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DMC COLLEGE FOUNDATION INC.

College of Nursing

PERFORMANCE CHECKLIST

Name:
Year and Section:

U F S
ROM EXERCISES N A A
S I T
A R I
T S
Definition:
I F
S A
F C
A T
Purposes:
C O
T R
O Y
R
Y
Procedure:
1. Wash hands.
2. Explain the procedure to the client.
3. Determine the type of exercise to be done.
4. Perform or assist in doing ROM on the following joints.
 4.1 Neck
- Flexion
- Lateral Flexion
- Rotation
 4.2. Shoulder
- Flexion
- Extension
- Abduction
- Adduction
- Internal Rotation
- External Rotation
- Circumduction
 4.3. Elbow
- Flexion
- Extension
 4.4. Forearm
- Supination
- Pronation
 4.5. Wrist
- Flexion
- Extension
- Abduction
- Adduction
 4.6. Fingers
- Flexion
- Extension
- Adduction
- Abduction
 4.7. Thumb
- Flexion
- Extension
- Adduction
- Abduction
- Opposition
 4.8. Hip
- Flexion
- Extension
- Hyperextension
- Abduction
- Adduction
- Internal Rotation
- External Rotation
- Circumduction
 4.9. Knee
- Flexion
- Extension
 4.10. Ankle
- Dorsal Flexion
- Plantar Flexion
 4.11. Foot
- Inversion
- Eversion
 4.12. Toes
- Flexion
- Extension
- Abduction
- Adduction

____________________________________
Clinical Instructor / PCI

_______________________________
Date and Grade

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