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Goniometry

The document provides detailed instructions for measuring joint range of motion using goniometry for various body parts including the wrist, hip, ankle, shoulder, and elbow. It specifies the positioning of the patient and the alignment of the goniometer for accurate measurements. Due to space limitations, many measurements are suggested to be taken while the patient is seated instead of the preferred positions.

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10 views13 pages

Goniometry

The document provides detailed instructions for measuring joint range of motion using goniometry for various body parts including the wrist, hip, ankle, shoulder, and elbow. It specifies the positioning of the patient and the alignment of the goniometer for accurate measurements. Due to space limitations, many measurements are suggested to be taken while the patient is seated instead of the preferred positions.

Uploaded by

bkt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Goniometry

Wrist Flexion: Pt seated with forearm resting on table (use


olecranon process & midline of ulna as reference for stationary arm)

Wrist Extension: Pt seated with forearm resting on table


(Goniometer alignment as in wrist flexion)

The Triquetrum

On the ulnar side of the wrist lies the "ulnar snuffbox"


between the extensor and the flexor carpi ulnaris
tendons. At the base of this snuffbox one can palpate
the triquetrum during radial deviation.
Wrist Radial Deviation: Pt seated with forearm on table

Wrist Ulnar Deviation: Pt seated with forearm on table

The Capitate:
Palpable immediately proximal to the base of the
3rd metacarpal.
W/ wrist in neutral, one may palpate a small
depression in capitate.
W/ wrist flexed the depression rolls distally, &
capitate slides out from under lunate to create a
fullness where depression has been.
Hip Int Rotation: Subject seated with thigh stabilized and knee flexed to 90⁰.
(Don't let trunk/pelvis lean!) Axis aligned with mid patella. Stationary arm perpendicular to floor.
Movable arm aligned with tibial crest/point midway between malleoli

Hip External Rotation: Pt seated. Thigh Stabilized. Knee flexed to 90⁰.


(Don't let trunk/pelvis lean!) Axis aligned with mid patella. Stationary arm perpendicular to floor.
Movable arm aligned with tibial crest/point midway between malleoli
Ankle Plantarflexion: Pt supine (We will do this measurement in sitting due to space limitations!!!)
Ankle Dorsiflexion: Pt prone. Ankle in Sub-talar Neutral
(We will do this measurement in sitting due to space limitations!!!)

Ankle Dorsiflexion with Gastrocsoleus Limiting: Pt supine & in sub-talar neutral


(We will do this measurement in sitting due to space limitations!!!)
Hip Extension: Pt prone. Trunk Midline - Greater Trochanter - Lateral Epicondyle of Femur
(Since we are limited in space, you will need to take turns on the plinth measuring this)
Knee Flexion with Rectus Femoris Length Limiting: Pt prone.
(We will do this measurement in sitting due to space limitations!!!)

Shdr Complex Flexion: Pt supine; knees bent/feet resting on mat to flatten lumbar spine;
(Stabilize scapula if measuring pure gleno-humeral joint motion)
(We will do this measurement in sitting due to space limitations!!!)
Shdr Complex Abduction: Pt supine; Shoulder Externally Rotated; stabilize thorax;
(Stabilize scapula if measuring pure gleno-humeral joint motion)
(We will do this measurement in sitting due to space limitations!!!)

Shdr Complex Extension: Pt prone; stabilize trunk


(Stabilize scapula if measuring pure gleno-humeral joint motion)
(We will do this measurement in sitting due to space limitations!!!)
Shdr Complex Int. Rotation: Pt supine; 90⁰ shoulder abduction, 90⁰ elbow flexion;
stabilize trunk; (Stabilize scapula if measuring pure gleno-humeral joint motion)
(We will do this measurement in sitting due to space limitations!!!)

Shdr Complex Ext Rotation: Pt supine; 90⁰ shoulder abduction, 90⁰ elbow flexion;
stabilize trunk; (Stabilize scapula if measuring pure gleno-humeral joint motion)
(We will do this measurement in sitting due to space limitations!!!)
Elbow Flexion: Pt. supine with forearm supinated
(can use midline of radius
& midline of humerus for alignment of moving & stationary arms
(We will do this measurement in sitting due to space limitations!!!)

Elbow Extension: Pt supine

(We will do this measurement in sitting due to space limitations!!!)


Hip Flexion: Supine. Let knee flex prn. Trunk Midline - Greater Trochanter - Lateral Epicondyle
(We will do this measurement in sitting due to space limitations!!!)

Hip Abduction: Pt supine (use imaginary line between ASISs for


stationary arm &
midline of femur for movable arm alignment
Hip Adduction: Pt supine. Abduct opposite hip (to get it out of the way)

Knee Flexion: Pt supine. Allow comfortable hip flexion.


(We will do this measurement in sitting due to space limitations!!!)
Knee Extension: Pt. prone
(We will do this measurement in sitting due to space limitations!!!)

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