Home
Forms Library
Normal range of motion chart

Range of motion assessment form 2025

normal range of motion chart Preview on Page 1

See details

4.8 out of 5

83 votes

The document is a Range of Joint Motion Evaluation Chart used to assess the limitations in joint motion for a patient. It includes detailed instructions for recording the maximum range of motion for various joints, such as the back, neck, hips, knees, shoulders, elbows, forearms, ankles, wrists, and thumbs. The chart allows for both graphical representation and degree notation of joint movement limitations. A narrative summary is required to describe affected joints and any normal ranges observed.

Here's how it works

01. Edit your normal range of motion chart online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send range of motion chart via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out range of motion assessment form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the range of motion assessment form in the editor.
Begin by entering the patient's name and client identification number at the top of the form. This information is crucial for accurate record-keeping.
For each affected joint, refer to the figures provided. Indicate any limitations by drawing lines on the figures or notating degrees in the corresponding fields. Ensure you cover all joints listed, including back, neck, hips, knees, shoulders, elbows, forearms, ankles, wrists, and thumbs.
In your narrative summary section, provide a complete description of all affected joints. If range of motion is normal for any joint, make sure to comment on that as well.
Once completed, review your entries for accuracy before saving or exporting your document directly from our platform.

Start using our platform today to streamline your range of motion assessments for free!

See more range of motion assessment form versions

We've got more versions of the range of motion assessment form form. Select the right range of motion assessment form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (83 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to write range of motion measurements?

If the patient lacks full motion, record the degrees as a range. For example, if a patient lacks 20 of knee extension and has full knee flexion motion, record ROM as 20-145. If the patient has excessive motion, or hypermobility, use a minus to indicate excessive mobility.

How do nurses assess range of motion?

A Goniometer is the most common tool for measuring range of motion of the joints of the body. It uses a stationary arm, fulcrum, and movement arm to measure joint angles from the axis of the joint.

How do we assess range of motion?

ROM can be measured using a handheld device called a goniometer and, for the back and spine, a measuring tape. The ROM value can help diagnose or characterize a joint condition as well as track your progress during rehabilitation from surgery or an injury.

How to assess full range of motion?

Apart from physical examination, ROM evaluation is most frequently performed using a device called a goniometer, an instrument that measures the angle at a joint. Goniometers measure range of motion in degrees, from zero to 180 or 360, and come in various shapes and sizes to be used on particular joints.

How do you describe range of motion in assessment?

Range of motion describes the extent of movement at a joint, such as the shoulder, expressed in terms of degrees. Range of motion varies by type of joint, as well as concerns such as the tendons, muscles, and ligaments. It is important in physical therapy and rehabilitation, such as following injury or surgery.

hip range of motion chart

Range of motion assessment PDF Range of motion chart pdf Normal range of motion of all joints PDF Normal range of motion Chart Normal range of motion of all joints PPT Shoulder range of motion Chart Elbow range of motion chart Knee range of motion chart

How do you describe the normal range of motion?

When you have good range of motion in your shoulder, for instance, you should be able to do things like docHub overhead and behind you, and rotate the arm down and up without pain. For your knee, this means being able to straighten it completely and bend it past 90 degrees toward your (about 135 fully).

How to document range of motion assessment?

Documentation: Typically, ROM numerical or pictorial charts are used to record the available ROM, with the starting and final position recorded; for example, Elbow Flexion 0-150 degrees.