28         SECTION 1     Evaluation
180 degrees                                                                         0 degrees
                                                                                         90 degrees                                                   90 degrees
                                                                                   FIGURE 1-8      Shoulder internal and external rotation. Patient position: supine,
                                                                                   shoulder at 90 degrees of abduction, elbow at 90 degrees of flexion, radioulnar
                                                                                   joint pronated. Plane of motion: transverse. Normal range of motion: internal
                                                                                   rotation, 0 to 90 degrees; external rotation, 0 to 90 degrees. Movements the
                                                                                   patient should avoid: arching back, trunk rotation, elbow movement. Goniom     -
                                                                                   eter placement: axis on elbow joint through longitudinal axis of humerus,
                                                                                   stationary arm remains at 0 degrees, movement arm remains parallel to
                                                                                   forearm.
                                                                                                                                                    150 degrees
                                                                                        0 degrees
                                                                                   FIGURE 1-9     Elbow flexion. Patient position: supine or sitting, radioulnar joint
                                             0 de grees                            supinated. Plane of motion: sagittal. Normal range of motion: 0 to 150 degrees.
                                                                                   Goniometer placement: axis is centered on lateral elbow, stationary arm
FIGURE 1-7      Shoulder abduction. Patient position: supine or sitting, arm at
                                                                                   remains at 0 degrees, movement arm remains parallel to forearm.
side, elbow extended. Plane of motion: frontal. Normal range of motion: 0 to
180 degrees. Movements the patient should avoid: trunk rotation or lateral
movement. Goniometer placement: axis is centered on posterior or anterior
shoulder, stationary arm remains at 0 degrees, movement arm remains parallel
to humerus.
                                                                                                                        70 degrees
                                              0 degrees
     90 degrees                                              90 degrees
                                                                                                                                                 0 degrees
FIGURE 1-10      Radioulnar pronation and supination. Patient position: sitting
                                                                                                                 80 de grees
or standing, elbow at 90 degrees, wrist in neutral, pencil held in palm of hand.
Plane of motion: transverse. Normal range of motion: pronation, 0 degrees to       FIGURE 1-11 Wrist flexion and extension. Patient position: elbow flexed,
90 degrees; supination, 0 degrees to 90 degrees. Movements the patient should      radioulnar pronated. Plane of motion: sagittal. Normal range of motion: flexion,
avoid: arm, elbow, and wrist movements. Goniometer placement: axis through         0 to 80 degrees; extension, 0 to 70 degrees. Goniometer placement: axis is
longitudinal axis of forearm, stationary arm remains at 0 degrees, movement        centered on lateral wrist over ulnar styloid, stationary arm remains at 0
arm remains parallel to pencil held in patient’s hand.                             degrees, movement arm remains parallel to fifth metacarpal.