ROM Values & Capsular Pattern

Shoulder Flexion

180

Sh Flex End Feel

Firm

Shoulder Ext

50

Sh Ext End Feel

Firm

Shoulder Abduction

170

Sh Abd end feel

Firm

Shoulder Medial (Internal) Rotation

80°

Sh Medial Rot (IR) End Feel

Firm

Shoulder Lateral (External) Rotation

90°

Sh Lat Rot (ER) end feel

Firm

Shoulder Capsular Pattern

Lat rot > abd > med rotation

Elbow Flexion

140 (-150)

Elbow flex End Feel

Soft

elbow extension

0

Elbow ext End Feel

Hard

Forearm Pronation

80

Forearm Pronation End Feel

Hard (ulna & radius) or Firm (tension between dorsal radioulnar ligament, interosseous membrane or supinator muscle)

Forearm Supination

80

Forearm Supination End Feel

Firm (tension in palmar radioulnar ligament, oblique cord, interosseus membrane, pronator teres, and pronator quadratus muscle)

Elbow Capsular Pattern

Flex>ext

Forearm Capsular Pattern

Equal

Wrist Flexion

60

Wrist Flexion End Feel

Firm

Wrist Ext

60

Wrist Ext End Feel

Firm

Wrist Radial Dev

20

Radial Dev End Feel

Hard (contact between radial styloid process and sacphoid or trapezium)

Wrist Ulnar dev

30

ulnar dev end feel

Firm (tension in radial collateral ligament, radial portion of joint capsule, extensor pollicis brevis, and abductor pollicis longus)

Wrist Capsular Pattern

Equal limitation flex/ext, less limit rad/uln dev

Finger MCP Flexion

90

MCP Flex End Feel

Hard (contact between palmar aspect of the proximal phalanx and the MCP) or Firm (tension in the dorsal joint capsule and the collateral ligaments)

Finger MCP Extension

20

MCP Ext End Feel

Firm (tension in the palmar joint capsule and in the palmar plate)

Cervical Spine Flexion

40

Cervical Flex End Feel

Firm

Cervical Spine Ext

50

Cervical Spine Ext End Feel

Firm

Cervical Spine Lat flex

22

Cervical Spine Lat Flex End Feel

Firm

Cervical Spine Rot

50

Cervical Spine Rot End Feel

Firm

Thumb CMC Extension

35

Thumb CMC Flexion

60

Thumb CMC capsular pattern

Abd and Ext

Thumb MCP Ext

40

MCP THUMB EXT End Feel

firm (tension in the palmar joint capsule, palmar plate, intersesamoid ligament, and flexor pollicis brevis muscle

Thumb MCP Flex

50-60

Thumb MCP capsular pattern

Flex>Ext

Hip Flexion

100

Hip Flex End Feel

Mainly soft (muscle bulk) or firm (Tension in the posterior jt capsule)

Hip Ext

30

Hip Ext End Feel

Firm (muscles: iliopsoas, sartorius, TFL, gracilis and add longus.... Ligaments: Anterior joint capsule, the iliofemoral ligament and the ischiofemoral and pubofemoral ligaments)

Hip Abd

40

Hip Abd End Feel

Firm (Muscles: Adductors muscles and ligament capsule)

Hip Add

20

Hip Add End Feel

Firm (gluteus medius, minimus and TFL)

Hip Medial/internal rotation

40

Hip medial/IR end feel

Firm

Hip Lat Rot

50

Hip Lat Rot End Feel

Firm

Hip Capsular pattern

decrease med rot accompanied by decrease flex & abd

Knee flex

150

Knee Flex End Feel

Firm

Knee ext

0

Knee Ext End Feel

Firm

Knee Capsular pattern

Flex > ext

Ankle Dorsiflexion

20

Ankle DF End Feel

Firm

Ankle Plantarflexion

40

Ankle PF End Feel

Firm

Ankle Inversion

30

Ankle Inversion End Feel

Firm

Ankle Eversion

20

Ankle Eversion End Feel

Hard (Calcaneus) or Firm (Jt Capsules)

Ankle capsular pattern

Plantarflex > dorsiflex

T-L Spine Lat flex

35

T-L spine Lat Flex End Feel

Firm