I BOT Hand ROM Norms_Punita V. Solanki_06.07.2022.pdf

Hand ROM Norms

1. First BOT: Introduction to Occupational Therapy and Therapeutic Activities. Module VIII: Range of Motion (ROM) Hand. Punita V. Solanki. July 2022

Course Syllabus: Kerala University of Health Sciences (KUHS) BOT Programme 2020
Course Code: 022
Year: First (I) BOT
Subject: 105 - Introduction to Occupational Therapy and Therapeutic Activities
Lecture: Module VIII: Range of Motion (ROM) - Hand

S. No. Joints and Motions ROM
1,3
ROM
1,4
ROM
1
ROM ROM
1
End Feel
(Normal) AAOS AAOS AMA ASSH IFSSH
1. Fingers MCP Extension to Flexion 0° to 90° 0° to 90° 0° to 90° 0° to 90° Firm to Hard
2. Fingers MCP Extension to Hyperextension 0° to 15°-45° 0° to 15°-45° 0° to 20° 0° to 30° Firm
3. Fingers MCP Abduction No Norms 0° to 25° Firm
4. Fingers MCP Adduction No Norms No Norms No Norms No Norms No Norms Firm
5. Fingers PIP Extension to Flexion 0° to 100° 0° to 110° 0° to 100° 0° to 105° Firm to Hard
6. Fingers PIP Hyperextension 0° 0° 0° 0° Firm to Hard
7. Fingers DIP Extension to Flexion 0° to 90° 0° to 80° 0° to 70° 0° to 70° Firm
8. Fingers DIP Hyperextension 0° 0° 0° 0° Firm or Hard
9. Thumb CMC Flexion 0° to 15° 0° to 15° 0° to 15° Firm
10. Thumb CMC Extension 0° to 20° 0° to 20° 0° to 35° 0° to 40° Firm
11. Thumb CMC Radial Abduction 0° to 80° 0° to 50°-80° Firm
12. Thumb CMC Palmar Abduction 0° to 70° 0° to 50°-70° Firm
13. Thumb CMC Opposition ≠ ≠ Soft to Firm
14. Thumb MCP Extension to Flexion 0° to 50° 0° to 50° 0° to 60° Firm or Hard
15. Thumb MCP Extension to Hyperextension 0° 0° 0° to 40° Firm
16. Thumb IP Extension to Flexion 0° to 80° 0° to 80°-90° 0° to 80° 0° to 80° Firm to Hard
17. Thumb IP Extension to Hyperextension 0° to 20° 0° to 20° 0° to 30° 0° to 40° Firm
ROM: Rang of Motion; CMC: Carpo-Metacarpal; MCP: Metacarpo-Phalangeal; PIP: Proximal Interphalangeal; DIP: Distal Interphalangeal;
IP: Interphalangeal; IF: Index Finger; LF: Long (Middle) Finger; RF: Ring Finger; LiF: Little Finger; AAOS: American Academy of Orthopaedic
Surgeons; AMA: American Medical Association; ASSH: American Society for Surgery of the Hand; IFSSH: International Federation of Societies for
Surgery of the Hand; ≠Assess with ruler if opposition is restricted due to joint stiffness or perform Total Opposition Test to assess if opposition is within
normal limits. Degrees marked in red colour are from reference no. 1. The degrees reported as AAOS norms: from reference no. 1, 3 and 4 as below.

2. First BOT: Introduction to Occupational Therapy and Therapeutic Activities. Module VIII: Range of Motion (ROM) Hand. Punita V. Solanki. July 2022

References
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th
Edition. 2016. F. A. Davis Company. [Part II. Upper Extremity
Testing. Chapter 7. The Hand. Pages: 187-252.]
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3. Radomski MV, Trombly Latham CA. Occupational Therapy for Physical Dysfunction. 7
th
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Edition. 2013. Elsevier Mosby. [Part
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5. Bear-Lehman J, Abreu BC. Evaluating the Hand: Issues in Reliability and Validity. Physical Therapy 1989; 69: 1025-1033. PMID: 2685841 DOI:
10.1093/ptj/69.12.1025