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Flexibility Testing

Flexibility Testing. Flexibility. Functional ROM about a joint Joint specific Functional ROM Ability to move a joint w/o pain or limitation. Flexibility. Depends on Distension of the joint capsule Adequate warm-up Muscle viscosity Compliance of other tissues – muscles, ligaments.

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Flexibility Testing

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  1. Flexibility Testing

  2. Flexibility • Functional ROM about a joint • Joint specific • Functional ROM • Ability to move a joint w/o pain or limitation

  3. Flexibility Depends on • Distension of the joint capsule • Adequate warm-up • Muscle viscosity • Compliance of other tissues – muscles, ligaments

  4. Flexibility (ROM) Assessment Purpose • Joint specific • Assess current status • Describe Δ in status • Establish goals • Motivation

  5. Mvt in Major Joints Terminology • Flexion • Anterior mvt for head, trunk, upper extremity, hip • Posterior mvt for knee, ankle, toes • Extension • Direction opposite of flexion • Hyperextension • Excessive extension

  6. Mvt in Major Joints Terminology • Abduction • Mvt away from the midline of the body • Adduction • Mvt toward midline of the body • For fingers & toes, use midline of hand & foot

  7. Mvt in Major Joints Terminology • Scapular elevation • Shrugging (upward mvt) • Scapular depression • Caudal or downward mvt • Scapular protraction • Slumped forward • Scapular retraction • Erect position

  8. Mvt in Major Joints Terminology • Anterior pelvic tilt • Lumbar lordosis • Posterior pelvic tilt • Occurs with bilateral hip flexion & flattening of lumbar lordosis

  9. Measuring Joint-Specific Flexibility Laboratory Methods Goniometry Visual estimation Radiography Photography Linear measurements Trigonometry Field Methods Trunk flexion (sit-&-reach) Trunk extension

  10. Trunk Flexion(Sit-&-Reach) Poor lower back & hip (posterior leg muscle) flexibility associated w/ • Lower back pain • Loss of ADL’s

  11. Trunk Flexion (Sit-&-Reach) Test Procedures Pretest: • perform a short warm-up • refrain from fast, jerky mvts • shoes should be removed

  12. Trunk Flexion (Sit-&-Reach) Procedures YMCA sit-&-reach test (Table 4-16) • yardstick is placed on the floor • tape is placed across it at a right angle to the 15-inch mark • participant sits w/ yardstick b/n the legs • Heels of the feet touch the edge of the taped line about 10 to 12 inches apart • If sit-&-reach box, heels should be placed against the edge of the box.

  13. Trunk Flexion (Sit-&-Reach) Procedures • slowly reach forward w/ both hands as far as possible - hold this position momentarily • Keeps hands parallel - do not lead w/ one hand • Fingertips can be overlapped - should be in contact with yardstick or measuring portion of the sit-&-reach box

  14. Trunk Flexion (Sit-&-Reach) Procedures • Score - most distant point (in inches or centimeters) reached w/ the fingertips • best of three trials • Assist - exhale & drop the head b/n the arms when reaching • ensure that the knees stay extended • breathe normally during test

  15. Trunk Flexion (Sit-&-Reach) Procedures Sit-&-reach box (Table 4-15) • sits w/ the legs fully extended • soles of the feet against the box • norms use a sit-&-reach box in which the “zero” point is set at the 26 cm

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