Shoulder Rom Mmt Pta107

Front 1

Shoulder flexion

...end feel

norm value

Back 1

Sagital plane

Firm end feel

Normal value 0-180

Front 2

Shoulder flexion

Position instruction

Back 2

Patient: hooklying, arm by the side, elbow extended, palm faces the body

"Raise your arm up overhead as far as it will go, "

Front 3

Shoulder flexion

goni alignment

stabilization

Back 3

Fulcrum lateral aspect of acromium

Stationary arm parallel to the midline of thorax

Moving arm lateral midline of humerous (lateral epicondyle)

Stabilize thorax

Front 4

Shoulder abduction info

Back 4

Frontal plane

Firm end feel

Normal value 0-180

Front 5

Shoulder aBduction

position

Instruction

Back 5

pt: supine, shoulder rotated, palm facing ceiling, elbow extended

"Keep your palm facing & up To the ceiling and slide your arm along the bed out to the side and up toward your ear, like you are making a snow angel."

Front 6

Shoulder abduction goni alignment

Back 6

Fulcrum anterior aspect of the acromiun process

Stationary arm parallel to the anterior aspect of the sternum

Moving arm anterior midline of the humerous (medial epicondyle)

Stabilize distol end of the humerous to keep shoulder at 90

Front 7

Shoulder IR info

Back 7

Transverse plane anatomic pos

Sagital plane testing position

Firm end feel

Normal 0-70°

Front 8

Shoulder IR position instructions

Back 8

Patient: supine,

90° shoulder abd,

90° elbow flexion,

palm facing the feet,

elbow just off of the edge of the table,

towel roll Under humerus so that it is level with acromion

"Bring the palm down toward the floor like this (demonstrate):"

Front 9

Shoulder IR goni alignment

Back 9

Fulcrum olecronon process

Stationary arm perp to ground

Moving arm ulner styloid process

(to olecranon)

Stabilize distol end of the humerous

Front 10

Shoulder ER info

Back 10

Transverse plane anatomic position

Sagital plane test position

Firm end feel

Normal 0-90

Front 11

Shoulder IR

position instructions

Back 11

Patient:

supine,

90° shoulder abd,

90° elbow flexion,

palm facing the feet,

elbow just off of the edge of the table,

towel roll under humerus so, that it ls level with acromion

:"Bring the palm down toward the floor like this (demonstrate):'

Front 12

Shoulder extension info

Back 12

Sagital plane

Firm end feel

Normal value 0-60

Front 13

Shoulder Ext

Position

Instructions

Back 13

Patient: Prone,

faceing away, no pillow:

elbow slighly (flexed, palm faces body)

"Raise your arm up off of the bed as far as It will go"

Front 14

Shoulder ext

Goni alignment

Back 14

Fulcrum lateral aspect of the greater tubericle(axis of rotation)

Stationary arm parallel to mid axillary line of the thorax

Moving arm lateral midline of the humerous (lateral epicondyle)

Front 15

Shoulder flexion grade 3 test

Back 15

Patient: short sit, arm at side, elbow slightly flexed & forearm pronated

-Therapist Position: stand at test side

-"Ralse your arm forward to shoulder height"

-Test: Patient flexes shoulder to 90°

Front 16

Shoulder flx grade 4-5

Back 16

Patient: short sit with shoulder flexed to 90° (end of Grade 3 position)

Therapist Position: standing at test side,

hand giving resistance Is contoured over the distal humerus Just proximal to the elbow:

while the other hand stabilizes the shoulder

"Hold It, Don't let me PUSH the arm back down"

Test: Provide resistance in a downward motion.

Front 17

Shoulder flexion below grade 3

Back 17

Patient: Short sit with arm at side & elbow slightly bent.

-Therapist: Stand at test side Cup shoulder to palpate superior anterior surfaces of deltold with fingers.

-Instructions:"Try to raise your arm"

: Patient attempts to flex shoulder to 90',

Front 18

Shoulder aBduction grade 3

Back 18

Patient : short sit, arm at side, elbow slightly flexed

-therapist: stand behind the patient on the test side

-Instructions: "LIft your arm out to the side to shoulder level"

-Patient abducts shoulder to 90'.

