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elbow flexion — position
supine
elbow flexion — stationary arm
acromion process
elbow flexion — axis
lateral epicondyle
elbow flexion — moveable arm
radial styloid process
elbow flexion — normal range
0-140/150
elbow extension — position
Supine (with towel roll to check for hypermobility)
elbow extension — stationary arm
acromion process
elbow extension — axis
lateral epicondyle
elbow extension — moveable arm
radial styloid process
elbow extension — normal range
0
forearm supination — position
seated
forearm supination — stationary arm
perpendicular to floor
forearm supination — axis
Just proximal to ulnar styloid; volar aspect of wrist
forearm supination — moveable arm
Resting against the volar aspect of wrist
forearm supination — normal range
0-80/85
forearm pronation — position
seated
forearm pronation — stationary arm
perpendicular to floor
forearm pronation — axis
just proximal to ulnar styloid; dorsal aspect of wrist
forearm pronation — moveable arm
resting against the dorsal aspect of wrist
forearm pronation — normal range
0-70/80
wrist flexion — position
Seated, wrist off table, FA supported on table
wrist flexion — stationary arm
parallel to ulna
wrist flexion — axis
Lateral aspect of the wrist just distal to ulnar styloid
wrist flexion — moveable arm
parallel to the 5th metacarpal
wrist flexion — normal range
0-80
wrist extension — position
seated, wrist off table, FA supported on table
wrist extension — stationary arm
parallel to ulna
wrist extension — axis
Lateral aspect of the wrist just distal to ulnar styloid
wrist extension — moveable arm
parallel to the 5th metacarpal
wrist extension — normal range
0-70
wrist ulnar deviation — position
Seated, hand and FA supported on table
wrist ulnar deviation — stationary arm
lateral epicondyle
wrist ulnar deviation — axis
capitate
wrist ulnar deviation — moveable arm
head of the 3rd metacarpal
wrist ulnar deviation — normal range
0-30
wrist radial deviation — position
Seated, hand and FA supported on table
wrist radial deviation — stationary arm
lateral epicondyle
wrist radial deviation — axis
capitate
wrist radial deviation — moveable arm
head of the 3rd metacarpal
wrist radial deviation — normal range
0-20
Shoulder flexion - position
supine
Shoulder flexion - stationary arm
mid axillary line
Shoulder flexion - axis
head of humerus
Shoulder flexion - moveable arm
middle line of humerus
Shoulder flexion - normal range
0-180
Shoulder horizontal adduction - position
supine
Shoulder horizontal adduction - stationary arm
parallel to floor
Shoulder horizontal adduction - axis
acromium (superior aspect)
Shoulder horizontal adduction - moveable arm
middle line of humerus
Shoulder horizontal adduction - normal range
0-130
Shoulder internal rotation - position
supine
Shoulder internal rotation - stationary arm
perpendicular to floor
Shoulder internal rotation - axis
olecranon process of ulna
Shoulder internal rotation - moveable arm
middle line of Ulna in line with Ulna Styloid Process
Shoulder internal rotation - normal range
0-70
Shoulder external rotation - position
supine
Shoulder external rotation - stationary arm
perpendicular to floor
Shoulder external rotation - axis
olecranon process of Ulna
Shoulder external rotation - moveable arm
middle line of Ulna in line with Ulna Styloid Process
Shoulder external rotation - normal range
0-90
Shoulder extension - position
prone
Shoulder extension - stationary arm
mid axillary line
Shoulder extension - axis
acromion process
Shoulder extension - moveable arm
lateral epicondyle
Shoulder extension - normal range
0-60
Shoulder Horizontal abduction - position
prone
Shoulder Horizontal abduction - stationary arm
parallel to floor
Shoulder Horizontal abduction - axis
acromium (superior aspect)
Shoulder Horizontal abduction - moveable arm
middle line of humerus
Shoulder Horizontal abduction - normal range
0-40
Shoulder abduction - position
standing or seated (depending on height)
Shoulder abduction - stationary arm
parallel to spine/sternum
Shoulder abduction - axis
head of humerus
Shoulder abduction - moveable arm
middle line of humerus
Shoulder abduction - normal range
0-180