Date Performed: Final Grade:

RANGE OF MOTION EXERCISES

Definition:

Objectives:

1.
2.
3.

Safety and Security Measures:

1.
2.
3.

Pre-procedural Preparations:
1. Wash hands
2. Introduce yourself to the client and identify client’s identity.
Explain what are going to do, why it is necessary, and how the
client can cooperate.
3. Gather the necessary equipment.
4. Provide Privacy

Equipment:

STEPS RETURN DEMO

Able Unable
to to
perfor perform
m

1. Before performing the procedure to the

client, ensure that the procedure is not
contraindicated.
Rationale:
2. Place client in supine position.
Rationale:

3. Elevate the bed at a comfortable working

position.
Rationale:

4. Take initial vital sign and repeat in between

procedure. [2]
Rationale:

5. Follow the procedure below in order to

perform Range of Motion (ROM) to one side
of the body. [2]
NECK
a. Flexion-position the head as if
looking at the toes
b. Extension- position the head as if
looking straight ahead
c. Hyperextension- position the head as
if looking up the ceiling
d. Lateral Flexion patient moves head
towards one shoulder and then to the
other
e. Lateral Rotation- patient moves head
in twisting motion from side to side
Rationale:

6. SHOULDER
a. Flexion-raise arm forward and
overhead
b. Extension- return arm to the side
 of the body
c. Vertical Abduction- swing arm out
and up
d. Vertical Adduction-move arm
downward to the body
e. Internal Rotation- swing the arm
up and across the body
f. External Rotation- rotate the arm
and back, keeping the elbow at the
right angle
Rationale:
7. ELBOW
A. These movements can be performed in
conjunction with the shoulder.
B. Flexion- cupping the elbow in the
hand, bend the arm.
C. Extension- straighten the arm
Rationale:

8. WRIST
A. Flexion-grasping the palm with one
hand and supporting the elbow with
other hand, bend the wrist forward.
B. Extension-straighten the wrist
C. Radial Deviation- bend the wrist
towards the thumb
D. Ulnar Deviation- bend the wrist
towards the little finger
E. Circumduction- move the wrist in
circular motion
Rationale:
9. FINGERS AND THUMB
A. Flexion- bend the fingers and thumb
unto the palm
B. Extension- return them to their
original position
C. Abduction-spread the fingers
D. Adduction- return the fingers to
closed position
E. Circumduction- move the thumb in
circular motion
F. Opposition- touch the end of the
thumb to each of the fingers in turn.
Rationale:

10. HIP AND KNEE

Flexion- lift the leg, bending the knee as
far as possible towards the patient’s head
Extension-return the leg to the surface of
the bed and straighten
Abduction- move leg outward to the edge
of bed.
Adduction- bring leg back to midline
Internal Rotation-roll entire leg inward
External Rotation- roll entire leg outward
Rationale:

11. ANKLE
A. Dorsiflexion – cup hill using forearm,
bend ankle toward upper body.
B. Plantar Flexion- cup hill and push
ankle downward to point toes
C. Circumduction-rotate the foot in the
ankle, moving it first in one direction
and then in the other.
 Rationale:

12. TOES
A. Flexion- bend toes downward
B. Extension- bend toes up
Rationale:

13. SPINE
A. Extension- stand straight
B. Flexion – bend forward from the waist
C. Hyperextension-bend backward from
the waist
D. Lateral Flexion-bend toward the side,
first left, then right
E. Rotation- twist from the waist to the
side first then right.
Rationale:

14. Wash hands.

Rationale:

15. Keep patient in comfortable position.

Rationale:

16. Document in the patient’s chart.

Rationale:

17. Ability to answer questions

18. Definition

19. Objectives
20. Safety and Security Measures
Total Score: ______
/ 20
Percentage:

Equivalent Grade: