By Donna Latella
This occupational treatment guide instructs scholars within the use of overview instruments while comparing the variety of movement and energy of consumers, but emphasizes the time potency required in ultra-modern healthcare setting. scholars discover ways to display consumers for energy and movement deficits utilizing practical remark and to formulate acceptable intervention plans via gross guide muscle review. scholars additionally obtain guide in tools of remoted handbook muscle trying out and while it's acceptable to growth to this particular evaluate.
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Additional info for Occupational Therapy Manual for the Evaluation of Range of Motion and Muscle Strength
Goniometer Position: FULCRUM: at anterior or posterior surface of the This position is important in order to prevent impingement of the greater tuberosity of the humerus at the acromion process (Figure 1-3-5). acromion process depending on the client’s starting position STABLE ARM: parallel to the sternum (anterior) or spine (posterior) MOVABLE ARM: medial aspect of the humerus Ending—client moves the testing extremity into maximum humeral abduction (Figure 1-3-6). 18 ■ Chapter 1 Shoulder: humeral adduction End feel: soft Normal ROM: 180–0 degrees Figure 1-3-7 Start position for humeral adduction.
Client Position: Client is supine with knees Goniometer Position: flexed or sitting. FULCRUM: lateral surface of the acromion Starting—testing extremity is at client’s side, elbow extended and forearm in neutral (Figure 1-3-1). process Ending—client moves the testing extremity into maximum humeral flexion (Figure 1-3-2). Therapist Position: Observe the scapula to pre- vent compensatory elevation, posterior tilt, and upward rotation. STABLE ARM: mid axilla/thorax MOVABLE ARM: lateral midline of the humerus 16 ■ Chapter 1 Shoulder: humeral extension/hyperextension End feel: firm Normal ROM: 0–60 degrees Figure 1-3-3 Start position for humeral extension/hyperextension.
Goniometer Position: Starting—testing extremity is in 90 degrees of humeral abduction, elbow flexed to 90 degrees, forearm perpendicular to the plinth. A pad is placed under the humerus (Figure 1-3-9). FULCRUM: midline of the olecranon process STABLE ARM: perpendicular to the floor MOVABLE ARM: midline of the lateral ulna Ending—client moves the testing extremity into maximum humeral external rotation (Figure 1-3-10). Therapist Position: Observe the distal end of humerus to maintain 90 degrees of abduction and to prevent compensation of excessive scapular depression.