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Upper extremity range of motion chart 2026
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- Click ‘Get Form’ to open the upper extremity range of motion chart in the editor.
- Begin by entering the student's name and date of birth at the top of the form. This information is essential for tracking progress.
- Fill in the school years section to provide context for the assessment. This helps in understanding developmental milestones.
- For each range of motion measurement, input the values for both left and right sides as indicated. Use the normal ranges provided (e.g., Shoulder Flexion should be 180˚).
- In the comments section, note any relevant observations such as position, medication, or surgeries that may affect measurements. This information is crucial for a comprehensive assessment.
- Review all entries for accuracy before saving or sharing your completed chart. Our platform allows you to easily export or share your document directly from Google apps.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2017 | 4.4 Satisfied (26 Votes) |
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range of motion chart for assessment
In order to score a 5, patient must be able to perform a single limb heel raise through full ROM*. If unable to perform full ROM in standing, score 5-/5. *thisRead more
For each affected joint, please indicate the existing limitation of motion ・ showing the maximum possible range of motion ・ 1. Back 2. Lateral (flexion)
Initiate the movement by pinching the shoulder blades ribs toward your hips. Move as far as you can without moving the hips or neck. Tighten your abdominals