Learn the best ways to accurately measure range of motion and muscle length with this thoroughly updated new edition. Logically organized and easy to follow, this practical text provides accurate and up-to-date information on norms for range of motion in all age groups, as well as the reliability and validity of each technique. The techniques detail measurement of both joint range of motion and muscle length testing of the spine and extremities using the goniometer, the inclinometer, and the tape measure. An effective combination of instructions, illustrations, and layout for each technique allows you to easily understand and follow the information provided. This title includes additional digital media when purchased in print format. For this digital book edition, media content may not be included
Completely revised and updated, this edition presents the principles and methodology of assessing both joint range of motion (ROM)/goniometry and manual muscle strength for the head, neck, trunk, and extremities. Each chapter is devoted to a separate anatomical region and provides knowledge of pertinent surface anatomy and deep anatomy. Excellent photography and illustrations enhance comprehension of techniques and serve as a self-learning tool. New to this edition: New vertical format; second-color added to line art; 200 new photographs; detailed coverage of ROM and muscle length assessment and measurement for each body region; comprehensive coverage of end feels for each joint motion; and chapter relating assessment methods to treatment techniques and activities of daily living. A useful resource for assessment and treatment!
Purpose: The postoperative protocol after arthroscopic rotator cuff repair (ARCR) is still controversial. Some surgeons recommend slower rehabilitation in order to improve the integrity of the repair, while others prefer early range-of-motion (ROM) exercise to avoid postoperative stiffness. The purpose of this study was to determine target ROM (T-ROM) measurements at 3 months after ARCR that are predictive of eventual full recovery without structural failure. Methods: The cases consisted of 374 shoulders in 360 patients who underwent primary ARCR and were followed up for at least 2 years. Forward flexion (FF) and side-lying external rotation (ER) were measured preoperatively at 3, 6, 9, 12, and 24 months after surgery, and the patients were divided into six subgroups according to the values for each type of ROM at 3 months (ROM-3M). In each subgroup, the final ROM at 24 months after surgery was compared to determine the T-ROM. The average ROMs with time and re-tear rate were then compared between the under-T-ROM and over-T-ROM groups. Results: The only significant difference in FF was between the 120–129° and 110–119° ROM-3M groups. Therefore, the T-ROM for FF was determined to be 120°. Similarly, the T-ROM for ER was determined to be 20°. Each ROM in the over-T-ROM group was significantly better than that in the under-T-ROM group at all assessments. There was no significant difference in the re-tear rate between the groups. Conclusion: To acquire sufficient ROM in 2 years without high re-tear rate, a target FF of 120° and ER of 20° should be achieved within 3 months after surgery.
The systematic and consistent approach to measuring range of motion through simple photos, diagrams, and animations. Features: For every joint, reference points and the neutral-0 position are defined The normal values are shown for every joint and for all complete ranges of motion Length and circumference of the extremities are indicated as well Pitfalls are emphasized with yellow boxes For every joint, a documentation protocol can be printed showing the range of motion; measurements obtained at follow-up can be included References to the literature are linked to the free Medline site of Medscape, allowing immediate and convenient access to abstracts CME: CME credit hours are available by means of filling out a questionnaire included with the product (pending approval by ACCNE, USA)
Abstract : Background: This study attempted to identify where motion occurs after total ankle replacement, the difference in range-of-motion contributions between fixed-bearing and mobile-bearing total ankle replacements, and the contribution of abnormal peritalar motion. We hypothesized that sagittal plane radiographic assessment would demonstrate that actual ankle motion through the prosthesis is less than the total arc of ankle motion that may be observed clinically secondary to contributions from adjacent joints. Methods: Patients underwent routine standardized weight-bearing maximum dorsiflexion and plantar flexion sagittal radiographs. Sagittal plane ankle and foot measurements were performed on each dorsiflexion and plantar flexion radiograph to determine the total arc of ankle motion, actual ankle motion through the prosthesis, motion through the subtalar and talonavicular joints, and midfoot motion. Motion radiographs were routinely made at 1 year postoperatively and at the time of the most recent follow-up. A minimum follow-up of 2 years was required of all patients. Results: There were 197 patients who met the inclusion criteria (75 INBONE, 52 Salto Talaris, and 70 STAR prostheses). The mean time to the latest radiographs (and standard deviation) was 42.9 ± 18.8 months. The mean actual ankle motion through the prosthesis was 25.9° ± 12.2°, which was significantly less (p 0.001) than the mean total motion arc of 37.6° ± 12.0°. The motion of the ankle accounted for 68% of total range of motion, and motion of the peritalar joints accounted for 32%. There was no significant difference (p 0.05) among the 3 prostheses or when comparing fixed and mobile-bearing designs for both ranges of motion. Conclusions: This study demonstrates that actual ankle motion after total ankle replacement is approximately 12° less than the total arc of motion that might be observed clinically because of increased midfoot and subtalar motion. Level of Evidence: TherapeuticLevel IV . See Instructions for Authors for a complete description of levels of evidence.
