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Lernmaterialien für Occupational Therapy an der University of Worcester

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TESTE DEIN WISSEN

Full available ROM, against gravity & against MAXIMAL
resistance

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TESTE DEIN WISSEN

5 Normal

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TESTE DEIN WISSEN

Greater than half available ROM, against gravity, and against
MODERATE resistance

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TESTE DEIN WISSEN

4-

Good –(G-)

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TESTE DEIN WISSEN

Shoulder Internal Rotation

against gravity

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TESTE DEIN WISSEN

Starting Position: the patient is prone (belly down). The shoulder is abducted to 90 degrees,
the elbow is flexed to 90 degrees, the arm proximal to the elbow is resting on the plinth
Stabilization : the therapist stabilizes the humerus to prevent shoulder adduction
Movement : the patient internally rotates the shoudler by moving the palm of the hand
toward the ceiling
Palpation: subscapularis is too deep to palpate
Resistance location: applied proximal to the wrist joint. Application of resistance stresses
the shoudler and elbow joints, and caution should be exercise
Resistance direction: shoulder external rotation

Shoulder Internal Rotation

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TESTE DEIN WISSEN

Pronation 

gravity eliminated positions

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Starting Position: the patient is supine the arm at the side, the elbow flexed to 90 degrees,
and the FA supinated
Stabilization : the therapist stabilizes the humerus
End position: the patient pronates the FA through full ROM

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TESTE DEIN WISSEN

Shoulder flexion (

gravity eliminated positions

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TESTE DEIN WISSEN

Starting Position: the patient is in a side lying position on the non-test side. The arm is at the
side, with shoulder in slight abduction and neutral rotation. The therapist supports the
weight of the limit
Stabilization : the therapist stabilizes the scapula and clavicle
End position : the patient flexes the shoulder to 90 degrees simultaneously slightly adducting
and internally rotating the shoulder joint.
Substitute movement : scapular elevation and trunk extension

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TESTE DEIN WISSEN

Full available ROM against gravity, against MINIMAL resistance

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TESTE DEIN WISSEN

Fair +: (F+)

3+

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TESTE DEIN WISSEN

Shoulder Abduction

against gravity

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TESTE DEIN WISSEN

Starting Position: patient is sitting. The test arm is at the side in neutral rotation, and the
elbow is extended.
Stabilization : therapist stabilizes the scapula
Movement : the patient abducts the arm to 90 degrees
Palpation: Middle fibers of deltoid- inferior to the tip of the acromion process.
Supraspinatus : too deep to palpate
Resistance location: Applied proximal to the elbow joint on the lateral aspect of the arm
Resistance direction: shoulder adduction

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TESTE DEIN WISSEN

Less than one half the available ROM against gravity. No
external force applied

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TESTE DEIN WISSEN

Poor +
(P+)

2+

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TESTE DEIN WISSEN

Full available ROM, against gravity, and against MODERATE
resistance

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TESTE DEIN WISSEN

4 Good

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TESTE DEIN WISSEN

against gravity

Shoulder Extension

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TESTE DEIN WISSEN

Movement : The patient extends the shoulder through full ROM while maintaining slight
shoulder adduction. The posterior fibers of deltoid are essential for full shoulder extension.
Palpation: Latissimus dorsi- lateral to the inferior angle of the scapula or at the posterior
wall of the axilla. Teres minor- posterior wall of the axilla lateral to the axillary border of the
scapula
Resistance location: applied proximal to the elbow joint on the postermedial aspect of the
arm
Resistance direction- Shoulder flexion and slight abduction

Starting Position: the patient is in prone lying position at the edge of the plinth. The arm is
at the side, with shoulder in internal rotation. The palm faces the ceiling.
Stabilization : the weight of the trunk and the therapist stabilizes the scapula


Lösung ausblenden
TESTE DEIN WISSEN

No movement felt or visible

Lösung anzeigen
TESTE DEIN WISSEN

0

Lösung ausblenden
TESTE DEIN WISSEN

No available ROM, but does present with palpable or
observable twitches/contraction

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TESTE DEIN WISSEN

Trace(T)-1

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  • 486 Karteikarten
  • 48 Studierende
  • 0 Lernmaterialien

Beispielhafte Karteikarten für deinen Occupational Therapy Kurs an der University of Worcester - von Kommilitonen auf StudySmarter erstellt!

Q:

Full available ROM, against gravity & against MAXIMAL
resistance

A:

5 Normal

Q:

Greater than half available ROM, against gravity, and against
MODERATE resistance

A:

4-

Good –(G-)

Q:

Shoulder Internal Rotation

against gravity

A:

Starting Position: the patient is prone (belly down). The shoulder is abducted to 90 degrees,
the elbow is flexed to 90 degrees, the arm proximal to the elbow is resting on the plinth
Stabilization : the therapist stabilizes the humerus to prevent shoulder adduction
Movement : the patient internally rotates the shoudler by moving the palm of the hand
toward the ceiling
Palpation: subscapularis is too deep to palpate
Resistance location: applied proximal to the wrist joint. Application of resistance stresses
the shoudler and elbow joints, and caution should be exercise
Resistance direction: shoulder external rotation

Shoulder Internal Rotation

Q:

Pronation 

gravity eliminated positions

A:

Starting Position: the patient is supine the arm at the side, the elbow flexed to 90 degrees,
and the FA supinated
Stabilization : the therapist stabilizes the humerus
End position: the patient pronates the FA through full ROM

Q:

Shoulder flexion (

gravity eliminated positions

A:

Starting Position: the patient is in a side lying position on the non-test side. The arm is at the
side, with shoulder in slight abduction and neutral rotation. The therapist supports the
weight of the limit
Stabilization : the therapist stabilizes the scapula and clavicle
End position : the patient flexes the shoulder to 90 degrees simultaneously slightly adducting
and internally rotating the shoulder joint.
Substitute movement : scapular elevation and trunk extension

Mehr Karteikarten anzeigen
Q:

Full available ROM against gravity, against MINIMAL resistance

A:

Fair +: (F+)

3+

Q:

Shoulder Abduction

against gravity

A:

Starting Position: patient is sitting. The test arm is at the side in neutral rotation, and the
elbow is extended.
Stabilization : therapist stabilizes the scapula
Movement : the patient abducts the arm to 90 degrees
Palpation: Middle fibers of deltoid- inferior to the tip of the acromion process.
Supraspinatus : too deep to palpate
Resistance location: Applied proximal to the elbow joint on the lateral aspect of the arm
Resistance direction: shoulder adduction

Q:

Less than one half the available ROM against gravity. No
external force applied

A:

Poor +
(P+)

2+

Q:

Full available ROM, against gravity, and against MODERATE
resistance

A:

4 Good

Q:

against gravity

Shoulder Extension

A:

Movement : The patient extends the shoulder through full ROM while maintaining slight
shoulder adduction. The posterior fibers of deltoid are essential for full shoulder extension.
Palpation: Latissimus dorsi- lateral to the inferior angle of the scapula or at the posterior
wall of the axilla. Teres minor- posterior wall of the axilla lateral to the axillary border of the
scapula
Resistance location: applied proximal to the elbow joint on the postermedial aspect of the
arm
Resistance direction- Shoulder flexion and slight abduction

Starting Position: the patient is in prone lying position at the edge of the plinth. The arm is
at the side, with shoulder in internal rotation. The palm faces the ceiling.
Stabilization : the weight of the trunk and the therapist stabilizes the scapula


Q:

No movement felt or visible

A:

0

Q:

No available ROM, but does present with palpable or
observable twitches/contraction

A:

Trace(T)-1

Occupational Therapy

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