Upper extremity ROM screen

Introduction

This tutorial provides a step-by-step guide on conducting an upper extremity range of motion (ROM) screen. It is designed for physical therapists, trainers, or anyone interested in assessing shoulder and arm mobility. Understanding how to perform this assessment can help identify limitations and guide rehabilitation or training programs.

Step 1: Prepare the Assessment Environment

• Ensure a clear space for movement.
• Have a measuring tool handy, such as a goniometer or tape measure.
• Prepare a recording method for results (notebook, smartphone, etc.).

Step 2: Assess Shoulder Flexion

• Instruct the individual to stand or sit with their back straight.
• Ask them to raise their arms straight up towards the ceiling.
• Measure the angle of flexion using a goniometer:
  • Place the fulcrum at the shoulder joint.
  • Align the stationary arm with the torso.
  • Align the movable arm with the humerus.
• Record the measurement.

Step 3: Assess Shoulder Extension

• Have the individual stand or sit upright.
• Instruct them to extend their arms straight back as far as possible.
• Again, use the goniometer to measure the angle:
  • Position the fulcrum at the shoulder joint.
  • Align the stationary arm with the torso.
  • Align the movable arm with the humerus.
• Record the measurement.

Step 4: Assess Shoulder Abduction

• Instruct the individual to stand with arms at their sides.
• Ask them to lift their arms out to the side, keeping them straight.
• Measure the angle using the goniometer:
  • Fulcrum at the shoulder joint.
  • Stationary arm aligned with the torso.
  • Movable arm aligned with the humerus.
• Record the measurement.

Step 5: Assess Shoulder Internal and External Rotation

• For internal rotation:
  • Have the individual stand or sit with their elbow at 90 degrees and close to the body.
  • Ask them to rotate the forearm towards the body.
  • Measure the angle at the elbow with the goniometer.
• For external rotation:
  • With the same position, instruct them to rotate the forearm away from the body.
  • Measure the angle at the elbow with the goniometer.
• Record both measurements.

Step 6: Document and Analyze Results

• Review all recorded measurements for the upper extremity ROM.
• Compare results to normative values to identify any limitations.
• Discuss findings with the individual to develop a targeted intervention plan if needed.

Conclusion

Conducting an upper extremity ROM screen is essential for assessing mobility and guiding rehabilitation efforts. By following these steps, you can effectively evaluate shoulder and arm movement. Remember to document results carefully and analyze them against normative data to create a personalized plan for improvement. Consider scheduling follow-up assessments to track progress over time.