OTA assessments
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each of the black spaces below before clicking
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| show | 0 - 170 degrees
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| show | 0 - 60 degrees
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| Shoulder Abduction norm | show 🗑
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| Shoulder Horizontal Abduction norm | show 🗑
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| show | 0 - 130 degrees
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| Shoulder Internal rotation norm | show 🗑
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| show | 0 -90 degrees
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| show | 0 - 135 - 150 degrees
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| show | 0 - 80 - 90 degrees
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| show | 0 - 80 - 90 degrees
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| show | 0 - 80 degrees
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| Wrist extension norm | show 🗑
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| Wrist radial deviation norm | show 🗑
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| Wrist ulnar deviation norm | show 🗑
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| Thumb IP Flexion norm | show 🗑
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| show | 0 - 50 degrees
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| show | 0 - 50 degrees
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| Thumb palmar abduction norm | show 🗑
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| Thumb opposition norm | show 🗑
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| show | 0 - 90 degrees
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| show | 0 - 110 degrees
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| show | 0 - 80 degrees
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| show | Range of motion (ROM)
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| arc of motion through which the joint passe when voluntarily moved by muscles acting on the joint | show 🗑
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| arc of motion through which the joint passes when moved by an outside force (another person, yourself, object) | show 🗑
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| show | Factors that can decrease joint movement
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| normal joint movement and muscular strength | show 🗑
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| part of assessment of client factors in individuals (CVA, arthritis, fx, and general debility) also motivation | show 🗑
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| Improvements in ROM not significant unless | show 🗑
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| show | competency level, legislation and restrictions
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| show | before doing goniometry the therapist must understand;
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| always establish rapport with patient | show 🗑
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| ask patient to move extremity through comfortable ROM noting | show 🗑
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| show | Always check medical record for
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| show | some patients do not have full ROM check _________ for an idea of what is 'normal' for your patient
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| anatomic position | show 🗑
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| show | motions occur in
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| angle | show 🗑
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| a measure | show 🗑
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| show | -Small protractor or half/full circle
-Degree numbers are on this bar
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| movable arm | show 🗑
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| show | 1) Rivet that acts as the fulcrum is placed over the axis of the joint
2) Makes a semi circle of movement
3) Tight enough to hold the movable arm when being measured
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| show | various sizes of goniometer
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| position of pt. (sitting, supine, etc.) and if pain, spasticity, or abnormal pathology is noted (unable to stand, etc.) | show 🗑
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| scapular mobility | show 🗑
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| show | ROM is measured in
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| show | Shoulder Flexion patient position
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| show | Shoulder Flexion Therapist Position
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| show | Shoulder Flexion Axis Location
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| Forearm and wrist in neutral | show 🗑
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| show | Shoulder Flexion Ending position
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| parallel to trunk | show 🗑
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| show | Shoulder Flexion Mobile Arm
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| show | Things to watch for measuring Shoulder Flexion
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| show | Shoulder Extension patient position
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| Side of patient | show 🗑
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| Located center on the head of the humerus (just distal to acromion process) | show 🗑
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| Forearm and wrist in neutral. | show 🗑
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| show | Shoulder Extension Ending position
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| show | Shoulder Extension Stationary arm
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| show | Shoulder Extension Mobile Arm
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| excessive scapular motion, spinal flexion | show 🗑
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| show | Shoulder Abduction patient position
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| show | Shoulder Abduction Therapist Position
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| on acromion process on posterior surface of shoulder | show 🗑
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| show | Shoulder Abduction Starting Position
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| Client’s arm is raised to side of body in a frontal plane of movement | show 🗑
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| show | Shoulder Abduction Stationary arm
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| parallel to humerus | show 🗑
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| watch for lateral trunk bending | show 🗑
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| show | Horizontal Shoulder Abduction Patient Position
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| show | Horizontal Shoulder Abduction Therapist Position
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| over acromion process | show 🗑
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| show | Horizontal Shoulder Abduction Starting Position
