Range of motion testing

The glenohumeral joint can be evaluated during us range of motion testing. Somatic dysfunction is diagnosed if there is no pathology of the joint Arthritis, tendonitis, or other pathology may be treated with appropriate osteopathic manipulation, but most responsive will be true somatic dysfunctions. 

Range-of-motion tests that measure muscle strength and motor function ... 

Pretest tasks test explanation to the adult patient or the pediatric patient and parent, system calibration Videotaping brace, barefoot, close up, standing Clinical examination range of motion, muscle strength, etc. Motion marker placement... 

Reese N.B. and Bandy W.D. 2002. Joint Range of Motion and Muscle Length Testing. Philadelphia, WB Saunders Company. 

A cadaveric study comparing the range of motion in the L5-S1 motion segment in five human spines, before and after implantation with the PRODISC, has indicated that implantation of fhis device did not significantly affect the ROM (Lipman et al. 2003). Specimens were tested in an apparatus that applied pure bending moments. The specimens were cycled in torque to a maximum of 10 Nm in flexion-extension, lateral bending, and torsion with 600 N and 1200 N compressive loads. The ROM at 8 Nm after the fifth cycle of loading was documented and used for comparison between intact and implanted specimens. Summary data is shown in Table 10.3. 

The Apley scratch test is a good method to test active range of motion. The patient is instructed to reach across his chest, over the shoulder, and touch the opposite scapula. Then he reaches behind his back and touches his opposite scapula. Finally, he reaches behind his head and touches the opposite scapula. These maneuvers actively test all the ranges of motion in the shoulder joint. If one of these maneuvers cannot be performed, it is then necessaiy to identify which shoulder motion is restricted and evaluate it more carefully. 

The range of motion of the knee joint should be tested actively and passively. The patient should be instructed to flex and extend the knee while seated and, from the standing position, to squat and arise. The latter tests muscle strength as well as active range of motion. The physician should hold the hands of older patients to prevent them from falling. 

Both observation and motion testing are used in the diagnostic process. When motion testing is used in the cranium, it must be performed with the utmost respect for the patient and with a consideration for the effect of the examiner s touch on the patient s response to lhat touch. The range of motion of the bone or membrane is tested within the context of the primary respiratory mechanism [PRM]. Motion is simply initi-... 

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