Student Example for ROM Assessments by Christopher Greene

Initial Assessment

cdgreene1 — 2025-07-21 01:01:47 UTC

Student uploads photo of athletes posture/positioning

Age: 16-Year-Old

Sport: Basketball

Mechanism of Injury(MOI): Dove for a ball, felt imediate pain in shoulder, difficulty shooting.

Subjective: Pain is 4/10, aching with sharp pain with movement. Anterior and Lateral Shoulder. Pain in overhead(OH) motions and shooting position. Applying ice with arm at side. No numbness or tingling present.

Initial observation: Arm is to the side. Guarding movement, no deformity or swelling. Alert and Oriented

ROM Measurements

cdgreene1 — 2025-07-21 01:01:47 UTC

Students include video demonstrating proper goniometer placement, end range of motion, and comparison of the non-injured shoulder

Right Shoulder Measurements:

Flexion: 95 degrees(180 is normal)- Limited ROM

Extension: 35 degrees(60 is Normal)- Within Normal Limits

Pain with Flexion: 6/10 in EROM(End Range of Motion)

Left Shoulder Measurements:

Flexion: 178 degrees- Normal

Extension: 58 degrees- Normal

Pain with flexion: N/A

Analysis and Findings

cdgreene1 — 2025-07-21 01:01:47 UTC

*Students uploads videos of shoulder comparisons of limited and normal ROM*

Key Findings:

83 degrees less than left shoulder

Pain increases with OH Movement

MOI consistant with shoulder impingment or strain

No signs of dislocation or fracture

No signs of neurological sypmtoms(control of movement)

No signs of circulation impairment

No severe deformities

Funtional Impact:

Limitations in sporting activity

No impact in daily activities

Possible injuries:

Rotator cuff strain

Anterior Shoulder Impingment

Reccomendations:

No improvement in 48-72 hours

Minitor swelling and ROM

Treatment Plan

cdgreene1 — 2025-07-21 01:01:47 UTC

Students will provide videos of exercises and evaluations

Price Protocol

P-Protect(Avoid OH Activities)

R-Rest(No basketball activites)

I-Ice for 15-20 minutes every 2-3 hours

C- Elastic Wrap

E-Elevation(Sleep with arm elevated on pillow)

Phase 1:

Pendulum exercises

Pain Free ROM only

Anti-Inflammatory as needed(Physician approval)

Activitty Modification

Phase 2:

Progressive Stretching Program:

Wall Slides 2 sets of 10, 2x daily

Cross Body Stretches: Hold 30 seconds, 3x Daily

Doorway Stretches: Hold 30 seconds, 3x Daily

Heat before stretching, ice after

Phase 3:

Begin when pain free ROM is greater than 120 degrees

Isometrics then progress to resistance

Sport Specific movements

Return to Play Checklist:

Pain free movement on injured side

Strength ar 90% Baseline

Can perform sport specific movement pain free

Physician clearance if symptoms do not occur over 1 week.