Step One: Check active range of motion for the desired screening quarter (UE or LE), check for range of motion and assess for pain during AROM. If symptoms do not increase apply slight over pressure to gauge passive range of motion and reassess symptoms.
AROM Norms for Cervical Spine:
- Flexion - 80 - 90 degrees
- Extension - 70 degrees
- Side Bending - 20 - 45 degrees
- Rotation 70 - 90 degrees
AROM Norms for Upper Extremities Tested:
- Flexion/Abduction: 180 degrees
- Extension: 45 - 60 degrees
- Internal Rotation 70 degrees
- External Rotation: 90 degrees
AROM Norms for Lumbar Spine:
- Forward Flexion: 40 - 60 degrees
- Extension: 20 - 35 degrees
- Side Bending: 15 - 20 degrees
- Rotation: 3 - 18 degrees
AROM Norms for Lower Extremities Tested:
- Hip Flexion: 120 degrees
- Extension: 30 degrees
- Abduction 45 degrees
- Adduction 30 degrees
Step 2: Test the Myotomes (or resisted movements) to assess strength. Test to be done bilaterally
Myotome Tests UE:
- C1, C2 nerve roots: Test resisted cervical flexion
- C3: Test resisted cervical side flexion
- C4: Test resisted shoulder elevation
- C5: Test resisted shoulder abduction
- C6: Test resisted Elbow Flexion
- C7: Test resisted elbow extension
- C8: Test resisted Thumb extension
- T1: Test resisted finger abd/adduction
Myotome Tests for LE:
- L1, L2 nerve roots: Test resisted hip flexion
- L3: Test resisted knee extension
- L4: Test resisted ankle dorsiflexion
- L5: Test resisted Great toe extension
- S1: Test resisted ankle plantar flexion
No comments:
Post a Comment