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*Joint Range of Motion and Muscle Length Testing

This course is offered in cooperation with Elsevier Science Publishing and utilizes text from the textbook “Joint Range of Motion and Muscle Length Testing” Second Edition by Nancy Berryman Reese, PhD, PT and William D. Bandy, PhD, PT SCS, ATC © 2010.
 
Instructional Level: Beginner to Intermediate
 
This text provides clear, step-by-step instructions for manual muscle testing, helping each therapist to visualize testing procedures with detailed illustrations.  Reinforce your understanding through case studies and clinical notes.

Throughout the second edition, information has been updated to reflect the latest testing techniques, data on normative values for range of motion, and reliability and validity studies from the current literature.  In each technique chapter you will find line drawings of the joints to supplement the anatomical descriptions and photographs of the goniometric landmarks.  Information on arthrokinematics and functional range of motion have been included to facilitate a better understanding of joint mechanics and the functional application of joint motion.
 
To better meet your professional needs, this fully illustrated text of 509 pages has been carefully broken down by sections into 3 modules.  (NOTE: board approvals vary state to state, please check your states approval status in the state specific course catalog by returning to our home page and entering both your state and profession).
 
Each course is offered in two easy formats to again meet your professional needs.  You can choose to have immediate access to your course by selecting the online format (PDF download) or a hard copy of the material can be rushed to your home by selecting our mail format. 

Modules In Course

*Module 1: Upper Extremities
Module Goals: This course is intended to instruct the professional through a self-paced study in Joint Range of Motion and Muscle Length Testing of the Upper Extremities.

Professional Learning Objectives

1.    Explain classification and stability of the glenohemeral joint.
2.    List the four ligaments responsible for reinforcement and limiting motion of the sternoclavicular joint.
3.    Describe the degree of freedom of movement allowed by the structures of the sternoclavicular joint.
4.    Define elevation/depression.
5.    Differentiate between elevation/depression, protraction/retraction and rotation.
6.    Demonstrate knowledge of the motion between the scapula and the thorax and its contribution to mobility of the shoulder.
7.    Identify the motions of the shoulder joint complex.
8.    Explain the preferred patient positioning for measurement of shoulder flexion and extension.
9.    Identify proper goniometer alignment during shoulder abduction.
10.  Demonstrate knowledge in the capsular pattern of the elbow.
11.  Identify the preferred patient positioning for measurement of range of motion in the elbow.
12.  Describe the degree of freedom of the condyloid joint of the wrist.
13.  Identify the radial collateral ligament and its role in ulnar deviation.
14.  Explain the possible motions of the metacarpophalangeal joint of the thumb.
15.  Identify proper goniometer positioning when measuring MCP and IP joint flexion.
16.  Explain proper stabilization during range of motion measurement of the wrist.
17.  Identify the proper instrument used for measurement of carpometacarpal opposition
18.  Recognize the Apley’s Scratch Test and its technique for measuring muscle length in the shoulder and elbow.
19.  Discuss proper patient positioning  while measuring the pectoralis major muscle length.
20.  Demonstrate knowledge of the groups responsible for conducting studies to test the validity and reliability of measurements of ROM and muscle length testing of the upper extremities. 

Included in Module 1: Upper Extremities
Chapter 3:  Measurement of Range of Motion of the Shoulder
Chapter 4:  Measurement of Range of Motion of the Elbow and Forearm
Chapter 5:  Measurement of Range of Motion of the Wrist and Hand
Chapter 6:  Muscle Length Testing of the Upper Extremity
Chapter 7:  Reliability and Validity of Measurements of Range of Motion and Muscle Length   Testing of the Upper Extremity 

*Module 2: Head, Neck and Trunk
Module Goals: This course is intended to instruct the professional through a self-paced study in Joint Range of Motion and Muscle Length Testing of the Head, Neck and Trunk.
 
