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DPT Semester 1 > CP 1 Goni > Flashcards

CP 1 Goni Flashcards

1
Q

Mean flex ROM

Shoulder complex

A

180

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2
Q

glenohumeral mean flex ROM

A

115

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3
Q

Testing position:

Shoulder and GH Flex

A
  1. supine, hook lying to flatten lumbar spine
  2. elbow fully extended
  3. neutral shoulder rotation, abd/adduction
  4. neutral supination/pronation (palm facing body)
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4
Q

Stabilization:

Shoulder and GH flexion

A
  1. shoulder complex = stabilize thorax to prevent spinal extension
  2. GH = stabilize lateral border scapula to prevent scapular posterior tilitng, upward rotation, and elevation
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5
Q

End Feel

Shoulder and GH flexion

A
  1. Shoulder complex = firm
  2. GH = firm
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6
Q

Alignment

Shoulder & GH flexion

A
  1. Fulcrum = greater tubercle (lateral aspect)
  2. Stationary arm = midaxillary line of thorax
  3. Moving arm = lateral midline of humerus, lateral epicondyle
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7
Q

Mean ROM

Shoulder and GH Extension

A
  1. Shoulder complex = 60
  2. GH = 20
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8
Q

Testing Position

Shoulder and GH Extension

A
  1. Prone, face turned away
  2. Neutral shoulder abd/adduction, rotation
  3. Neutral pronation/supination (palm facing body)
  4. Slight elbow flexion
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9
Q

Stabilization

Shoulder and GH extension

A
  1. shoulder complex = weight of trunk/table
  2. GH = stabilize inferior angle of scapula, prevent scapular elevation and anterior tilting
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10
Q

End feel

Shoulder complex and GH extension

A
  1. Shoulder complex = firm
  2. GH = firm
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11
Q

Alignment

Shoulder complex and GH extension

A
  1. Fulcrum = greater tubercle (lateral aspect)
  2. stationary arm = midaxillary line of thorax
  3. moving arm = lateral midline of humerus, lateral epicondyle
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12
Q

Mean ROM

Shoulder and GH abduction

A
  1. Shoulder complex = 180
  2. GH = 120-125
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13
Q

Testing position

Shoulder and GH abduction

A
  1. Supine
  2. Neutral shoulder flex/ext
  3. shoulder lateral rotation
  4. elbow extended
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14
Q

Stabilization

Shoulder and GH abduction

A
  1. Shoulder complex = stabilize thorax, prevent lateral flexion of spine
  2. GH = stabilize scapula, prevent scapular upward rotation and elevation
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15
Q

End feel

Shoulder and GH abduction

A
  1. Shoulder complex = firm
  2. GH = firm
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16
Q

Alignment

Shoulder complex and GH abduction

A
  1. Fulcrum = acromial process
  2. Stationary arm = parallel to midline of sternum
  3. Moving = midline of humerus, medial epicondyle
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17
Q

Mean ROM

Shoulder complex and GH IR

A
  1. Shoulder complex = 70-90
  2. GH = 49
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18
Q

Testing position

Shoulder complex and GH IR

A
  1. Supine
  2. Shoulder in 900 of abduction
  3. neutral pronation/supination
  4. humerus supported by towel
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19
Q

Stabilization

Shoulder Complex and GH IR

A
  1. Shoulder complex = stab at distal end humerus, prevent shoulder from leaving 900 of abduction and flexion of spine
  2. GH = stab at distal humerus, prevent scapular anterior tilting and protraction
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20
Q

End Feel

Should complex and GH IR

A
  1. Shoulder complex = firm
  2. GH = firm
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21
Q

Alignment

Shoulder complex and GH IR

A
  1. Fulcrum = olecranon process
  2. stationary arm = perpendicular to floor
  3. Moving arm = midline of ulna, olectranon and ulnar styloid process
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22
Q

Mean ROM

Shoulder Complex and GH ER

A
  1. Shoulder complex = 940
  2. GH = 900
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23
Q

Testing position

Shoulder complex and GH ER

A
  1. Supine
  2. Shoulder in 900 of abduction
  3. neutral pronation/supination
  4. humerus supported by towel
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24
Q

Stabilization

Shoulder complex and GH ER

A
  1. Shoulder complex = stab distal humerus, prevent shoulder from leaving 900 if abduction and extension of spine
  2. GH = stab distal humerus, prevent scapular posterior tilting and retraction
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25
Q

End Feel

Shoulder Complex and GH ER

A
  1. Shoulder complex = firm
  2. GH = firm
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26
Q

Alignment

Shoulder complex and GH ER

A
  1. Fulcrum = olecranon process
  2. stationary arm = perpendicular to floor
  3. moving arm = midline of ulna, olecranon and ulnary styloid process
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27
Q

Mean ROM

Elbow Flexion

A

150

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28
Q

Testing position

Elbow flexion

A
  1. Supine
  2. Neutral shoulder flexion/extension and abduction/adduction
  3. Place pad under distal humerus
  4. full supination
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29
Q

Stabilization

Elbow flexion

A

at humerus to prevent shoulder flexion

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30
Q

End Feel

Elbow flexion

A

usually soft

if minimal muscle bulk -> can be hard

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31
Q

Alignment

Elbow flexion

A
  1. Fulcrum = lateral epicondyle of the humerus
  2. Stationary arm = lateral midline of humerus, center of acromion
  3. Moving arm = lateral midline of radius, radial styloid process
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32
Q

Mean ROM

Elbow extension

A

0

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33
Q

Testing position

Elbow extension

A
  1. Supine
  2. neutral shoulder flexion/extension and abudction/adduction
  3. place pad under distal humerus
  4. full supination
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34
Q

