PT

Normal Values for Range of Motion of Joints Hip Flexion 0–125 Extension 115–0 Hyperextension 0–15 Abduction 0–45 Adduction 45–0 Lateral rotation 0–45 Medial rotation 0–45 Knee Flexion 0–130 Extension 120–0 Ankle Plantar flexion 0–50 Dorsiflexion 0–20 Foot Inversion 0–35 Eversion 0–25 Metatarsophalangeal joints Flexion 0–30 Extension 0–80 Interphalangeal joints of toes Flexion 0–50 Extension 50–0 Shoulder Flexion to 90° 0–90 Extension 0–50 Abduction to 90 0–90 Adduction 90–0 Lateral rotation 0–90 Medial rotation 0–90 Elbow Flexion 0–160 Extension 145–0 Pronation 0–90 Supination 0–90 Wrist Flexion 0–90 Extension 0–70 Abduction 0–25 Adduction 0–65 Metacarpophalangeal joints Abduction 0–25 Adduction 20–0 Flexion 0–90 Extension 0–30 Interphalangeal proximal joints of fingers Flexion 0–120 Extension 120–0 Interphalangeal distal joints of fingers Flexion 0–80 Extension 80–0 Metacarpophalangeal joint of thumb Abduction 0–50 Adduction 40–0 Flexion 0–70 Extension 60–0 Interphalangeal joint of thumb Flexion 0–90 Extension 90–0 Grades of Muscle Strength Grade Description N = normal; G = good; F = fair; P = poor; T = trace 5 or N Full range of motion against gravity and full resistance for the patient's size, age, and sex N− Slight weakness G+ Moderate weakness 4 or G Movement against gravity and moderate resistance at least 10 times without fatigue F+ Movement against gravity several times or mild resistance one time 3 or F Full range against gravity F− Movement against gravity and complete range of motion one time P+ Full range of motion with gravity eliminated but some resistance applied 2 or P Full range of motion with gravity eliminated P− Incomplete range of motion with gravity eliminated 1 or T Evidence of contraction (visible or palpable) but no joint movement 0 No palpable or visible contraction and no joint movement