Professional Learning Objectives
 
  1. Identify the motions that are allowed as a result of facet alignment.
  2. Define segmental motion of the thoracic and lumbar spine.
  3. List the supporting ligaments of the thoracic and lumbar spine.
  4. Recognize the tape measure as a device used to measure spinal movement.
  5. Differentiate between the Schober technique and the Modified Schober technique.
  6. Describe the finger-to-floor method of measurement.
  7. Differentiate between the goniometer and the inclinometer.
  8. Explain the method of using the back range of motion (BROM) device.
  9. Demonstrate knowledge of the technique used to measure thoracolumbar rotation.
  10. Explain the motion between the atlas and the occiput of the cervical spine.
  11. List the ligaments that make up the support structure of the atlanto-occipital and atlantoaxial joints.
  12. Differentiate the mobility of the cervical, lumbar and thoracic spine.
  13. Demonstrate knowledge in the proper and most accurate usage of the inclinometer.
  14. Identify the movements of the upper and lower cavities of the temporomandibular joint.
  15. Explain methods and devices used to measure range of motion of the temporomandibular joint.
  16. Identify proper goniometer placement when measuring flexion of the cervical spine.
  17. Demonstrate knowledge of patient positioning during measurement of cervical rotation.
  18. Explain proper techniques for measurements using the finger-to-floor method.
  19. Demonstrate knowledge of groups who have tested the validity and reliability of measurements of range of motion for the head, neck and trunk.
  20. Identify measurements preformed with the back range of motion (BROM) device
  21. Explain the structure and use of the cervical range of motion (CROM) device.


Included in Module 2:  Head, Neck and Trunk
Chapter 8:  Measurement of Range of Motion of the Thoracic and Lumbar Spine
Chapter 9:  Measurement of Range of Motion of the Cervical Spine and Temporomandibular Joint
Chapter 10:  Reliability and Validity of Measurement of Range of Motion for the Spine and Temporomandibular Joint 

*Module 3: Lower Extremities
Module Goals: This course is intended to instruct the professional through a self-paced study in Joint Range of Motion and Muscle Length Testing of the Lower Extremities.

Professional Learning Objectives
  1. Explain the stability of the hip structure.
  2. Discuss the limiting factor in hip flexion.
  3. Identify the ligament that is responsible for limiting hip abduction when tension is present.
  4. Define the neutral position of the pelvis.
  5. Demonstrate knowledge in measurements of hip abduction and adduction using the inclinometer.
  6. Describe proper goniometer positioning when measuring hip extension.
  7. Demonstrate knowledge of proper stabilization of the pelvis during hip lateral rotation.
  8. Identify preferred positioning for measuring knee flexion.
  9. Differentiate between pronation and supination.
  10. Identify possible movements available at the interphalangeal joints of the toes.
  11. Explain proper goniometer alignment when measuring subtaler supination: inversion component.
  12. Discus straight leg raises and proper method of measurement.
  13. Identify the sit-and-reach test and its role in measurement of hamstring flexibility.
  14. Differentiate between the Thomas flexion test, the straight leg raise, the Ober test and the sit-and-reach test.
  15. Explain proper goniometer positioning during measurement of the rectus femoris muscle length using the Thomas test.
  16. Demonstrate knowledge of proper patient positioning while measuring the Iliotibial band and tensor fasciae latae.
  17. Identify proper positioning of the goniometer when measuring the soleus muscle length in the prone position.
  18. Demonstrate knowledge in the background of passive hip abduction and adduction range of motion testing.
  19. Differentiate between the reliability of goniometric measurement of knee motion for knee flexion and knee extension measurements.
  20. Identify the reliability of the four methods of measuring extension of the first metatarsophlangeal joint.
  21. Demonstrate knowledge of the groups responsible and their findings in reliability and validity of range of motion testing in the lower extremities.


Included in Module 3:  Lower Extremity
Chapter 11:  Measurement of Range of Motion of the Hip
Chapter 12:  Measurement of Range of Motion of the Knee
Chapter 13:  Measurement of Range of Motion of the Ankle and Foot
Chapter 14:  Muscle Length Testing of the Lower Extremity
Chapter 15:  Reliability and Validity of Measurements of Range of Motion and Muscle Length Testing of the Lower Extremity