'I can tell you how it happened. It's easy to say how it happened. He walked past a building, and a huge chunk of ice fell off the roof, and it hit him in the head. This is Chaplinesque, right? People start to laugh when I tell them-'As Jay Berman lingers in a coma, his young wife, Lainey, is the only one who believes he will recover. While he lies motionless, she hopes to reach him by offering reminders of the ordinary life they shared - sweet-smelling flowers, his softly textured shirt, spices from their kitchen. And throughout her ordeal, Lainey is sustained by her relationship with two very special women, each of whom teaches her about the enduring bond of friendship and the genuine power of hope.
Author Mary Agria continues her love affair with Northern Michigan and gardens in this novel about the power of new beginnings--as long-time Little Traverse Bay cottager Maggie Aron struggles to confront her own mortality and the 'sciatica of the soul' that can rob life of its meaning and hope. Range of Motion offers powerful insights into the nature of community and the resilience it takes to keep growing no matter what the future holds.
The objectives of this research are to design and develop a visual tracking system for lower limb range of motion assessment; to test the performance of visual tracking system and compare it with Universal Goniometer and Electrogoniometer for measuring the range of motion for lower limb joint; to assist the doctor for classifying the range of motion of patient between normal and abnormal (severity level: mild, moderate, and severe) based on lower limb joints flexion motion; to analyse and document on the range of motion for lower limb joint surgical recovery process during pre-operation, post-operation and during rehabilitation.
The systematic and consistent approach to measuring range of motion through simple photos, diagrams, and animations. Features: For every joint, reference points and the neutral-0 position are defined The normal values are shown for every joint and for all complete ranges of motion Length and circumference of the extremities are indicated as well Pitfalls are emphasized with yellow boxes For every joint, a documentation protocol can be printed showing the range of motion; measurements obtained at follow-up can be included References to the literature are linked to the free Medline site of Medscape, allowing immediate and convenient access to abstracts CME credit hours are available by means of filling out a questionnaire included with the product (pending approval by ACCNE, USA)
"The Canadian Load Effects Assessment Program (CAN-LEAP) experimentation series has been conducted in the past to evaluate the effect of various worn kit and equipment configurations on the soldiers' performance. The objectives of this experimentation campaign remain the same, this time examining the effect of wearing extended body armour on soldier Range of Motion (ROM) and the associated effect on CAN-LEAP performance. The primary objectives of this study are: 1. To assess both previously developed and novel approaches to assessing ROM to determine which approach is most precise, repeatable, and most highly correlated with CAN-LEAP performance. 2. To evaluate the effect of wearing extended body armour on soldier ROM and the associated effect on CAN-LEAP performance"--Executive summary, page ii.
Abstract (English) Background: Neck Pain (NP) is one of the most common musculoskeletal disorders and is mostly of nonspecific nature. An association is found between Active Cervical Range Of Motion (ACROM) and the development of nonspecific NP. Studies concerning the effect of musculoskeletal therapy mostly include patients between 18 and 65 years old, which may impede generalization of the results to an older population. Objective: The aim of this prospective cohort study is to investigate the influence of age and active cervical range of motion on the effect of a cervical musculoskeletal treatment in patients with nonspecific neck pain. Methods: Forty patients with nonspecific NP, being treated with physical therapy, were included. Outcome measures were the Neck Bournemouth Questionnaire (NBQ), Neck Disability Index (NDI), Numerical Rating Scale initial (NRS initial), Numerical Rating Scale past 2 weeks (NRS past 2 weeks) and ACROM which were measured at baseline, at 6 weeks and at 12 weeks follow-up. Patients were divided into two groups according to age above or below 60 years old. Differences between the 2 groups at baseline and changes over time were investigated. Correlations between Range Of Motion (ROM) and other outcome measures were calculated. The variable age was checked as a confounding factor. Results: At baseline, there was a significant difference of the variables lateral flexion (p=0.042) and NBQ (p=0.010) between both groups. Rotation and lateral flexion improved for the younger group from baseline to 6 weeks follow-up (p=0.000, p=0.010) and from baseline to 12 weeks follow-up (p=0.001, p=0.003). All questionnaires improved over both time periods (p=0.000). Rotation (p=0.043), NBQ (p=0.018) and NDI (0.027) improved for the older group from baseline to week 6. Between all three times of measurement, moderate positive correlations were found for the younger group between several ROM directions and the questionnaires. Conclusion: The younger group showed improvement over more outcome variables than the older group. Only correlations were found for the younger group. The variable age is not a confounding factor. Further research is needed with higher sample size.
This occupational therapy manual instructs students in the use of assessment tools when evaluating the range of motion and strength of clients, yet emphasizes the time efficiency required in today's healthcare environment. Students learn to screen clients for strength and motion deficits using functional observation and to formulate appropriate intervention plans through gross manual muscle assessment. Students also receive instruction in methods of isolated manual muscle testing and when it is appropriate to progress to this specific assessment. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Measure joint range of motion with the manual that set the standard. Here is all of the guidance you need to identify impairments successfully and assess rehabilitation status effectively. Thoroughly updated and revised to reflect today’s most current and complete research, the 5th Edition of this classic book retains the unique features that have set this manual apart as the reference of choice. For each measurable joint in the body, you’ll find a consistent, easy-to-follow format and exceptional photographs that depict range of motion and alignment, making it easy for you to visualize the examination and technique for each joint motion and muscle length test.