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| show | Horizontal Shoulder Abduction Ending position
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| parallel over shoulder toward the neck | show 🗑
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| Parallel to the humerus on the superior aspect | show 🗑
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| trunk bending | show 🗑
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| show | Horizontal Shoulder Adduction Patient Position
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| show | Horizontal Shoulder Adduction Therapist Position
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| Also on acromion process | show 🗑
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| Shoulder in 90 degrees of abduction, palm down moving the shoulder into adduction | show 🗑
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| Arm reaching in front and across body to opposite side patient's arm is moved in front of the body in horizontal plane of movement | show 🗑
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| Also parallel over shoulder toward the neck | show 🗑
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| Also Parallel to the humerus on the superior aspect | show 🗑
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| show | Things to watch for measuring Horizontal Shoulder Adduction
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| sitting or standing | show 🗑
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| show | Shoulder Internal Rotation Therapist Position
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| on olecranon process of elbow (point of elbow) | show 🗑
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| Shoulder in 90 degrees of abduction, elbow in 90 degrees of flexion. Move into External rotation (like resting on an arm rest that is at shoulder height) | show 🗑
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| show | Shoulder Internal Rotation Ending position
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| show | Shoulder Internal Rotation Stationary arm
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| show | Shoulder Internal Rotation Mobile Arm
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| trunk bending, arm is straight | show 🗑
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| sitting or standing | show 🗑
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| Beside patient | show 🗑
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| show | Shoulder external Rotation Axis Location
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| show | Shoulder external Rotation Starting Position
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| Client’s forearm is lifted gently, keeping humerus parallel to floor | show 🗑
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| Also parallel to where forearm started | show 🗑
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| Also parallel to where forearm is at | show 🗑
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| show | Things to watch for measuring Shoulder external Rotation
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| sitting or standing | show 🗑
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| show | Elbow Extension to Flexion Therapist Position
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| placed over lateral epicondyle of humerus at end of elbow crease | show 🗑
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| Forearm supination with palm up (straighten as much as possible) | show 🗑
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| Client bring palm towards shoulder Client’s forearm begins in extended position and is raised in a sagittal plane of movement. | show 🗑
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| show | Elbow Extension to Flexion Stationary arm
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| show | Elbow Extension to Flexion Mobile Arm
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| Watch for shoulder flexion | show 🗑
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| show | Forearm supination Patient Position
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| show | Forearm supination Therapist Position
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| at volar aspect of wrist just proximal to ulnar styloid | show 🗑
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| Shoulder Adducted, Elbow at 90 degrees flexion. start with forearm in mid position/neutral. | show 🗑
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| show | Forearm supination Ending position
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| pointing downward perpendicular to floor | show 🗑
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| resting against volar aspect of wrist | show 🗑
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| Elbow in ribs, watch for shoulder abduction | show 🗑
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| Sitting | show 🗑
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| show | Forearm pronation Therapist Position
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| show | Forearm pronation Axis Location
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| Also Shoulder Adducted, Elbow at 90 degrees flexion . start with forearm in mid position/neutral. | show 🗑
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| show | Forearm pronation Ending position
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| Pointing downward perpendicular to floor | show 🗑
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| resting against volar aspect of wrist | show 🗑
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| Elbow in ribs, watch for shoulder internal rotation | show 🗑
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| show | Wrist flexion patient position
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| show | Wrist flexion therapist position
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| show | Wrist flexion Axis location
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| Seated with elbow on table fingers toward ceiling. | show 🗑
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| Palm down toward the table | show 🗑
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| Lies down the center of the arm between the radius and ulna | show 🗑
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| along the center of the 3rd metacarpal (there will be space at the wrist bend) | show 🗑
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| show | Things to watch for measuring Wrist flexion
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| Sitting (table) | show 🗑
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| Also Sitting across patient | show 🗑
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| show | Wrist extension Axis location
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| also Seated with elbow on table fingers toward ceiling | show 🗑
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| show | Wrist extension Ending position
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| also lies down the center of the forearm between the radius and ulna | show 🗑
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| also along the center of the 3rd metacarpal (there will be space at the wrist bend) | show 🗑
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| show | Things to watch for measuring Wrist extension
