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Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onangulus
angulusmandibula
mandibula
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
oftrunk
trunk
movement
movementarm armparallel
parallelto
totongue
tonguedepressor
depressor
Extension 0 - 30˚ S 40 – 0 – 40
Flexion 0 - 45˚
CERVICAL
Left
Left––Right
Rightlateral
lateralbending
bending
••Plane
PlaneFrontal
Frontal
••Fulcrum
Fulcrumisison
onProcessus
Processusspinosus
spinosusvertebra
vertebra
CC77
–– stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
oftrunk
trunk
–– movement
movementarm armparallel
paralleltotoC7
C7calvaria
calvarialine
line
0-45 F 45 – 0 – 45
0-45
CERVICAL
Rotation
Rotation
Plane
PlaneTransverse
Transverse
Fulcrum
Fulcrumisison
onvertex
vertex
stationary
stationaryarm
armshoulder
shoulderline
line
movement
movementarm armparallel
parallelto
tooccipitonasal
occipitonasalline
line
0-50 R 50 – 0 – 50
0-50
SHOULDER
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onthe
thelateral
lateralshoulder
shoulder
stationary
stationaryarm
armparallel
parallelto
tomidaxillary
midaxillaryline
line
movement
movementarm armlateral
lateralmidline
midlineof
ofhumerus
humerus
Flexion 0-180˚
SHOULDER
Abduction
Abduction--Adduction
Adduction
Plane
PlaneFrontal
Frontal
Fulcrum
Fulcrumisison
onthe
theanterior
anteriorshoulder
shoulder
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
oftrunk
trunk
movement
movementarm armparallel
paralleltotothe
thehumerus
humerus
Adduction 0-40˚
SHOULDER
External
External–– Internal
Internalrotation
rotation
••Plane
Plane Transverse
Transverse
••Fulcrum
Fulcrum isis on
onarm
arm at
atside
side of
of body
body
–– stationary
stationaryarm
armparallel
parallelto
toforearm
forearm
–– movement
movementarm armparallel
paralleltotolong
longaxis
axisof
of
ulna
ulna
External 0-60˚ R 60 – 0 – 70
Internal 0-80˚
Elbow
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onthe
thelateral
lateralelbow
elbowjoint
joint
stationary
stationaryarm
armparallel
parallelto
tomidline
midlineof
ofhumerus
humerus
movement
movementarm armparallel
parallelto
tolateral
lateralmidline
midlineof
of
radius
radius
Flexion 0-150˚
Elbow
Supination
Supination--Pronation
Pronation
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onproccessus
proccessusstyloid
styloidof
ofulnar
ulnar
stationary
stationaryarm
armtip
tipof
ofmiddle
middlefinger
finger
movement
movementarm armparallel
parallelto
toextended
extendedthumb
thumb
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onproccessus
proccessusstyloid
styloidof
ofulnar
ulnar
stationary
stationaryarm
armparallel
parallelto
tolateral
lateralmidline
midlineof
ofulna
ulna
movement
movementarm armparallel
parallelto
tolateral
lateralaxis
axisof
ofMCP
MCPVV
Flexion 0 - 80˚
Wrist
Radio
Radioulnar
ulnardeviation
deviation
Plane
PlaneFrontal
Frontal
Fulcrum
Fulcrumisison
onproximal
proximalMCP
MCPIIIIII
stationary
stationaryarm
armparallel
parallelto tomidline
midlineof
offorearm
forearm
movement
movementarm armparallel
parallelto tomidline
midlineofofMCP
MCPIIIIII
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onMCP
MCPjoint
joint
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
ofMCP
MCP
movement
movementarm armparallel
parallelto
toPP
PP
Flexion 0 - 90˚
Hand (PIP)
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onPIP
