NCM 101 MUSCULOSKELETAL SYSTEM Test ROM

ASSESSMENT- PART 3

Inspection and Palpation of the elbow

(page 154)

Flexion

Extensio
n

Flexed elbow Distended elbow

Hold arm out

Olecranon process and epicondyles Turn the palm down

Turn the palm up Palpating in a circular motion

Repeat against resistance

Inspect and Palpate the wrist

Test for ROM

Tinel’s sign
Ask the client to bend wrist down and back

Inspection and Palpation of the fingers

Repeat against resistance

Carpal Tunnel Syndrome

Test ROM Palpate for stability, tenderness and
crepitus

Test ROM

Raised extended leg

Touch the thumb to the base of the small

fingers

Move extended leg away from the midline

Repeat against resistance

Inspection and Palpation of the hips

Lie in prone and lift extended leg off the

table
Inspection and Palpation of the Knees,
feet and the ankle Palpate the tibiofemoral space
- You can inspect the knees while
patient is sitting and the knees
dangling or on standing position

Start palpation 10 cm above the patella

Bulge Test

Ballotement Test

If there is an Effusion, measure and

compare quadriceps circumference
Test ROM Inspection and Palpation of the ankles
and feet

Point out and Point in toes

Bend each knee up

Then repeat maneuvers against

resistance

Test for pain and injury

Palpate for tenderness, heat, swelling or

nodules

Assess the metatarsophalangeal joints

Rotate medially
Plantar area