ASSIGNMENT OF GERIATICS

NAME: Shaheera ajmal ROLL NO: 32 SUBMITTED TO: Mam Iqra DPT

Ranges of joints
Neck
Flexion: 70-90 degrees Extension: 55 degrees Lateral bending: 35 degrees Rotation: 70 degrees left & right

Lumber spine
Flexion: 75 degrees Extension: 30 degrees Lateral bending: 35 degrees

Shoulder
Abduction: 180 degrees Adduction: 45 degrees Horizontal extension: 45 degrees Horizontal flexion: 130 degrees Vertical extension: 60 degrees Vertical flexion: 180 degrees

Elbow
Flexion: 150 degrees Extension: 180 degrees Supination: 90 degrees Pronation: 90 degrees

Wrist
Flexion: 80-90 degrees Extension: 70 degrees Radial deviation: 20 degrees Ulnar deviation: 30-50 degrees

Hip
Flexion: 110-130 degrees Extension: 30 degrees Abduction: 45-50 degrees Adduction: 20-30 degrees Internal rotation: 40 degrees External rotation: 45 degrees

Knee
Flexion: 130 degrees Extension: 15 degrees Internal rotation: 10 degrees

Ankle
Flexion: 45 degrees Extension: 20 degrees Pronation: 30 degrees Supination: 20 degrees

Capsular patterns
Temporomandibular Joint Limitation of mouth opening Cervical Spine Side bending and rotation equally limited, extension Glenohumeral Joint External rotation, abduction, medial rotation Sternoclavicular Joint Pain at extreme range of movement Acromioclavicular Joint Pain at extreme range of movement Thoracic Spine Side bending and rotation equally limited, extension Lumbar Spine Side bending and rotation equally limited, extension Hip Flexion, abduction, internal rotation Knee Flexion, extension Talocrural Joint Plantarflexion, dorsiflexion Subtalar Joint Limitation of varus range of movement Mid Tarsal Joint Dorsiflexion, plantarflexion, adduction, internal rotation 1st Metatarsophalangeal Joint Extension, flexion

Resting positions
55-70 abduction, 30 horizontal adduction,neutral rotation Ulnohumeral 70 flexion, 10 supination Radiohumeral full extension, full supination Proximal Radioulnar 70 flexion, 35 supination Distal Radioulnar 10 supination 1st Metacarpophalangeal; 2-5 slight flexion;slight flexion with ulnar MCP deviation PIP and DIP 10 degree flexion;30 degree flexion 30 flexion, 30 abduction, slight external Hip (lateral) rotation Tibiofemoral 25 flexion Patellofemoral 25 flexion Proximal tibfib 0 plantarflexion Distal tibfib 0 plantarflexion Talocrural 10 plantarflexion, neutral Subtalar 10 plantarflexion, neutral Midtarsal 10 plantarflexion, neutral Metatarsophalangeal neutral Interphalangeal slight flexion Radiocarpal slight ulnar deviation Vertebral Midway between flexion and extension Temporomandibar jaw slightly open sternoclavicular arm resting by side acromioclavicular arm resting by side Glenohumeral

Joint
Temporomandibular Glenohumeral Acromioclavicular Ulnohumeral (elbow) Radiohumeral Proximal radioulnar Distal Radioulnar

Open Pack Position

Mouth slightly open 55 degrees abduction, 30 degrees Horizontal Adduction Arm resting by side 70 degrees of flexion, 10 degrees supination Full extension, full supination

Closed Pack Position

Clenched Teeth Abduction w/lateral rotation Arm abducted to 90 degrees Extension Elbow flexed 90 degrees, forearm supinated 5 degrees

70 degrees flexion, 35 degrees 5 degrees supination supination 10 degrees supination

5 degrees supination Extension w/radial Radiocarpal (wrist) Neutral w/slight ulnar deviation deviation Carpometacarpal Midway b/w abd-add & flex/ext. Metacarpophalangeal slight flexion Fingers = Full flexion Interphalangeal slight flexion Full Extension Hip Knee Talocrural (ankle) Subtalar Midtarsal Tarsometatarsal Sternoclavicular 30 degrees, 30 degrees abd. slight lateral rotation 25 degrees of flexion 10 degrees PF, midway b/w max inversion/eversion Midway b/w extreme ROM Midway b/w extreme ROM Midway b/w extreme ROM Full Extension, medial rotation Full Extension, lateral rotation of tibia Max DF Supination Supination Supination

Maxium shoulder elevation Metatarsophalangeal Neutral Full Extension Interphalangeal Slight Flexion Full Extension Facet (spine) Midway b/w flexion & extension Extension

Dermatomes