PTS 1: Measurement of Joint Mobility

What is the standard patient position for shoulder extension ROM measurement?

• Standing erect

• Prone lying

• lying on the side

• High sitting

During a PROM assessment of the shoulder flexion, the therapist reported that the shoulder flexion end-feel is normal. Which of the following describes the statement above?

• soft

• hard

• firm

• empty

Read the goniometer for shoulder flexion measurement

• 117 degrees

• 63 degrees

• 123 degrees

• 70 degrees

Which of the following technique improves muscle contractility and extensibility?

• Passive range of motion

• Active Assisted range of motion

• Active range of motion

• None of above

According to the arthrokinematics principles of concavity and convexity, which of the following statements about the MCP joint (as shown in the image) is TRUE? 

• Slide opposite to the angular movement during the movement

• Slide the same direction as the angular movement during the movement

According to the arthrokinematics rule of concavity and convexity, which of the following describes the accessory motion during the movement shown in the picture?

• Roll and glide in the same direction

• Roll and glide in the opposite direction

• Roll first and then glide in the same direction

• Glide first and then roll in the opposite direction

Which of the following is TRUE regarding the ROM assessment?

• PROM should be initiated first to identify the end-feel

• PROM gives information on the muscle strength

• AROM gives information on the painful range

• AROM is the maximum range a joint can move

Which of the following is FALSE regarding ROM assessment?

• AROM gives information subject's movement coordination

• PROM gives information on subject's reluctance to move

• AROM gives information on extensibility of the soft tissue

• PROM gives information on the integrity of joint surfaces

A patient walks into the physiotherapy department complaining of the sudden onset of severe right wrist pain and an inability to move the right wrist joint. On palpation, the patient seems to have grade 4 tenderness around the wrist area, accompanied by some swelling. Which of the following is the first step of the ROM assessment?

• Observe the movement pattern of restriction

• Carefully perform gentle PROM assessment to determine the end-feel

• Assess the left side first and then proceed to assess the right side

• None of the options

During hip PROM assessment, the therapist felt an abrupt stop nearing the end range. This is described as________________ end-feel.

• a normal hard

• an abnormal hard

• a normal firm

• an abnormal firm