Active ROM
Ask the client to gently round the upper and mid back forward.
ROM Assessment Guide
Thoracic ROM
Learn how to assess thoracic movement using Active, Passive and Resisted ROM.
Movement Selector
Selected Movement
Flexion
Passive ROM
Support the client and gently guide the thoracic spine into flexion where appropriate.
Resisted ROM
Client attempts thoracic flexion while gentle opposing resistance is applied.
What to Observe
- Pain
- Range restriction
- Compensation
- Difference between sides
Assessment Flow
Assessment Flow
Observe→Active ROM→Passive ROM→Resisted ROM→Compare sides→Focused Assessment
Focused Assessment
Focused Assessment
Thoracic Rotation
Compare left and right rotation for range, pain and compensation.
Thoracic Extension
Observe extension mobility and whether movement is limited or uncomfortable.
Rib / Thoracic Mobility
Assess breathing-related rib movement and thoracic mobility where appropriate.
Postural Observation
Observe thoracic kyphosis, shoulder position and trunk alignment.
Quick Check
Quick Check
1. Which thoracic movement turns the trunk to one side?
2. Which thoracic movement rounds the upper and mid back forward?
For educational revision only. ROM and orthopaedic test findings should be interpreted together with the client’s history, symptoms and other assessment findings.