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Range of Motion

  1. Flexion 160-180°
  2. Extension 50-60°
  3. Med./lat. rotation 90°/80°
  4. Abduction 180°
  5. Adduction 35°
  6. Horizontal Add./Abd. 130°/45°
  7. Scapulohumeral (humerus: scapula) 120°:60° (2:1)
  8. Shoulder & Arm – Range of Motion

Palpation

  1. Trapezius & rhomboids
  2. Levator scapulae
  3. Scalenes
  4. Thoracic outlet
  5. C-spine, T-spine & ribs
  6. Deltoid muscle
  7. Supraspinatus
  8. Infraspinatus/Teres minor
  9. AC & SC joint
  10. GH joint / rotator cuff
  11. Teres major
  12. Latissimus dorsi
  13. Subscapularis
  14. Serratus anterior
  15. Triceps brachii
  16. Pectoralis major 
  17. Pectoralis minor
  18. Coracoid process
  19. Coracobrachialis
  20. Biceps brachii
  21. Brachialis
  22. Bicipital groove
  23. Radial groove

Read Muscle Manual – Shoulder Arm

Range of Motion

  1. Flexion 80-90°
  2. Extension 70-90°
  3. Ulnar Flexion 30-45°
  4. Radial Flexion 15°
  5. Supination 85°-90°
  6. Pronation 85°-90°
  7. Fingers
    1. Flexion (2-5 MCP) 90°
    2. Extension (MP) 40°
    3. Abduction 20°
    4. Adduction 20°
  8. PIP joint
    1. Flexion 100°
    2. Extension 0°
  9. DIP joint
    1. Flexion 80°
    2. Extension 10°
  10. Elbow, Wrist & Hand – Range of Motion

Palpation

  1. Introduction
  2. Carpals
  3. Medial epicondyle
  4. Ulnar groove
  5. Wrist flexors
  6. Pronator teres
  7. Lateral epicondyle
  8. Wrist extensors
  9. Thumb extensors
  10. Interossei
  11. Thenar/hypothenar pad
  12. Carpal tunnel
  13. Tunnel of Guyon (ulnar)
  14. Anatomic snuff box
  15. Metacarpals 1-5
  16. Thumb (#1)
  17. Finger (#2-5)
  18. Scaphoid
  19. Lunate, Triquetrum
  20. Pisiform
  21. Dorsal (Lister’s) tubercle and Ulnar/Radial Styloids
  22. Trapezium, Trapezoid
  23. Capitate
  24. Hamate (hook)
  25. Ulnar/radial styloids
  26. Triangular fibrocartilage
  27. Collateral ligaments
  28. Metacarpals and Phalanges

Read Muscle Manual – Forearm Wrist Hand

Range of Motion

  1. Active range of motion (thoracic)
  2. Flexion……………20-45° (Adam’s sign for scoliosis)
  3. Extension……….25-45°
  4. Lateral flexion…20-40°
  5. Rotation………….35-50°
  6. Thoracic & Torso – Range of Motion

Palpation

  1. SPs & TPs T1-L5
  2. Rib Palpation
  3. Erector spinae
  4. Upper and Lower ribs
  5. Trapezius
  6. Rhomboids
  7. Latissimus dorsi
  8. Quadratus lumborum
  9. Sternum
  10. Supraclavicular fossa
  11. Axilla (anterior & posterior)
  12. Lymph nodes
  13. Pectoralis major/minor
  14. Sternoclavicular joint
  15. Sternocostal joints
  16. Abdominal muscles
  17. Diaphragm
  18. Abdominal viscera
  19. Abdominal aorta
  20. Ilium & sacrum
  21. Abdomen
  22. Transversospinalis
  23. Scapulae

Read Muscle Manual – Thoracic Torso

Range of Motion

  1. Flexion 40-60°
  2. Extension 20-35°
  3. Lateral Flexion 15-20°
  4. Rotation 3-18°
  5. SI – Flexion/Extension 0-10°
  6. SI – Int./external rotation 0-10°
  7. Lumbar & Pelvis – Range of Motion

