[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-665614-105":3,"detail-sidebar-cat-0-en-105":79,"doc-detail-665614-en":129},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":72,"head_meta":74,"extra_data":76,"updated_unix":78},105,"en","range-of-joint-motion-evaluation-chart-joint-motion-assessment-form","Range of Joint Motion Evaluation Chart - Joint Motion Assessment Form","","Range of Joint Motion Evaluation Chart records joint mobility limits for an individual by listing multiple body regions, including back, neck (various movements), hips, shoulders, elbows, forearms, ankles, wrists, and thumbs. The chart instructs examiners to mark or note the maximum possible range of motion in degrees for each affected joint. It also requires narrative summary for completeness, including comment when motion is normal, and specifying degrees of limitation for affected joints not shown.",{"@graph":14,"@context":71},[15,34,54],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/range-of-joint-motion-evaluation-chart-joint-motion-assessment-form/665614/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":48,"encodingFormat":47,"isAccessibleForFree":49,"interactionStatistic":50},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/range-of-joint-motion-evaluation-chart-joint-motion-assessment-form/665614.png","ImageObject",300,407,{"name":42,"@type":43},"Ezra","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29",true,{"@type":51,"interactionType":52,"userInteractionCount":4},"InteractionCounter",{"@type":53},"ViewAction",{"@type":55,"mainEntity":56},"FAQPage",[57,63,67],{"name":58,"@type":59,"acceptedAnswer":60},"What does the range of joint motion chart require for each affected joint?","Question",{"text":61,"@type":62},"For each affected joint, the examiner must indicate existing limitation of motion by drawing lines on the figures or by recording the range of motion in degrees. A complete narrative summary of all affected joints is also required.","Answer",{"name":64,"@type":59,"acceptedAnswer":65},"What should be written in the narrative summary if all joints are normal?",{"text":66,"@type":62},"If range of motion was normal for all joints, the narrative summary should comment that motion is normal.",{"name":68,"@type":59,"acceptedAnswer":69},"How are affected joints that do not appear on the chart handled?",{"text":70,"@type":62},"If joints not shown on the chart are affected, the examiner must indicate the degree of limited motion in the narrative summary.","https://schema.org",{"og:url":32,"og:type":73,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":75,"canonical":32},"index,follow",{"doc_id":77,"site_id":7},665614,1793305244,{"code":4,"msg":80,"data":81},"success",[82,86,90,94,99,104,108,113,118,121,125],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":83,"show_sort_weight":84,"slug":85},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":87,"show_sort_weight":88,"slug":89},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},"Exam",70,"exam",{"id":95,"doc_module":4,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},5,"Comic",60,"comic",{"id":100,"doc_module":4,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},6,"Technology",50,"technology",{"id":105,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":106,"slug":107},7,40,"healthcare",{"id":109,"doc_module":4,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},8,"Research & Report",30,"research-report",{"id":114,"doc_module":4,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},9,"Religion & Spirituality",20,"religion-spirituality",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":119,"show_sort_weight":116,"slug":120},"World Cup","world-cup",{"id":122,"doc_module":4,"doc_module_name":25,"category_name":123,"show_sort_weight":122,"slug":124},10,"Lifestyle","lifestyle",{"id":126,"doc_module":4,"doc_module_name":25,"category_name":127,"show_sort_weight":95,"slug":128},19,"General","general",{"code":4,"msg":80,"data":130},{"doc_id":77,"user_id":131,"nickname":42,"user_avatar":132,"doc_module":4,"category_id":105,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":4,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":138,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":12,"update_tm":78,"read_time":95},1099514068035,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Range of Joint Motion Evaluation Chart  \n\n| NAME OF PATIENT |  |  |  | CLIENT IDENTIFICATION NUMBER |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| INSTRUCTIONS: For each affected joint, please indicate the existing limitation of motion by drawing a line(s) on the figures below, showing