{"id":1065,"date":"2010-12-03T18:31:08","date_gmt":"2010-12-03T18:31:08","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/passive-movement-examination-2\/"},"modified":"2024-02-29T16:36:50","modified_gmt":"2024-02-29T16:36:50","slug":"passive-movement-examination-2","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-upper-extremities\/the-elbow\/passive-movement-examination-2\/","title":{"rendered":"Passive Movement Examination"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\">A <span style=\"color: #33cccc;\"><strong>passive examination<\/strong><\/span> should only be carried out for movements which were painful and\/or limited during the <span style=\"color: #33cccc;\"><strong>active movement examination<\/strong><\/span>, those with an <span style=\"text-decoration: underline;\">abnormal course<\/span>, or if <span style=\"text-decoration: underline;\">hypermobility<\/span> or a <span style=\"text-decoration: underline;\">mild musculotendinous injury<\/span> is suspected.<\/span><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/124036421?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\"><\/iframe><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">The patient stands or sits comfortably with their arms hanging down. <\/span><\/li>\n<li><span style=\"color: #003366;\">The examiner should stand behind or beside the patient.<\/span><\/li>\n<li><span style=\"color: #003366;\">With one hand, take hold of the elbow joint and if necessary, <span style=\"color: #33cccc;\"><strong>palpate<\/strong><\/span> both joint spaces. <\/span><\/li>\n<li><span style=\"color: #003366;\">Place the other hand <span style=\"text-decoration: underline;\">distally<\/span> to the joint. <\/span><\/li>\n<li><span style=\"color: #003366;\">It is essential that one of the examiner\u2019s hands is fixed and the other hand carries out the movement.<\/span><\/li>\n<li><span style=\"color: #003366;\">In <strong>Figures 75, 76, 77, 78<\/strong> respectively, <span style=\"color: #33cccc;\"><strong>flexion<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>extension<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>pronation<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>supination<\/strong><\/span> are carried out passively.<\/span><\/li>\n<li><span style=\"color: #003366;\">Assess:<\/span>\n<ul>\n<li><span style=\"color: #003366;\">The course of the movement.<\/span><\/li>\n<li><span style=\"color: #003366;\">The maximum range of motion.<\/span><\/li>\n<li><span style=\"color: #003366;\">Occurrence of pain.<\/span><\/li>\n<li><span style=\"color: #003366;\">Presence or disappearance of crepitations.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1061\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-75.jpg\" alt=\"\" width=\"400\" height=\"295\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-75.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-75-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\"><strong>Figure 75: Flexion<\/strong><br \/>\n<\/span><\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1062\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-76.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-76.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-76-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\"><strong>Figure 76: Extension<\/strong><br \/>\n<\/span><\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1063\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-77.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-77.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-77-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\"><strong>Figure 77: Pronation<\/strong><br \/>\n<\/span><\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><span style=\"color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1064\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-78.jpg\" alt=\"\" width=\"400\" height=\"295\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-78.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/UpperExtrem_ue-fig-78-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/span><span style=\"width: 400px; display: block;\"><strong><span style=\"color: #003366;\">Figure 78: Supination<\/span><\/strong><br \/>\n<\/span><\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A passive examination should only be carried out for movements which were painful and\/or limited during the active movement examination, those with an abnormal course, or if hypermobility or a mild musculotendinous injury is suspected. Procedure The patient stands or sits comfortably with their arms hanging down. The examiner should stand behind or beside the [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[63],"tags":[141],"class_list":["post-1065","post","type-post","status-publish","format-standard","hentry","category-the-elbow","tag-the-examination-of-the-upper-extremities"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Passive Movement Examination - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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