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Get Upper Extremity Range Of Motion Chart

0 Shoulder external rotation 90 145 Elbow flexion 145 (0) Elbow extension (0) 80 -90 80 -90 80 -90 Forearm neutral position Supination (elbow bent) Pronation (elbow bent) 80 Wrist flexion 80 70 Wrist extension 70 20 Wrist radial deviation 20 30 Wrist ulnar deviation 30 70 Thumb abduction 70 80 -90 Note: All measurements are PROM, unless specified by A for Active Range of Motion. WFL Within Functional Limits WNL Within Normal.

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How to fill out the Upper Extremity Range Of Motion Chart online

Filling out the Upper Extremity Range Of Motion Chart is an essential process for accurately assessing upper limb mobility. This guide provides clear instructions on how to complete the form online, ensuring that users can navigate each section with ease.

Follow the steps to complete the chart accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Begin by entering the user's name in the designated 'Name' field at the top of the chart.
  3. Fill in the 'DOB' (Date of Birth) field to ensure accurate age-related assessments.
  4. Complete the 'School Years' section to provide background context for the evaluation.
  5. For each range of motion measurement specified for the left and right upper extremity, input the respective values based on the user's performance. This includes measurements for shoulder flexion, abduction, internal rotation, external rotation, elbow flexion and extension, forearm positions, wrist and thumb movements.
  6. Use the comments section to note any significant details, such as the user's position, medication, surgeries, or factors that might affect the measurements.
  7. After completing the chart, review all entries for accuracy and completeness.
  8. Save the changes you made to the form, ensuring that all information is securely stored. You can also download, print, or share the completed form as needed.

Complete your Upper Extremity Range Of Motion Chart online today for accurate assessment.

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ROM Norms: Shoulder flexion: 0-180. Shoulder extension: 0-60. Shoulder abduction: 0-180. Shoulder adduction: 180-0.

A ROM assessment is most commonly used to measure movement of the ankles, knees, hips, shoulders, elbows, wrists and fingers. Measures are taken on consecutive occasions to assess any change over time. They are used to determine whether an individual's ROM is within the expected range.

Within Normal Limits (WNL) – the end range of motion is within what is considered normal movement for that joint. Within Functional Limits (WFL) – the end range of motion has some limitations, but is within what is considered functional for that joint.

A Goniometer is the most common tool for measuring range of motion of the joints of the body. It uses a stationary arm, fulcrum, and movement arm to measure joint angles from the axis of the joint. Making a ROM measurement by using a goniometer requires training for reliable results.

To help ensure you have sufficient range of motion in your shoulders, an occupational therapist may suggest a variety of treatments, including upper body dressing, upper body bathing, exercises with dowels, pulleys and a wall ladder, neuromuscular reeducation or neuromuscular electrical stimulation (NMES).

1:06 4:42 Active Range of Motion: Shoulder - YouTube YouTube Start of suggested clip End of suggested clip For extension ask your patient to stand upright. And then instruct him to bring the arms as far backMoreFor extension ask your patient to stand upright. And then instruct him to bring the arms as far back as possible. Make sure that the movement is in the shoulder.

2:12 7:42 Goniometry for the Upper Extremity, Part 1 - YouTube YouTube Start of suggested clip End of suggested clip The elbow extended with the palm facing. Down the axis of the goniometer. Is over the acromion.MoreThe elbow extended with the palm facing. Down the axis of the goniometer. Is over the acromion.

Range of Motion (ROM) To measure range of motion of a joint, the stationary arm of the goniometer is placed parallel to the longitudinal axis proximal to the joint, and the movable arm is placed parallel to the longitudinal axis distal to the joint.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232