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lower extremity ROM

The document outlines the range of motion (ROM) for various lower extremity joints, including the hip, knee, and ankle. It details the positions of the client and goniometer for measuring active, passive, and assisted ranges of motion for each joint. References for further reading on occupational therapy and goniometry are provided at the end.

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Kural Arasan
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20 views27 pages

lower extremity ROM

The document outlines the range of motion (ROM) for various lower extremity joints, including the hip, knee, and ankle. It details the positions of the client and goniometer for measuring active, passive, and assisted ranges of motion for each joint. References for further reading on occupational therapy and goniometry are provided at the end.

Uploaded by

Kural Arasan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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LOWER EXTREMITY

RANGE OF MOTION
 Submitted to parimala gandhi madam
 Submitted by k.mohan raj MOT 1ST YEAR
 05.10.21
What is ROM
Joint range of motion is the amount of movement that is possible at a
joint .
Active range of motion:
When the joint is moved by the muscles that act on the joint .
Passive range of motion:
when the joint moved by an outside Force such as therapist ,is called
passive range of motion.
Active assisting range of motion:
Joint receives from partial assistance from out side force such as
therapist.
HIP FLEXION(0-120 DEGREES)
Position of the client :
Supine lying with hip and knee neutral position.
Position of goniometer :
Axis: Lateral aspect of the hip ,over the greater trochanter of
the femur.
Stationary bar:lateral aspect of the pelvis.
Moveable bar :parallel to the long axis of the femur on the lateral
aspect of the thigh.
HIP FLEXION
HIP EXTENSION (0-30 DEGREES)
Position of the client :
prone lying with hip and knee neutral position and the feet over
the end of the table.
Position of goniometer :
Axis: over the greater trochanteric of the femur.
Stationary bar: lateral aspect of the pelvis.
Moveable bar :parallel to the long axis of the femur on the lateral aspect of
the thigh.
HIP EXTENSION
HIP ABDUCTION(0-40DEGREES)
Position of the client :
Supine lying with hip and knee neutral position.
Position of goniometer :
Axis: anterior superior illaic spine.
Stationary bar:Placed on the line between the anterior superior illiac spine
Moveable bar : parallel to the longitudinal axis of the femur over the
anterior aspect of the thigh.
HIP ABDUCTION
HIP ADDUCTION(0-35DEGREES)
Position of the client :
Supine lying with hip and knee neutral position.
Position of goniometer :
Axis: anterior superior illaic spine.
Stationary bar:Placed on the line between the anterior
superior illiac spine
Moveable bar : parallel to the longitudinal axis of the femur
over the anterior aspect of the thigh.
HIP ADDUCTION
HIP INTERNAL ROTATION(0-
45DEGREES)
Position of the client :
seated with hip In 0 degree neutral position and knee 90
degree
Position of goniometer :
Axis: Center of the patella.
Stationary bar and moveable bar : parallel to the longitudinal axis of
the tibia on the anterior aspect of the lower leg.
The stationary bar remains in this position , perpendicular to the
floor,While the moveable bar follows the tibia as The hip is rotated.
HIP INTERNAL ROTATION
HIP EXTERNAL ROTATION(0-45DEGREES)
Position of the client :
seated with hip In 0 degree neutral positio and knee 90
degree
Position of goniometer :
Axis: Center of the patella.
Stationary bar and moveable bar : parallel to the longitudinal axis
of the tibia on the anterior aspect of the lower leg.
The stationary bar remains in this position , perpendicular to the
floor,While the moveable bar follows the tibia as The hip is
rotated.
Other leg should be flexed And back under the table.
HIP EXTERNAL
ROTATION
KNEE FLEXION (0-135DEDREES)
EXTENSION (135-0 DEGREES)
Position of the client :
Supine or prone lying with hip and knee neutral
position.
Position of goniometer :
Axis: lateral epicondyle of the femur.
Stationary bar:On the lateral aspect of the thigh and parallel
to the lateral to the longitudinal axis of femur .
Moveable bar :parallel to the Longitudinal aspect of the Fibula
,aligned with lateral malleolus.
KNEE FLEXION
KNEE EXTENSION
ANKLE DORSIFLEXION (0-15DEGREES)
PLANTAR FLEXION (0-50DEGREES)

Position of the client :


Supine or seated with knee flexed atleast 30 degree
ankle is at 90 degree neutral position.
Position of goniometer :
Axis: Below the medial melleolus.
Stationary bar: parallel to the longitudinal axis of the tibia
Moveable bar : Parallel with the first metatarsal.
ANKLE DORSIFLEXION
ANKLE PLANTAR FLEXION
ANKLE INVERSION (0-35DEGREES)
Position of the client :
Supine With hip and knee Extented 0degree neutral
rotation
Position of goniometer :
Axis:Lateral border of the foot near the heel .
Stationary bar: parallel to the Longitudinal aspect of the fibula
and lateral side of leg.
Moveable bar :parallel to the plantar surface of the heel.
ANKLE INVERSION
ANKLE EVERSION(0-20 DEGREES)
Position of the client :
Supine With hip and knee Extented 0degree neutral
rotation
Position of goniometer :
Axis:Medial border of the foot near the heel .
Stationary bar: Longitudinal aspect of the fibula and medial
side of leg.
Moveable bar : plantar surface of the Sole.
ANKLE EVERSION
Reference
*PEDRETTI’S occupational therapy practice skills for physical
dysfunction.sixth edition.heidi McHugh
Pendleton,PhD,OTR/L,FAOTA. Winifred schultz-
krohn,PhD,OTR/L,BCP,SWC,FAOTA.

*MEASUREMENT OF JOINT MOTION a guide to Goniometry,5th


edition, Cynthia .c. Norkin, PT, EdD, d . joyce White .PT, DSc.

* https://images.app.goo.gl/QYHRsDLpuUK3UK7JA
Thank you

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