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JOINT

MOVMENT

HIP
12 anteversion

Flexion

KNEE
Anatomical/Mechanical
axis diff: 4-8 (ave 6)

Extension
Abduction
Adduction
ER
IR
Flexion

NORMAL ROM

90 (sitting)
120 (squatting)
20
20
135

Extension
ER (at 90 flex)
IR (at 90 flex)
Dorsiflexion
Plantarflexion
Rotation

25
35
5

SHOULDER
Head: 32 retroverted
Scapula 30-40 angulated
Glenoid: 7 retroverted & 5
tilted

Flexion
Extension
Abduction
Adduction
ER
IR

180
60
180

ELBOW
Cubitus valgus:

Flexion

WRIST

Flexion
Extension
Ulna dev
Radial dev

HAND

DIPJ
PIPJ
Thumb MCP

90
90
140-145

90
80
65 (85-90)
55 (75-80)
35 (50 tot arc)
15-20

Flex/Ext
Lat Flex
Rotation

C1-C2
Instant centre:

Flex/Ext
Lat Flex
Rotation

C2-C7
Instant centre: vertebra
below

Flex/Ext
Lat Flex
Rotation

T-spine
Instant centre: vertebra
below

Flex/Ext
Lat Flex
Rotation

L-spine
Instant centre: annulus of
same vertebra

Flex/Ext
Lat Flex
Rotation

Neutral/slight add
5

Walking 67
Upstairs 83
Downstairs 90
Sitting & rising 93
Shoelaces 106
Squatting & lifting 117

Neutral
Neutral
5-10 ER & 5
hindfoot valgus
20 (Apley 25)
30 (Apley 50)

40
30-130 ideally
110 (eating)
65 (hygiene)

90

100 total arc (50/50)


10
35
15
10

15 (& other 15
flexed if bilateral)

10-20
30-45
15 flexed
10 pronation
30-40 palmar abd
30-35 radial abd
15 pronation

Thumb CMC

SPINE
Occ-C1
Instant centre: skull 2-3 cm
above dens

POSITION OF
FUSION
25

45
30

ANKLE

Extension
Supination
Pronation

FUNCTIONAL ROM

13
8
0
10
0
45
10-15
8-10
10
5
6
8
15-20
2-5
3-6

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