By Donna Latella
This occupational treatment guide instructs scholars within the use of review instruments while comparing the diversity of movement and energy of consumers, but emphasizes the time potency required in brand new healthcare atmosphere. scholars learn how to display consumers for energy and movement deficits utilizing sensible commentary and to formulate applicable intervention plans via gross handbook muscle review. scholars additionally obtain guideline in tools of remoted guide muscle checking out and whilst it's acceptable to development to this particular evaluation.
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Additional info for Occupational Therapy Manual for the Evaluation of Range of Motion and Muscle Strength
Figure 1-4-6a Alternate end position for forearm supination. FULCRUM: over the head of the third metacarpal MOVABLE ARM: parallel to the pencil STABLE ARM: perpendicular to the floor 26 ■ Chapter 1 Forearm: pronation End feel: hard Normal ROM: 0–90 degrees Figure 1-4-7 Start position for forearm pronation. Figure 1-4-8 End position for forearm pronation. Client Position: Client is sitting with feet on the Therapist Position: Observe at the humerus and elbow to prevent compensation of humerus moving away from the trunk.
Client Position: Client is sitting or standing. Therapist Position: Observe the scapula to prevent excessive compensatory upward rotation and elevation. Starting—testing extremity is at client’s side, humerus is in full external rotation, elbow extension, and forearm in supination. 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).
Client Position: Client is supine with knees Goniometer Position: flexed. FULCRUM: lateral epicondyle of the humerus Starting—testing extremity is in 90 degrees of humeral flexion, elbow fully flexed, forearm supinated (Figure 1-4-3). STABLE ARM: midline of lateral surface of the Ending—client moves the testing extremity into maximum elbow extension (Figure 1-4-4). radius Therapist Position: Observe at the humerus and shoulder to prevent compensation. humerus MOVABLE ARM: midline of lateral surface of the Goniometry ■ 25 Forearm: supination End feel: firm Normal ROM: 0–90 degrees Figure 1-4-5 Start position for forearm supination.