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The HUMAC NORM includes attachments to perform 22 isolated patterns covering the shoulder, elbow, wrist, hip, knee, and ankle. Isolated patterns are used to accurately and carefully measure and build the foundation for safe functional testing and exercise.

Optional attachments add Work Simulation and Trunk extension / flexion patterns.

Testing Patterns
Shoulder
Elbow
Wrist
Hip
Knee
Ankle
Pattern Body

Shoulder:

Shoulder: Abduction / Adduction
Axis of Rotation:
The instantaneous axis of rotation changes throughout the movement. The compromise axis is medial to the acromion process when the limb is in the neutral position.

Parts Needed:
Elbow/Shoulder Adapter
Footrest
Lumbar Cushion

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Shoulder: Extension / Flexion
Axis of Rotation:
The instantaneous axis of rotation changes throughout the movement. The compromise axis is medial to the acromion process when the limb is in the neutral position.

Parts Needed:
Elbow/Shoulder Adapter
Footrest

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Shoulder: Horizontal Abduction / Adduction
Axis of Rotation:
The instantaneous axis of rotation changes throughout the movement. The compromise axis is medial to the acromion process when the limb is in 90° horizontal abduction.

Parts Needed:
Elbow/Shoulder Adapter
Footrest
Torso Belt

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Shoulder: Internal / External Rotation in 90° Abduction
Axis of Rotation:
The axis of rotation is the longitudinal axis of the humerus.

Parts Needed:
Wrist/Shoulder Adapter
Elbow Stabilizer Pad
Torso Belt
Footrest

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Shoulder: Internal / External Rotation, Mod Standing
Axis of Rotation:
The axis of rotation is the longitudinal axis of the humerus.

Parts Needed:
Wrist/Shoulder Adapter
Elbow Stabilizer Pad

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Shoulder: Internal / External Rotation, Mod Seated
Axis of Rotation:
The axis of rotation is the longitudinal axis of the humerus.

Parts Needed:
Wrist/Shoulder Adapter
Elbow Stabilizer Pad
Lumbar Cushion

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Shoulder: Internal / External Rotation in 90° Flexion
Axis of Rotation:
The axis of rotation is the longitudinal axis of the humerus. If length adjustment of wrist / shoulder adapter is correct, and elbow flexed at 90° with forearm parallel to input arm, the axis alignment will be established and maintained by the Elbow Stabilization Pad.

Parts Needed:
Wrist/Shoulder Adapter
Elbow Stabilizer Pad

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PNF D1: Flexion - Adduction / Extension - Abduction
Axis of Rotation:
The instantaneous axis of rotation changes throughout the movement. The compromise axis is medial to the acromion process when the limb is in the neutral position. The motion for this pattern begins in full Extension-Abduction and moves to full Flexion-Adduction, the limb should be supinated and externally rotated.

Parts Needed:
Elbow/Shoulder
Adapter Footrest

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Elbow:

Elbow: Extension / Flexion
Axis of Rotation:
The axis of rotation is immediately distal to the lateral epicondyle and moves only slightly anteriorly as flexion increases.

Parts Needed:
Elbow/Shoulder Adapter
Footrest
Lumbar Cushion

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Wrist:

Wrist / Forearm: Pronation / Supination
Axis of Rotation:
The axis of rotation bisects the head of the ulna distally and the head of the radius proximally. It is established by placing the forearm directly in line with the dot on the dynamometer input tube at approximately the level of the ring finger.

Parts Needed:
Thigh/Forearm Stabilizer Tube
Forearm Stabilizer V-Pad
Wrist/Shoulder Adapter
Lumbar Cushion
Counterbalance Weight

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Wrist: Extension / Flexion
Axis of Rotation:
This axis alignment is critical and somewhat difficult in the pattern. The axis of rotation is slightly oblique passing through the wrist just distal to the tubercle of the radius and the head of the ulna (approximately where the hand meets the wrist).

Parts Needed:
Thigh/Forearm Stabilizer Tube
Forearm Stabilizer V-pad
Wrist/Shoulder Adapter
Lumbar Cushion

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Wrist: Radial / Ulnar Deviation
Axis of Rotation:
The axis of rotation is located approximately at the center of the capitate bone. This is found at the middle of the wrist just distal to the axis for extension/flexion.

Parts Needed:
Thigh/Forearm Stabilizer Tube
Forearm Stabilizer V-pad
Wrist/Shoulder Adapter
Lumbar Cushion

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Hip:

Hip: Abduction / Adduction
Axis of Rotation:
The axis of rotation is superior and medial to the greater trochanter.

Parts Needed:
Knee/Hip Adapter
Knee/Hip Pad

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Hip: Flexion / Extension
Axis of Rotation:
The axis of rotation is slightly anterior in extreme flexion as the pelvis tilts to increase range of motion. The normal movement synergy does not affect testing accuracy.

Parts Needed:
Knee/Hip Adapter
Knee/Hip Pad
Footrest

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Hip: Internal / External Rotation
Axis of Rotation:
The axis of rotation is a mechanical axis of the femur (line through centers of hip and knee joints). This can be visualized, approximated and then fine adjusted during warm up/familiarization repetitions.

Parts Needed:
Ankle Adapter
Footplate
Footrest

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Knee:

Knee: Extension / Flexion Seated
Axis of Rotation:
The most accurate fixed axis for rehab or testing of the knee is a line passing transversely through the femoral condyles.

Parts Needed:
Contralateral Limb Stabilizer
Knee/Hip Adapter
Knee/Hip Pad
Lumbar Cushion

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Knee: Extension / Flexion Prone
Axis of Rotation:
The most accurate fixed axis for rehab or testing of the knee is a line passing transversely through the femoral condyles.

Parts Needed:
Knee/Hip Adapter
Knee/Hip Pad

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Knee: Tibial Internal / External Rotation
Axis of Rotation:
The axis of rotation is slightly medial to the longitudinal axis of the tibia. This can be visualized, approximated and then fine adjusted during warm up/familiarization repetitions.

Parts Needed:
Ankle Adapter
Footplate
Thigh Stabilizer Pad
Thigh/Forearm Stabilizer Tube
Footres

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Ankle:

Ankle: Plantar / Dorsiflexion Prone
Axis of Rotation:
The axis of rotation passes obliquely (approximately 16° anteromedially) through the tip of the fibula (lateral malleous) and the trochlea of the talus, exiting just distal to the tip of the tibia (medial malleous).

Parts Needed:
Ankle Adapter
Footplate

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Ankle: Plantar / Dorsiflexion Supine
Axis of Rotation:
The axis of rotation passes obliquely (approximately 16° anteromedially) through the tip of the fibula (lateral malleous) and the trochlea of the talus, exiting just distal to the tip of the tibia (medial malleous).

Parts Needed:
Ankle Adapter
Footplate
Footrest
Thigh Stabilizer Pad
Thigh/Forearm Stabilizer
Counterbalance Weight

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Ankle: Inversion / Eversion
Axis of Rotation:
The axis is compound and changes throughout range of motion of the talo-crural joint, talocalcaneal joint and talonavicular/ calcanecuboid or transverse tarsal joint.

Parts Needed:
Ankle Adapter
Footplate
Thigh Stabilizer Pad
Thigh/Forearm Stabilizer Tube
Footrest

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