Deck 22: Joint Range of Motion

Question 1

What term is used for feeling the bony landmarks and soft tissues around the joint to be measured?

A) End-feel
B) Palpation
C) Preparatory touch
D) Passive feel
E) Visual observation

Answer 1

B
Palpation is the process of feeling bony landmarks and soft tissues.

Question 2

Which is true about normal joint ROM?

A) It may not be affected by age.
B) It may not be affected by gender.
C) It may not be affected by occupation.
D) It may not be the same from individual to individual.
E) It may not be determined.

Answer 2

D
Normal joint ROM may be affected by age,gender,lifestyle,occupation,and other factors.Although there are averages for normal ROM,ROM may vary considerably among individuals.

Question 3

When the joint is moved solely by an outside force,it is called ______________.

A) Functional range of motion (ROM)
B) Active ROM
C) External ROM
D) Passive ROM
E) Active-assistive ROM

Answer 3

D
Passive ROM is when the joint is moved by an outside force,such as the therapist.

Question 4

Measuring joint ROM is contraindicated if _________________.

A) The client has a hematoma
B) The client has an unhealed fracture
C) The client has joint inflammation
D) The client has taken medication for pain
E) The client has osteoporosis

Question 5

When ROM of cervical lateral flexion is being measured,the goniometer axis is placed over what area?

A) External occipital protuberance
B) Spinous process of the second thoracic vertebra
C) Mastoid process
D) Spinous process of the seventh cervical vertebra
E) Sternum

Question 6

What is the average normal joint ROM (using the 180-degree method)for thumb metacarpophalangeal (MP)flexion?

A) 0-70 degrees
B) 0-90 degrees
C) 20-90 degrees
D) 20-50 degrees
E) 0-50 degrees

Question 7

When measuring passive ROM,the therapist should not _______________.

A) Watch for signs of pain or discomfort
B) Hold the part securely above and below the joint being measured
C) Gently move the joint through its ROM
E) Ask the client to relax the part being measured
E) Force the joint through its ROM

Question 8

Which of the following is not a purpose of joint ROM measurements?

A) Determine the need for splints or assistive devices
B) Determine joint limitations that interfere with function
C) Determine how many pounds a client may lift
D) Determine efficacy of intervention modalities
E) Determine how far a client can reach overhead

Question 9

When ROM is being measured,which is not a purpose of the therapist being in the proper position?

A) Making the client more comfortable
B) Ensuring accurate placement of the goniometer
C) Protecting the therapist's back
D) Giving the patient more time to move
E) Supporting the limb at the level of its center of gravity

Question 10

When ROM of wrist extension is being measured,where is the movable bar of the goniometer placed?

A) Parallel to the metacarpal of the index finger
B) Parallel to the radius
C) Parallel to the metacarpal of the small finger
D) Parallel to the anatomical snuffbox
E) Parallel to the ulna

Question 11

In the 180-degree system of joint measurement,what is the starting position for joint motion?

A) 0 degree
B) 180 degrees
C) 90 degrees
D) Variable depending on whether active ROM or passive ROM is being measured
E) At the natural resting position of the joint

Question 12

When analyzing results from ROM assessment,the therapist's first concern should be ROM that is ___________________.

A) Permanently lost
B) Painful
C) Lacking more than 10 degrees from normal
D) Lacking less than 10 degrees from normal
E) Below functional limits

Question 13

What is the average normal joint ROM (using the 180-degree method)for shoulder flexion?

A) 0-90 degrees
B) 0-150 degrees
C) 0-170 degrees
D) 0-135 degrees
E) 0-120 degrees

Question 14

When ROM of forearm supination is being measured,where is the stationary bar of the goniometer placed?

A) Parallel to the radius
B) Against the volar aspect of the wrist
C) Parallel to the floor
D) Against the dorsal aspect of the wrist
E) Perpendicular to the floor

Question 15

When joint motion is limited by the length of a muscle that crosses two joints,it is called ________________.

A) Passive instability
B) Joint stiffness
C) Passive insufficiency
D) Joint weakness
E) Joint shortening