Topic 1: Measurement of Joint Mobility

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 presents in a joint

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 clinic 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

A 64-year-old patient who has has right knee contracture and he is not able to completely straighten his right knee. On observation, the therapist noted the right knee is slightly bent at rest. During ROM assessment of the knee joint, the therapist should _______________.

• try to position the knee straight in an anatomical position

• modify the patient's position and then try to position his knee straight

• continue to measure the knee ROM and note the deficiency

• skip ROM measurement for now and review it again in his next visit

Which of the following is FALSE regarding the measurement of ROM?

• It is compulsory to expose the affected joint during ROM measurement.

• The standard position is allowed to be modified if patient requests.

• PROM assessment is necessary if the patient has active full ROM with end-range pain.

• Goniometer measurement step can be skipped if the patient has AFROM with end-range pain during observation.

Which of the following is NOT a factor that affects the PROM assessment?

• Muscle tightness

• Muscle weakness

• Joint stiffness

• Pain

Which of the following methods is NOT recommended to prevent substitute/ trick movements during ROM measurement?

• Give proper instructions to patient during the ROM measurement procedure

• Demonstrate movement prior to ROM measurement

• Get patient to manually stabilize the area during ROM measurement

• Have patient relax the assessment area prior to ROM measurement