<p>Range of motion should be measured consistently using the same standardized approach. The results of this measurement should be reported under the categories of Flexion Loss and Extension Loss. <em>(<em><em>Refer to HJHS Instruction Manual page</em></em>s 8-9 and HJHS Instructional Videos as references.)</em><em><br /></em></p>
<ul><li>Range of motion should be assessed with full passive movement with gentle overpressure (as applicable).</li><li>Record the number of degrees of flexion for each joint, with plantarflexion being defined as ankle flexion measured from the starting position of 90 degrees.</li><li>Record the number of degrees of extension for each joint, with dorsiflexion being defined as ankle extension with the starting position of 90 degrees. </li><li>If hyperextension (extension beyond 0 degrees) is present, record this as a positive number (lack of extension as a negative number).</li><li>The score for flexion loss and extension loss will be generated using both the contralateral side and normative tables. </li></ul>