The Practical Guide to Range of Motion Assessment / Edition 1

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This companion to Guides to the Evaluation of Permanent Impairment, Fifth Edition, provides instruction on a standardized method for measuring range of motion (ROM). The Guides Fifth assumes the user is experienced in measuring range of motion. This manual provides basic to proficient guidance that will enable physicians, physical therapists, and other evaluators to obtain accurate ROM measurements using standardized guidelines, reference tables, and reporting protocols. This consistent approach promises to produce greater intra- and interevaluator reliability. To increase accuracy, trained clinicians identify anatomic landmarks and properly position or stabilize the body to use a consistent technique to apply the measurement to the joint.

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Editorial Reviews

Doody's Review Service
Reviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This is a practical guide to the proper measuring of the human joint range of motion.
Purpose: The purpose is to show how to correctly measure joint range of motion so that the motion is reproducible and accurate. This most worthwhile objective is fully met.
Audience: The book is written for all those healthcare professionals seeking to better understand and assess range of motion. They include physicians, physical and occupational therapists, and nurses. The three authors all have extensive experience on this topic. They are most qualified to write on the subject.
Features: The first part of this book deals with basic principles of range of motion measurements. Here the Standardized Neutral Zero Measuring Method measurements and the Numerical System of Sagittal, Frontal, Transverse and Rotation Planes (SFTR) are described in detail. The proper uses the goniometer and inclinometer are presented with appropriate photographs and illustrations. The second part of the book deals with the specific measurements of the spine and upper and lower extremities. The authors depend almost exclusively on a measuring device consisting of a bar, swivel, telescopic extender, and inclinometer to demonstrate the degrees of motion. The use of this instrument to measure small joint range of motion, such as the hand, appears cumbersome. Each motion position is illustrated by photography. The pages are effectively organized in such a way that the text is on the left hand side and the photos are on the right hand side. The references are adequate and current. No advice is given on the brand names of inclinometers or where to purchase them.
Assessment: I do not own an inclinometer and I don't know of your average orthopedic surgeon who carries one around. It is used routinely by spine surgeons to measure the rotation of spinal scoliosis. The 5th edition of the Guide to the Evaluation of Permanent Impairment requires the examiner use the inclinometer to measure spine motion. Are the authors now subtly suggesting that the common plastic goniometers ought to be replaced by the bulky inclinometer in all motion measurements? They have correctly recognized a long list of nonexaminer factors affecting range of motion. These include pain, obesity, spasticity, age, secondary gain, activity level, time of day, and so on. A key component in assessing permanent impairment is loss of normal range of motion. This book attempts to help the user report the most accurate and reproducible motion. To this end, this work is a major contribution on the subject. It is very highly recommended to all physicians and allied health professionals caring for the musculoskeletal septum.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781579472634
  • Publisher: American Medical Association
  • Publication date: 6/1/2002
  • Edition description: 1ST
  • Edition number: 1
  • Pages: 128
  • Sales rank: 1,178,548
  • Product dimensions: 8.70 (w) x 11.20 (h) x 0.50 (d)

Table of Contents

Pt. 1 Principles of Standardized Range of Motion Measurement 1
Ch. 1 Key Principles 3
Principles for Measurement of Range of Motion 3
1 Prepare the Examinee 4
2 Identify Anatomical Landmarks 4
3 Have the Individual Perform Standardized Warm-up Exercises 5
4 Properly Position and Stabilize the Body 7
5 Select, Apply, and Stabilize Instrumentation 7
6 Use the Standardized Neutral Zero Measuring Method and Proper Measuring Techniques 12
7 Accurately Record Measurements in the Numerical SFTR System 14
8 Recognized and Evaluate the Importance of the Factors Affecting Range of Motion 19
Pt. 2 How to Perform Joint Measurements in the Spine, Upper Extremities, and Lower Extremities 23
Ch. 2 Measuring Joints in the Spine 25
Cervical Spine 26
Thoracic Spine 32
Lumbar Spine 40
Ch. 3 Measuring Joints in the Upper Extremities 47
Shoulder 48
Elbow 56
Forearm 58
Wrist 62
Hand (Thumb and Digits) 66
Carpometacarpal Joint of the Thumb (CMC I) 66
Metacarpophalangeal Joint of the Thumb (MCP I) 72
Interphalangeal Joint of the Thumb (IPP) 74
Metacarpophalangeal Joint of the Second Digit (MCP II) 76
Proximal Interphalangeal Joint of the Second Digit (PIP II) 78
Distal Interphalangeal Joint of the Second Digit (DIP II) 80
Ch. 4 Measuring Joints in the Lower Extremities 83
Hip 84
Knee 90
Upper Ankle Joint, Hindfoot 92
Lower Ankle Joint, Hindfoot 96
Forefoot 98
Toes 100
Big Toe, Metatarsophalangeal Joint (MTP I) 100
Big Toe, Interphalangeal Joint (IPH) 102
Toes II through V: Recordings 104
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