Orthopedics
5/10/99

Cervical ROM
Inclinometer
Flexion/extension
•	Place at T1 and on the top of the head
•	Placed in the sagittal plane
•	Zero at the starting place—bisect the plumb bubble
•	Offset one to allow for full movement so the instruments to not collide
•	45—flex/ext and lateral bending
•	60—rotation
•	rotation—done supine w/o face piece—takes out shoulder movement

Lumbar
•	T12 and S1

Thoracic
•	T1 and T12
•	Rotation—transverse placement of inclinometer
•	Have the pt bend over w/arms folded
•	Then have them rotate one way then the other
•	Can also be done for the lumbar region

•	Each ROM should be done 3x's
•	Each measurement should be w/in 10%
•	Add them together and average, then round to whole number
•	Bigger range in values	
1.	warm up phenomenon—increasing values
2.	decreasing range—pain when do the movement and pt limits their range to avoid pain

Protractor
•	cervical flex/ext
•	start at a right angle
•	place silver disc at C5 body on lateral aspect of neck
•	bisect the ear w/the moveable arm
•	place 2 dots on the ear
•	allow pt to flex forward 
•	re-line up the moveable arm
•	if can not line right on the dots, line up a parallel line to the dots
•	do not just go through one of the dots
•	lateral bending
•	EOP to T1