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LGS Capita Selecta

By Indira Vidiari & M Yusuf


Pendahuluan
Cardinal Plane
Sagital
Frontal
Transverse
Axis
Horizontal
Sagital
Vertical
CERVICAL

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

Extension 0-45˚ S 50 – 0 – 170

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

Worthigham’s Krussen ISOM

Abduction 0-90˚ F 170 – 0 – 75

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

Extension 1500 - 0˚ 30 - 180 S 0 – 0 – 150

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

Worthigham’s Krussen ISOM

Supination 0 - 80˚ 0 – 90˚ R 90 – 0 – 80

Pronation 0 - 80˚ 0 – 90˚


Wrist

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

Worthigham’s Krussen ISOM

Extension 0 - 70˚ 90˚ - 250˚ S 50 – 0 – 60

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

Worthigham’s Krussen ISOM

Radial 0 - 20˚ 0 - 20˚ F 20 – 0 – 30

Ulnar 0 - 30˚ 0 – 30˚


Hand (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

Worthigham’s Krussen ISOM

Extension 0 - 45˚ 90˚ - 180˚ S 30 – 0 – 90

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

Worthigham’s Krussen ISOM

Extension 0˚ 60˚ - 180˚ S 0 – 0 – 100

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

Worthigham’s Krussen ISOM

Extension 0˚ 110˚ - 180˚ S 15 – 0 – 45

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

Worthigham’s Krussen ISOM

Abduction 0 - 20˚ 0˚ - 20˚ variable

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

Worthigham’s Krussen ISOM

Extension 0˚ 60˚ - 180˚ S 5 – 0 – 50

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

Worthigham’s Krussen ISOM

Extension 0˚ 110˚ - 180˚ S 15 – 0 – 85

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

Worthigham’s Krussen ISOM

Abduction 0 - 70˚ 20˚ - 50˚ VS 40 – 0 – 0

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

Extension 0-20˚ Knee ext 90 - 170 S 15 – 0 – 120

Flexion 0-120˚ Knee flex 50 - 170


HIP
Abduction - Adduction
•Plane Frontal
•Fulcrum is on greater trochanet
– stationary arm longitudinal axis of the
body
– movement arm mechanical axis of the
thigh

Worthigham’s Krussen ISOM

Abduction 0-45˚ 135 - 195 F 45 – 0 –15

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

External 0-45˚ Ext.rot-hip flex 45˚ R (S 90) 45-0-45

Internal 0-45˚ Ext.rot-hip ext 40˚ R (S 0) 45-0-40

Int. rot-hip flex 40˚

Int.rot-hip ext 45˚


KNEE
Extension - Flexion
•Plane Sagital
•Fulcrum is on lateral knee joint
– stationary arm parallel to lateral midline of
femur
– movement arm parallel to lateral midline of
fibula
Worthigham’s Krussen ISOM

Extension 0˚ S 0 – 0 – 130

Flexion 0-135˚ 450-1800


ANKLE
Extension - Flexion
•Plane Sagital
•Fulcrum is on malleolus lateralis
– stationary arm parallel to lateral midline of fibula
– movement arm is on lateral midline of MTP V

Worthigham’s Krussen ISOM

Dorsoflexion 0-20˚ 45˚ - 180˚ S 20 – 0 – 50

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

Worthigham’s Krussen ISOM

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

Worthigham’s Krussen ISOM

RFF 20 – 0 – 30

RFF = Rotasi Fore Foot


HIND FOOT

Eversion - Inversion
•Plane Sagital
– stationary arm parallel to long axis of tibia
– movement arm parallel to long axis of heel

Worthigham’s Krussen ISOM

RHF 5 – 0 – 5

RHF = Rotasi Hind Foot

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