FCS ROM - LE and Spine

normal ROM of TMJ depression

35-50 mm

normal ROM of TMJ protrusion

3-7 mm

normal ROM of TMJ lateral deviation

10-15 mm

Normal ROM Tape Cervical FLEX

3 cm

Normal ROM Inclinometry Cervical FLEX

50 degrees

Normal ROM Goniometry Cervical FLEX

45 degrees

Normal ROM Tape Cervical EXT

20 cm

Normal ROM Inclinometry Cervical EXT

60 degrees

Normal ROM Goniometry Cervical EXT

45 degrees

Normal ROM Tape Cervical Lateral FLEX

13 cm

Normal ROM Inclinometry Cervical Lateral FLEX

45 degrees

Normal ROM Goniometry Cervical Lateral FLEX

45 degrees

Normal ROM Tape Cervical ROT

11 cm

Normal ROM Inclinometry Cervical ROT

80 degrees

Normal ROM Goniometry Cervical ROT

60 degrees

Normal ROM Tape Thoracolumbar FLEX

10 cm

Which measurements of Thoracolumbar movements do not have a normal ROM?

FLEX inclinometry, EXT, ROT

Normal ROM Tape Thoracolumbar Lateral FLEX

22 cm

Normal ROM Inclinometry Thoracolumbar Lateral FLEX

25 degrees of the lumbar spine only

Normal ROM Goniometry Thoracolumbar Lateral FLEX

35 degrees

Normal ROM Tape Lumbar FLEX

6 cm

Normal ROM Inclinometry Lumbar FLEX

60 degrees

Normal ROM Inclinometry Lumbar EXT

25 degrees

Which measurements of Lumbar movements do not have a normal ROM?