the maximum possible range of motion or by notating the chart in degrees. Provide a complete description of all affected joints in your narrative summary. If range of motion was normal for all joints, please comment in your narrative summary. If joints which do not appear on this chart are affected, please indicate the degree of limited motion in your narrative. |  |  |  |  |  |  |\n| 1. Back |  |  | 2. Lateral (flexion) |  |  |  |\n| | Extension 25O | Flexion 90O | |  | Left 25O | Right 25O |\n|  | Degrees | Degrees |  |  | Degrees | Degrees |\n|  |  |  |  |  |  |  |\n| 3. Neck |  |  | 4. Neck (lateral bending) |  |  |  |\n|  | Extension 60O | Flexion 50O | |  | Left 45O | Right 45O |\n|  |  |  |  |  |  |  |\n| | Degrees | Degrees | |  | Degrees | Degrees |\n|  |  |  |  |  |  |  |\n| 5. Neck (rotation) |  |  | 6. Hip (backward extension) |  |  |  |\n| | Left 80O | Right 80O |  |  | Left 30O | Right 30O |\n|  | Degrees | Degrees |  |  | Degrees | Degrees |\n|  |  |  |  |  |  |  |\n| 7. Hip (flexion) |  |  | 8. Hip (adduction) |  |  |  |\n| | Left |  | |  | Left 20O | Right 20O |\n|  | Knee Flexed\u003Cbr>100O | Knee Extended\u003Cbr>100O |  |  | Degrees | Degrees |\n|  | Degrees | Degrees |  |  |  |  |\n|  | Right |  |  |  |  |  |\n|  | Knee Flexed\u003Cbr>100O | Knee Extended\u003Cbr>100O |  |  |  |  |\n|  | Degrees | Degrees |  |  |  |  |\n| 9. Hip (abduction) |  |  | 10. Knee (flexion) |  |  |  |\n| | Left 40O | Right 40O |  |  | Left 150O | Right 150O |\n|  | Degrees | Degrees |  |  | Degrees | Degrees |\n|  |  |  |  |  |  |  |\n\nDSHS 13-585A (REV. 03/2014)  \n\n| 11. Shoulder (Abduction – Adduction) |  |  | 12. Shoulder (Flexion – Extension) |  |  |\n| --- | --- | --- | --- | --- | --- |\n| | Left |  | | Left |  |\n|  | Abduction 150O | Adduction 30O |  | Extension 50O | Flexion 150O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n|  | Right |  |  | Right |  |\n|  | Abduction 150O | Adduction 30O |  | Extension 50O | Flexion 150O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n| 13. Elbow |  |  | 14. Forearm (Pronation – Supination) |  |  |\n| | Left |  | | Left |  |\n|  | Extension 0O | Flexion 150O |  | Pronation 80O | Supination 80O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n|  | Right |  |  | Right |  |\n|  | Extension 0O | Flexion 150O |  | Pronation 80O | Supination 80O |\n|  |  |  |  |  |  |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n| 15. Ankle |  |  | 16. Ankle (Flexion – Extension) |  |  |\n| | Left |  | | Left |  |\n|  | Inversion 30O | Eversion 20O |  | Plantar 40O | Dorsal 20O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n|  | Right |  |  | Right |  |\n|  | Inversion 30O | Eversion 20O |  | Plantar 40O | Dorsal 20O |\n|  |  |  |  |  |  |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n| 17. Wrist (radial, ulnar) |  |  | 18. Wrist |  |  |\n| | Left |  | | Left |  |\n|  | Radial 20O | Ulnar 30O |  | Extension 60O | Flexion 60O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n|  | Right |  |  | Right |  |\n|  | Radial 20O | Ulnar 30O |  | Extension 60O | Flexion 60O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n| 19. Thumb (MP Joint) |  |  | 20. Thumb (IP Joint) |  |  |\n| | Left | Right | | Left | Right |\n|  | Flexion 60O | Flexion 60O |  | Flexion 80O | Flexion 80O |\n|  | Degrees | Degrees |  | Degrees | Degrees |\n|  |  |  |  |  |  |\n| DATE OF EXAMINATION | EXAMINING PHYSICIAN’S SIGNATURE |  |  | DATE OF REPORT |  |\n\nDSHS 13-585A (REV. 03/2014)","cbCail0WSNHSeMif","https://ap.wps.com/l/cbCail0WSNHSeMif","pdf",171328,"English","# Joint Motion Evaluation Instructions\n# Charted Joints and Measured Ranges\n## Back\n## Neck\n## Hip\n## Shoulder\n## Elbow and Forearm\n## Ankle and Foot\n## Wrist and Thumb\n# Examination and Reporting Fields","[{\"question\":\"What does the range of joint motion chart require for each affected joint?\",\"answer\":\"For each affected joint, the examiner must indicate existing limitation of motion by drawing lines on the figures or by recording the range of motion in degrees. A complete narrative summary of all affected joints is also required.\"},{\"question\":\"What should be written in the narrative summary if all joints are normal?\",\"answer\":\"If range of motion was normal for all joints, the narrative summary should comment that motion is normal.\"},{\"question\":\"How are affected joints that do not appear on the chart handled?\",\"answer\":\"If joints not shown on the chart are affected, the examiner must indicate the degree of limited motion in the narrative summary.\"}]","Range of Joint Motion Evaluation Chart - Joint Motion Assessment Form | PDF"]