GRADE 3: IF the patient completes the test range (90') against gravity without resistance

Stabilize contralateral shoulder

Front 19

Shoulder aBduction grade 4-5

Back 19

Patient: short sit with shoulder abducted to 90' (end of Grade 3 position)

-Therapist: standing behind patient at test side,

hand giving resistance Is contoured over the distal humerus Just proximal to the elbow,

while the other hand stabilizes the contralateral shoulder.

-"Hold it. Don't let me push the arm back down,"

-Test: Provide resistance in a downward motion

Front 20

Shoulder aBduction below grade 3

Back 20

Patient: Supine with arm at side and elbow slightly flexed.

-Therapist: Stand at side of table of test side (but do not obstruct the ROM). Palpate the middle deltold lateral to the acromlon process

"Keep your palm facing your body and slide your entire arm along the table up toward your ear."

-Test: Patient attempts to abduct shoulder.

Front 21

Shouder ext. Grade 3

Back 21

Patient: prone with arms at sides,

test arm internally rotated (palm up), head turned toward test side

-therapist: stand at test side

-"lift your arm as high as you can:

Test: Patient raises arm off table, keeping the elbow straight.

-Grade 3 the patient completes the available ROM against gravity without resistance

Front 22

Shoulder ext grade 4-5

Back 22

Patient: prone with arm raised as high as they can (end of Grade 3 position)

-Therapist: stand at test side,

Hand used for resistance ls contoured over the posterior distal humerus just proximal to the elbow

-Instructions:"Hold it. Don't let me PUSH the arm back down, "

-Test: Provide resistance in a downward motion

Front 23

Shoulder ext grade 1-0

Back 23

Grade 2 partial ROM against gravity

-patient position : prone with arms at sides and shoulder Internal rotation

-Therapist Position: Stand at test side and palpate shoulder extensors (posterior shoulder for posterior deltold or thoracic wall Inferior & lateral to the Inferior angle of the scapula for lat dorsi)

-Instructions:"Try to lift your arm as high as you can"

-Test: Patient attempts to lift arm from table.

Front 24

Shoulder ext rotation grade 3

Back 24

-Patient: prone with head turned toward test side; should abd 90' with humerus fully supported on table,

forearm hanging vertlcafly ober edge of table,

with towel roll under humerus

-Therapist: stand at test side of table at level of patient's waist facing head of table

-"Ralse your arm to be level with the table:"

-test: Patient externally rotates shoulder through available range.

-Grade 3: if the patient completes the available range agains gravity without resistance

Front 25

Shoulder ext rotation grade 4-5

Back 25

Patient: end of Grade 3 position

-Therapist: still standing at side of table on test side as waist level, Two fingers of one hand provide resistance to the distal dorsal radius/ulna while the other hand supports the elbow

-Instructions:"Hold it, Don't let me PUSH It down. "

-Test: Provide resistance in a downward motion,

Front 26

Shoulder ext rotation below grade 3

Back 26

patient: Prone with head turned toward test side, trunk at edge of table.

Entire arm hangs vertically over the edge, shoulder in neutral rotation, palm facing table,

-Therapist: Get down to shoulder level of test side. Palpate Infraspinatus (just Inferior to spine of scapula)

-"Turn your palm outward"

-Test: Patient attempts to ER the shoulder

Front 27

Shoulder internal rotation grade 4-5

Back 27

Patient Position: end of Grade 3

position Therapist still standing at side of table on test side as waist level. Two fingers of one hand provide resistance to the distal volar radius/ulna while the other hand supports the elbow -

Instructions:"Hold It. Don't let me PUSH it down"

-Test: Provide resistance In a downward and forward direction,

Front 28

Shoulder internal rotation grade 3

Back 28

Patient Position: prone with head turned toward test side; should abd 90' with humerus fully supported on table,

forearm hanging vertically over edge of table, with towel roll under homerus

Therapist Position: stand at test side of table at level of patient's waist Instructions:"Move your forearm up and back"

Test: Patient Internally rotates shoulder through available range.

assign GRADE 3: IF the patient completes the available range again gravity without resistance

Front 29

Shoulder internal rotation below grade 3

Back 29

Patient Position: Prone with head turned toward test side, trunk at edge of table. Entire arm hangs vertically over the edge, shoulder In neutral rotation, palm facing table,

-Therapist Get down to shoulder level of test side. Palpate subscapularls (deep within axilla)

-Instructions:"Turn your arm so that the palm faces away from the table"

Test: Patient attempts to IR the shoulder