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| show | Ulnar Deviation Patient position
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| show | Ulnar Deviation Therapist position
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| the base of the 3rd metacarpal (capitate - RC joint) | show 🗑
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| Seated with forearm pronated and palm flat on table | show 🗑
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| Pinky moved towards patients wrist Client’s hand is laterally extended in a horizontal plane of movement | show 🗑
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| Lies down the center of the forearm | show 🗑
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| show | Ulnar Deviation Mobile arm
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| show | Things to watch for measuring Ulnar Deviation
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| show | Radial Deviation Patient position
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| show | Radial Deviation Therapist position
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| show | Radial Deviation Axis location
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| show | Radial Deviation Starting position
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| patients thumb toward wrist Client’s hand is medially extended in a horizontal plane of movement. | show 🗑
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| Also Lies down the center of the forearm | show 🗑
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| show | Radial Deviation Mobile arm
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| show | Things to watch for measuring Radial Deviation
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| Sitting (Table) | show 🗑
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| in front of table | show 🗑
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| over lateral aspect of MP joint of index finger | show 🗑
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| show | Digit MP Flexion Starting position
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| show | Digit MP Flexion Ending position
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| show | Digit MP Flexion stationary arm
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| show | Digit MP Flexion Mobile arm
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| show | Things to watch for measuring Digit MP Flexion
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| show | Digit PIP Flexion Patient position
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| show | Digit PIP Flexion Therapist position
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| centered on dorsal surface of PIP joint being measured. | show 🗑
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| show | Digit PIP Flexion Starting position
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| making a fist | show 🗑
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| show | Digit PIP Flexion stationary arm
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| over distal phalanx | show 🗑
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| Thumb not in palm | show 🗑
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| Sitting (Table) | show 🗑
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| show | Digit DIP Flexion Therapist position
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| show | Digit DIP Flexion Axis location
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| show | Digit DIP Flexion Starting position
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| making a fist . Extend MP joint enough to fit moveable arm without hitting the palm | show 🗑
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| over middle phalanx | show 🗑
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| show | Digit DIP Flexion Mobile arm
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| show | Things to watch for measuring Digit DIP Flexion
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| show | Thumb MP Flexion Patient position
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| in front of table | show 🗑
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| dorsal surface of MP joint | show 🗑
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| Neutral wrist on the ulnar border (45 degrees forearm supination) | show 🗑
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| (Reach thumb to bottom of palm) Client’s thumb distal of MP joint is flexed down | show 🗑
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| over thumb metacarpal | show 🗑
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| show | Thumb MP Flexion Mobile arm
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| show | Things to watch for measuring Thumb MP Flexion
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| show | Thumb IP Flexion Patient position
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| in front of table | show 🗑
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| show | Thumb IP Flexion Axis location
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| Neutral wrist on the ulnar border. Measure when the MP is also flexed. | show 🗑
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| show | Thumb IP Flexion Ending position
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| over proximal phalanx | show 🗑
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| over distal phalanx | show 🗑
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| show | Things to watch for measuring Thumb IP Flexion
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| Sitting | show 🗑
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| show | Thumb CMC Radial Abduction Therapist position
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| show | Thumb CMC Radial Abduction Axis location
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| show | Thumb CMC Radial Abduction Starting position
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| Move thumb away from side of fingers Client’s thumb is abducted in a horizontal plane of movement. | show 🗑
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| In line with 2nd metacarpal | show 🗑
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| parallel to thumb metacarpal | show 🗑
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| show | Things to watch for measuring Thumb CMC Radial Abduction
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| show | Thumb CMC Palmar Abduction Patient position
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| show | Thumb CMC Palmar Abduction Therapist position
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| show | Thumb CMC Palmar Abduction Axis location
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| Hand and wrist on ulnar border | show 🗑
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| Thumb move away from index finger (in a plane perpendicular to palm) | show 🗑
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| show | Thumb CMC Palmar Abduction Stationary Arm
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| in line with 1st metacarpal | show 🗑
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| show | Things to watch for measuring Thumb CMC Palmar Abduction
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| measure with ruler part of goniometer between center of pulp of thumb and small finger | show 🗑
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Created by:
OTAbaddies