ANKLE GONI

Question 1

Talo crual joint: DF/PF goni

• patient position:
• stabilization:
• axis:
• stationary arm:
  -moving arm:
  -normal ROM:
• end feel:

Answer 1

• patient position: supine , ankle off the edge of the table
• stabilization: tib/fib
• axis: center of the lateral malleolus
• stationary arm: lateral midline of fibula

-moving arm: parallel to the lateral aspect of the 5th metatarsal

-normal ROM: DF- 20°. PF- 50°

• end feel: firm

Question 2

tarsal joints : supination / pronation goni

• patient position:
• stabilization:
• axis:
• stationary arm:
  -moving arm:
  -normal ROM:
• end feel:

Answer 2

• patient position: sitting or supine
• stabilization: tib/fib
• axis: anterior aspect of the ankle between the malleoli
• stationary arm: anterior midline of the lower leg using tibial tuberosity as a landmark

-moving arm: anterior midline of the 2nd MT

-normal ROM: sup- 35° , pro- 20°

• end feel: sup- firm , pro- firm or hard

Question 3

subtalar: inversion and eversion goni

• patient position:
• stabilization:
• axis:
• stationary arm:
  -moving arm:
  -normal ROM:
• end feel:

Answer 3

• patient position: prone (feet off plinth)
• stabilization: tib/fib
• axis: posterior aspect of the ankle between the malleoli
• stationary arm: posterior midline of the lower leg

-moving arm: posterior midline of the calcaneus

-normal ROM: eversion- 5°, inversion - 5°

• end feel: inversion- firm , eversion - firm or hard

Question 4

MTP of all toes: flexion and extension goni

• patient position:
• stabilization:
• axis:
• stationary arm:
  -moving arm:
  -normal ROM:
• end feel:

Answer 4

• patient position: supine
• stabilization: metatarsals
• axis: medial aspect of the MTP joints
• stationary arm: medial midline of the MT

-moving arm: medial midline of the proximal phalanx

-normal ROM: GT flexion- 45° , GT extension - 70°, digits 2-5 flexion and extension - 40°

• end feel: firm

Question 5

MTP (great toe): abduction and adduction goni
- patient position:
- stabilization:
- axis:
- stationary arm:
-moving arm:
-normal ROM:
- end feel:

Answer 5

• patient position: hook lying or sitting with foot on the floor
• stabilization: MT
• axis: dorsal aspect of the MTP joint
• stationary arm: dorsal midline of the MT

-moving arm: dorsal midline of the proximal phalanx

-normal ROM: abd- 10°, add- 30°

• end feel: firm

Question 6

IP: flexion and extension goni

• patient position:
• stabilization:
• axis:
• stationary arm:
  -moving arm:
  -normal ROM:
• end feel:

Answer 6

• patient position: supine
• stabilization: metatarsals
• axis: dorsal aspect of the MTP joint
• stationary arm: dorsal or plantar aspect of the joint to be measure

-moving arm: plantar or dorsal midline of the proximal phalanx

-normal ROM: IP GT flexion- 60°, IP GT extension- 0°, PIPs flexion- 35°, PIPs extension- 0°, DIPs flexion - 60°, DIPS extension- 5°

• end feel: firm