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sportEX dynamics 2010;24(Apr):9-12

Shoulder ■ Most loss of lateral rotation ■ Next loss of abduction ■ Least loss of medial rotation

Wrist ■ Equal loss of flexion and extension

■ Least loss of radial and ulnar deviation

Hip ■ Most loss of medial rotation

■ Equal loss of abduction and flexion

■ Least loss of extension

Knee ■ Most loss of flexion than extension

Mid-tarsal ■ More loss of adduction and inversion

Toes (MTPs 2-5) ■ More loss of flexion

CAPSULAR JOINT PATTERNS

Thoracic spine ■ Greatest loss of extension

■ Equal loss of both rotations

■ Equal loss of side flexions

Cervical spine ■ Greatest loss of extension

■ Equal loss of both side flexions and rotations ■ Least loss of flexion

Elbow ■ Most loss of flexion ■ Least loss of extension ■ May have equal loss in pronation and supination if severe

Lumbar spine ■ Greatest loss of extension

■ Equal loss of both side flexions

■ Least loss of flexion

Sub-talar ■ More loss of inversion

1st MTP (big toe) ■ More loss of extension

Ankle ■ More loss of plantarflexion than dorsiflexion

Figure 3: Capsular patterns at selected joints

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