Palpation

  1. SPs & TPs T1-L5
  2. Erector spinae
  3. Upper ribs
  4. Lower ribs
  5. Scapulae
  6. Trapezius
  7. Rhomboids
  8. Latissimus dorsi
  9. Quadratus lumborum
  10. Sternum / clavicle
  11. Axilla (anterior & posterior)
  12. Lymph nodes
  13. Sternoclavicular joint
  14. Sternocostal joints
  15. Abdominal muscles
  16. Diaphragm
  17. Abdominal viscera
  18. Abdominal aorta
  19. Ilium & sacrum
  20. Sacrotuberous & Sacrospinous ligament
  21. SI joint
  22. Abdomen
  23. Lumbar Spine & Sacrum

Read Muscle Manual – Lumbar Pelvis

Range of Motion

  1. Flexion (straight leg) ~90°
  2. Flexion (bent knee) ~120°
  3. Extension 10-15°
  4. Abduction 30-50°
  5. Adduction 30°
  6. Medial rotation 30-40°
  7. Lateral rotation 40-60°
  8. Hip & Thigh – Range of Motion

Palpation

  1. TFL/ Iliotibial band (ITB)
  2. SI joint
  3. Sacrotub./spinous lig.
  4. Greater trochanter
  5. Ischial tuberosity
  6. L-spine/sacrum
  7. Gluteus max./med.
  8. Piriformis
  9. Sciatic nerve
  10. Hamstrings
  11. Popliteal fossa
  12. Gastrocnemius heads
  13. ASIS/iliac crest
  14. Iliopsoas
  15. Pubic symphysis
  16. Inguinal lig./nodes
  17. Femoral triangle & artery
  18. Adductor muscles
  19. Abdomen
  20. Quadriceps
  21. Patella (facets, bursa)
  22. Patellar ligament
  23. Tibial tuberosity
  24. Pes anserine
  25. Med./lat. knee joint/meniscus
  26. Med./lat. femoral condyle
  27. Medial & lateral collateral ligs.

Read Muscle Manual – Hip Thigh

Range of Motion

  1. Flexion 130°-150°
  2. Extension 0-15°
  3. Medial rotation* 20-30°
  4. Lateral rotation* 30-40°

*knee must be flexed 90º to allow rotation

Palpation

  1. TFL/ Iliotibial band (ITB)
  2. Ischial tuberosity
  3. L-spine/sacrum
  4. Gluteus max./med.
  5. Hamstrings
  6. Popliteal fossa
  7. Gastrocnemius heads
  8. Adductor muscles
  9. Quadriceps
  10. Patella (facets, bursa)
  11. Patellar ligament
  12. Tibial tuberosity
  13. Pes anserine
  14. Medial/Lateral Collateral Ligament
  15. Med./lat. femoral condyle
  16. Medial/Lateral Knee Joint/Meniscus
  17. Fibular head & neck
  18. Joint Line

Read Muscle Manual – Knee Ankle Foot

  1. Acetabular Labral Tear
  2. Avascular Necrosis
  3. ACL Sprain or PCL Sprain
  4. MCL Sprain or LCL Sprain
  5. Meniscus tear
  6. Congenital Hip Dysplasia
  7. Coxa Vara Valga
  8. Chondromalacia patellae
  9. Groin Stain
  10. Hamstring Strain
  11. Hip Bursitis
  12. Hip DJD
  13. Iliotibial band syndrome
  14. Inguinal Hernia
  15. Osteochondritis dissecans
  16. Osgood Schlatter’s
  17. Patella dislocation
  18. Tibila stress fractur
  19. Knee DDx OSCE

Read Orthopedic Conditions – Knee

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CONTINUING EDUCATION SEMINARS
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May
28
2023
Location: New Westminster (specific location TBA)
Credits: 20 EIP credits (CMTBC Cycle 13)
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2023
Location: New Westminster (specific location TBA)
Credits: 7 PE credits (Cycle 13 2022, CMTBC)
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