Lumbar tape EXT

Normal ROM Inclinometry Thoracic ROT

NONE

Normal ROM Tape Chest Expansion

NONE

Normal ROM Hip FLEX

120 degreesN

Normal ROM Hip EXT

30 degrees

Normal ROM Hip ABD

45 degrees

Normal ROM Hip ADD

30 degrees

Normal ROM Hip IR/ER

45 degrees

Normal ROM Knee FLEX

135 degrees

Normal ROM Knee EXT

0 degrees

Normal ROM Ankle DF

20 degrees

Normal ROM Ankle PF

50 degrees

Normal ROM Ankle Inversion

35 degrees

Normal ROM Ankle Eversion

15 degrees

Normal ROM Great Toe MTP FLEX

45 degreesN

Normal ROM Great Toe MTP EXT

70 degrees

Normal ROM Great Toe IP FLEX

90 degrees

Normal ROM Great Toe IP EXT

0 degrees

Normal ROM Lesser Toes MTP and IP FLEX/EXT

40 degrees

TMJ Measurement Locations

Distance between upper and lower central inscisors

Cervical FLEX/EXT/Lateral FLEX Inclinometer Measurement Locations

spine of T1 and vertex of head

Cervical ROT Inclinometer Measurement Location

1 at base of forehead

Cervical FLEX/EXT Tape Measurement Locations

Tip of chin to suprasternal notch

Cervical Lateral EXT Tape Measurement Location

Mastoid Process to Lateral Aspect of Acromion

Cervical ROT Tape Measurement Location

Tip of chin to Lateral Aspect of Acromion

Axis for Cervical FLEX/EXT goniometry

lobule of ear

Stationary Arm for Cervical FLEX/EXT goniometry

perpendicular to floor

Movement Arm for Cervical FLEX/EXT goniometery

parallel to base of nares

Axis for Cervical Lateral FLEX Goniometry

C7

Stationary Arm for Cervical Lateral FLEX Goniometry

along spine perpendicular to the floor

Movement Arm for Cervical Lateral FLEX Goniometry

Midline of head

Axis of Rotation for Cervical ROT goniometry

midpoint of head

Stationary Arm for Cervical ROT goniometry

parallel to the joining acromion processes

Movement Arm for Cervical ROT Goniometry

aligned with the nose

Measurement Locations for Tape Thoracolumbar FLEX/EXT

C7 to S2

Inclinometry Measurement Locations for Thoracolumbar FLEX/EXT/Lateral FLEX

S2 and C7

Axis of Rotation for Thoracolumbar Lateral FLEX Goniometry

S2

Stationary Arm for Thoracolumbar Lateral FLEX Goniometry

Perpendicular to the Floor

Movement Arm for Thoracolumbar Lateral FLEX Goniometry

C7 Vertebrae

Measurement Location for Prone Thoracolumbar EXT w/ tape

distance between suprasternal notch and mat

Measurement Location for Thoracolumbar ROT w/ tape

Lateral aspect of acromion to greater trochanter

Measurement Locations for Lumbar FLEX/EXT w/ tape

Skin mark (15 cm above S2) and S2

Measurement Locations for Lumbar FLEX/EXT inclinometry

Skin mark (15 cm above S2) and S2

Measurement Location for Thoracic ROT w/ inclinometer

T1 and T12

Measurement Location for Chest Expansion w/ tape

at the xiphosternal joint

What should you watch for when pt is moving in Cervical FLEX and EXT?

Opening of mouth and trunk outside of spinal neutral

What should you watch for when a pt is moving into Cervical Lateral FLEX?

Elevation of the shoulder and ipsilateral trunk FLEX

What should you watch for when a pt is moving into Cervical ROT?

Shoulder elevation/protrusion and Trunk ROT

What should you watch for when a pt is moving into Thoracolumbar EXT from a prone position?

Lifting of the pelvis from the mat

What should you watch for when a patient is moving into Thoracolumbar Lateral FLEX?

Trunk FLEX/EXT, ipsilateral hip/knee FLEX, and lifting their foot from floor.W

What should you watch for when a pt is moving into Thoracolumbar ROT?

Trunk FLEX/EXT and Shoulder Protraction on the side the tape measure is on.

What should you watch for when a patient is moving into Thoracic ROT?

Trunk FLEX/EXT and a ROM less than can be done in sitting due to spinal muscles contraction.

Location of Stabilization for Hip FLEX

ipsilateral pelvis @ASIS and iliac crest

Stabilization Location for Hip EXT

Strap over Pelvis

Stabilization Location for Hip ABD/ADD

Ipsilateral Pelvis

Stabilization Location for Hip IR/ER

Pt holds edge of mat

Stabilization Location for Knee FLEX/EXT

femur

Stabilization Location for Ankle DF/PF and Inversion/Eversion

Tibia and Fibula

Stabilization Location for Great Toe MTP FLEX/EXT

1st metatarsal

Stabilization Location for Great Toe IP FLEX/EXT

Proximal Phalanx

Stabilization Location for Lesser Toes MTP FLEX/EXT

Metatarsals 2-5

Stabilization Location for Lesser toes IP FLEX/EXT

Proximal Phalanges 2-5

Axis of Rotation for Hip FLEX/EXT

greater trochanter

Axis of Rotation for Hip ABD/ADD

ipsilateral ASIS

Axis of Rotation for Hip IR/ER

Mid point of patella

Axis of Rotation for Knee FLEX/EXT

lateral epicondyle of the femur

Axis of Rotation for Ankle DF/PF

inferior to lateral malleolus

Axis of Rotation for Ankle Inversion/Eversion

Anterior to talocrural joint, between the medial lateral malleoli

Axis of Rotation for Great Toe MTP FLEX

Dorsum of 1st MTP joint

Axis of Rotation for Great Toe MTP EXT

Plantar aspect of 1st MTP joint

Axis of Rotation for Great Toe IP FLEX

Dorsum of IP joint

Axis of Rotation for Great Toe IP EXT

Plantar aspect of IP joint

Stationary Arm for Hip FLEX/EXT

parallel to mid axillary line of trunk

Stationary arm for Hip ABD/ADD

along line of both ASIS

Stationary arm for Hip IR/ER

Perpendicular to floor

Stationary Arm for Knee FLEX/EXT

Parallel to the longitudinal axis of the femur (greater trochanter)

Stationary Arm for Ankle DF/PF

parallel to longitudinal axis of the fibular (fibular head)