearm Supination

Front 55

Closed Packed position for Proximal Radioulnar Joint

Back 55

5° Supination

Front 56

Closed Packed position for Distal Radioulnar Joint

Back 56

5° Supination

Front 57

Closed Packed position for Radiocarpal (wrist) Joint

Back 57

Extension with Radial Deviation

Front 58

Closed Packed position for Metacarpophalangeal (MCP) Joints of the Fingers

Back 58

Full Flexion

Front 59

Closed Packed position for Metacarpophalangeal (MCP) Joint of the Thumb

Back 59

Full Opposition

Front 60

Closed Packed position for Interphalangeal (IP, PIP, & DIP) Joints of the Fingers and Thumb

Back 60

Full Extension

Front 61

Closed Packed position for Hip

Back 61

Full Extension
IR
(some authors inclue ABD)

Front 62

Closed Packed position for Knee

Back 62

Full Extension
ER of Tibia

Front 63

Closed Packed position for Talocrural (ankle) Joint

Back 63

Maximum Dorsiflexion

Front 64

Closed Packed position for Subtalar Joint

Back 64

Supination

Front 65

Closed Packed position for Midtarsal Joint

Back 65

Supination

Front 66

Closed Packed position for Metatarsophalangeal (MTP) Joints

Back 66

Full Extension

Front 67

Closed Packed position for Interphalangeal (IP, PIP, & DIP) Joints of the Toes

Back 67

Full Extension