1. Assessing ROM and Strength of Shoulder and Ankle
HOSA COMPETITION
Assessing ROM and Strength of Shoulder and Ankle

2. Discussion
What exactly is ROM? We know it stands for Range of Motion, but what does THAT mean?
Why would we need to test someone’s ROM and Strength?

3. Motions of the Shoulder
External Rotation
Internal Rotation

4. ROM Test for External Rotation
Ask athlete to place hand behind head
Instructs to externally rotate by reaching down toward shoulder blade
Step behind athlete to evaluate results and note how far they can stretch
Compare to the other side
Report result

5. ROM test for Internal Rotation
Ask athlete to place back of hand on low back
Instruct athlete to internally rotate by raising the hand up the back as high as possible
Step behind athlete to evaluate results and note how far they can stretch
Report results

6. Specific ROM test for the shoulder
Ask athlete to perform the following ROM test without pain
Adduction
Abduction
Flexion
Extension
Horizontal Abduction
Horizontal Adduction

7. External Rotation: Strength Test
Face the athlete and ask them to flex their elbows to 90
Place your hands on outside of their wrists
Instruct athlete to push against your hands outward
Report Observations
Ex: Right is stronger than left

8. Internal Rotation: Strength Test
Face the athlete and ask them to flex their elbows to 90
Place your hands on inside of their wrists
Instruct athlete to push against your hands inward
Report Observations
Ex: Right is stronger than left

9. Extension of Shoulder: Strength Test
Place your hand on the posterior elbow
Instruct athlete to push against your resistance
Check both sides
Report Observations

10. Flexion of Shoulder: Strength Test
Place your hand on the anterior aspect of elbow
Instruct athlete to push forward/up as you push down
Check other side
Report results

11. Empty Can Test
Instruct athlete to extend both arms forward and in a “V” position
Instruct your athlete to point their thumbs downward
Place your hands on both their wrists and have them push up while you push down
Report findings

12. Practice Pair up and practice ROM and Strength test for the shoulder
Report back to your seat in 10 minutes

13. ROM of the Ankle

14. Inversion and Eversion ROM Tests
Instruct athlete to turn both ankles away from each other
Compare bilaterally
Then apply passive pressure
Report observations
Instruct athlete to turn both ankles inward so the soles of the feet face each other
Compare bilaterally
Then apply passive pressure
Report observations

15. Plantar Flexion and Dorsiflexion ROM
Dorisflexion
Ask athlete to point the toes as far down as possible
Observe and compare bilaterally
Apply slight passive pressure for further range
Report Findings
Ask athlete to pull toes up far as possible
Observe and compare bilaterally
Apply slight passive pressure for further range
Report Findings

16. Inversion Strength Test
Hold the athlete’s ankle
Place the other hand at the toes on the inside
Instruct athlete to push inward against your resistance
Check bilaterally
Report Results

17. Eversion Strength Test
Hold the athlete’s ankle
Place the other hand at the toes on the outside
Instruct athlete to push outward against your resistance
Check bilaterally
Report Results

18. Plantar Flexion Strength Test
Hold the athlete’s ankle
Place the other hand at the toes on the bottom
Instruct athlete to push downward against your resistance
Check bilaterally
Report Results

19. Dorsiflexion Strength Test
Hold the athlete’s ankle
Place the other hand at the toes on the top of foot
Instruct athlete to pull upward against your resistance
Check bilaterally
Report Results

20. Practice Pair up and practice strength and ROM testing for the ankle.
Practice at your table and be finished in 10 minutes.