PIPjoint
joint
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
ofPIP
PIP
movement
movementarm armparallel
parallelto
tolong
longaxis
axisof
ofmiddle
middle
phalanx
phalanx
Flexion 0 - 100˚
Hand (DIP)
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onDIP
DIPjoint
joint
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
ofDIP
DIP
movement
movementarm armparallel
parallelto
tolong
longaxis
axisof
ofdistal
distal
phalanx
phalanx
Flexion 0 - 90˚
Hand
Abduction
Abduction--Adduction
Adduction
Plane
PlaneFrontal
Frontal
Fulcrum
Fulcrumisison
onlong
longaxis
axisof
ofMCP
MCPIIIIII
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
ofMCP
MCPIIIIII
movement
movementarm armparallel
parallelto
tolong
longaxis
axisof
offinger
finger
Adduction 0 - 20˚
Hand (Thumb MCP)
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onMCP
MCPjoint
joint
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
ofMCP
MCP
movement
movementarm armparallel
parallelto
toPP
PP
Flexion 0 - 50˚
Hand (Thumb IPP)
Extension
Extension--Flexion
Flexion
Plane
PlaneSagital
Sagital
Fulcrum
Fulcrumisison
onIPP
IPPjoint
joint
stationary
stationaryarm
armparallel
parallelto
tolong
longaxis
axisof
ofIPP
IPP
movement
movementarm armparallel
parallelto
tolong
longaxis
axisof
ofdistal
distal
phalanx
phalanx
Flexion 0 - 80˚
Hand (thumb)
Abduction
Abduction--Adduction
Adduction
Plane
PlaneFrontal
Frontal
Fulcrum
Fulcrumisison
onthumb
thumbalong
alongindex
indexfinger
finger
stationary
stationaryarm
armparallel
parallelto
tolateral
laterallong
longaxis
axisof
ofradius
radius
movement
movementarm armparallel
parallelto
tolateral
laterallong
longaxis
axisof
ofMCP
MCPI I
Adduction 0 - 70˚
Thoracic & Lumbar Spine
Extension - Flexion
•Plane Sagital
•Fulcrum is side on parallel to long
axis of trunk (3finger below iliac
crest)
– stationary arm parallel to long axis of trunk
movement arm parallel to midaxillary line
Extension 0 - 25˚ S 30 – 0 – 85
Flexion 0 - 80˚
Thoracic & Lumbar Spine
Lateral bending
•Plane Frontal
•Fulcrum is on Processus spinosus vertebra
S1
– stationary arm parallel to long axis of trunk (L5-
S1)
– movement arm L5 – C7 line
F 30 – 0 – 30
Thoracic & Lumbar Spine
Rotation
•Plane Transverse
•Fulcrum is on vertex
– stationary arm on frontal line
– movement arm parallel to shoulder
line
Worthigham’s Krussen ISOM
Rotation 0 - 45˚ R 45 – 0 – 45
HIP
Extension - Flexion
•Plane Sagital
•Fulcrum is on greater trochanter
– stationary arm is on greater trochanter
parallel to the trunk
– movement arm is on lateral midline of the
femur
Adduction 0-15-20˚
HIP
External internal rotation
•Plane Frontal
•Fulcrum is on centre of knee joint
– stationary arm parallel to long axis of trunk
– movement arm midline of tibia (S 90)
long axis of foot (S 0)
Worthigham’s Krussen ISOM
Extension 0˚ S 0 – 0 – 130
Plantarflexion 0-45˚
FOOT
Eversion - Inversion
•Plane frontal
– stationary arm parallel to long axis of tibia
– movement arm parallel to line through
INVERSION metatarsal heads
Inversion 0-35˚ R 20 – 0 – 40
Eversion 0-25˚
EVERSION
FORE FOOT
Eversion - Inversion
•Plane Sagital
– stationary arm parallel to long axis of tibia
– movement arm parallel to line through
metatarsal heads
RFF 20 – 0 – 30
Eversion - Inversion
•Plane Sagital
– stationary arm parallel to long axis of tibia
– movement arm parallel to long axis of heel
RHF 5 – 0 – 5