PT 503L Lecture Notes - Lecture 5: Upper Guelders, Lumbar Vertebrae, Biceps
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PT 503 Physical Therapy Processes I
Principles of Measurement
The Upper Quarter: The Shoulder
a. Appropriate planes and axes for each upper extremity motion.
b. Expected normal ranges and end-feels.
a. Testing positions used for each UE joint motion
b. Testing position corresponding to muscle grade
c. Goniometric alignment
3. Plan muscle testing and goniometric measurements of the scapula and shoulder that are organized
by body position.
4. Perform muscle testing and goniometric measurement of strength and range of motion of the
scapula and shoulder complex.
a. Clear explanation
b. Proper starting position
c. Adequate stabilization/ application of force
d. Use of appropriate testing motion
e. Accurately align goniometer and correct reading/ recording.
Goniometric Measurements performed in this lab:
Shoulder internal rotation
Shoulder external rotation
1. Observe gross movements for symmetry and range of motion.
o Flexion/ Extension
o Abduction/ Adduction
o Internal Rotation/ External Rotation
2. Observe scapulohumeral rhythm.
3. Total arc of motion for shoulder forward flexion is 180:
Scapular ROM = 60° versus glenohumeral ROM = 120°