Stabiliztion

Elbow extension

A

at humerus to prevent IR and abduction of the shoulder

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35
Q

End feel

Elbow extension

A

hard

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36
Q

Alignment

Elbow extension

A
  1. Fulcrum = lateral epicondyle of the humerus
  2. Stationary arm = lateral midline of humerus, center of acromion
  3. Moving arm = lateral midline of radius, styloid process
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37
Q

Mean ROM

wrist pronation

A
  1. sitting
  2. neutral shoulder flexion/extension, abduction/adduction
  3. elbow flexed 900,forearm supported
  4. begin with thumb pointed toward ceiling
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38
Q

Stabilization

Wrist pronation

A

at distal end of humerus to prevent IR and ABD of shoulder

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39
Q

End feel

wrist pronation

A

Hard (contact between radius and ulna)

OR

firm (tension in interosseous membrane)

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40
Q

Alignment

Wrist pronation

A
  1. Fulcrum = lateral to ulnar styloid process
  2. stationary arm = parallel to the anterior midline of the humerus
  3. moving arm = across dorsal aspect of forearm just proximal to styloid processes
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41
Q

Mean ROM

Wrist Supination

A

800

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42
Q

Testing position

Wrist supination

A
  1. sitting
  2. Neutral shoulder flexion/extension, abduction/adduction, rotation
  3. elbow flexed 900, forearm supported
  4. begin with thumb pointed toward ceiling
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43
Q

Stabilization

Wrist supination

A

at distal end of humerus to prevent ER and ADD of shoulder

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44
Q

End feel

Wrist supination

A

firm

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45
Q

Alignment

Wirst supination

A
  1. Fulcrum = medial to ulnar styloid process
  2. stationary arm = parallel to the anterior midline of the humerus
  3. moving arm = across ventral aspect of forearm just proximal to styloid processes
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46
Q

Mean ROM

Wrist flexion

A

80

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47
Q

Testing position

Wrist flexion

A
  1. shoulder abducted 900
  2. elbow flexed 900
  3. rest forearm on supporting surface
  4. avoid radial or ulnr devition and finger flexion
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48
Q

Stabilization

Wrist flexion

A

stabilize radius and ulna to prevent supination or pronation

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49
Q

End Feel

Wrist flexion

A

Firm

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50
Q

Alignment

Wrist Flexion

A
  1. Fulcrum = lateral aspect of triquetrum
  2. stationary arm = lateral midline of ulna, olecranon
  3. moving arm = lateral midline of 5th metcarpal
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51
Q

Mean ROM

Wrist extension

A

70

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52
Q

Testing position

Wrist extension

A
  1. Shoulder abducted 900
  2. elbow flexed 900
  3. rest forearm on supporting surface
  4. avoid radial or ulnar deviation and finger flexion
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53
Q

Stabilization

Wrist extension

A

stabilize radius and ulna to rpevent supination or pronation

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54
Q

End feel

Wrist extension

A

firm

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55
Q

Alignment

Wrist extension

A
  1. Fulcrum = lateral aspect of triquetrum
  2. stationary arm = lateral midline of ulna, olecranon
  3. moving arm = lateral midline of 5th metacarpal
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56
Q

Mean ROM

Wrist radial deviation

A

20

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57
Q

Testing position

Wrist radial deviation

A
  1. shoulder abducted 900
  2. elbow flexed 900
  3. rest forearm on supported surface
  4. 3rd metacarpal parallel to dorsal midline of the forearm
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58
Q

Stabilization

Wrist radial deviation

A

stabilize radius and ulna to prevent supination or pronation

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59
Q

End feel

Wrist radial deviation

A

Hard

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60
Q

Alignment

Wrist radial deviation

A
  1. Fulcrum = dorsal aspect of capitate
  2. stationary arm = dorsal midline of forearm, lateral epicondyle
  3. moving arm = dorsal midline of 3rd metacarpal
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61
Q

Mean ROM

Wrist ulnar deviation

A

30

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62
Q

testing position

Wrist ulnar deviation

A
  1. shoulder abducted 900
  2. elbow flexed 900
  3. rest forearm on supporting surface
  4. 3rd metacarpal parallel to dorsal midline of the forearm
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63
Q

stabilization

wrist ulnar devition

A

stabilize radius and ulna to prevent supination or pronation

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64
Q

End feel

wrist ulnar deviation

A

firm

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65
Q

Alignment

Wrist ulnar deviation

A
  1. Fulcrum = dorsal aspect of capitate
  2. stationary arm = dorsal midline of forearm, lateral epicondyle
  3. moving arm = dorsal midline of 3rd metacarpal
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66
Q

Mean ROM

MCP flexion

A

90

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67
Q

testing position

MCP flexion

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral pronation/supination
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68
Q

Stabilization

MCP flexion

A

stabilize metacarpal to prevent wrist motion without houlding other MCP joints in full extension

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69
Q

End feel

MCP flexion

A

hard or firm

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70
Q

Alignment

MCP flexion

A
  1. Fulcrum = dorsal aspect of MCP joint
  2. stationary arm = dorsal midline of metacarpal
  3. moving arm = dorsal midline of proximal phalanx
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71
Q

Mean ROM

MCP extension

A

45

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72
Q

Testing position

MCP extension

A
  1. patient in sitting, forearm and hand resting on a supporting surface
  2. wrist in neural flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral pronation/supination
  4. avoid full flexion or extension of PIP and DIP joints
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73
Q

Stabilization

MCP extension

A

stabilize metcarpal to prevent wrist motion without holding other MCP joints in full flexion

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74
Q

End Feel

MCP extension

A

Firm

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75
Q

Alignment

MCP extension

A
  1. Fulcrum = dorsal aspect of MCP joint
  2. stationary arm = dorsal midline of metacarpal
  3. moving arm = dorsal midline of proximal phalanx
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76
Q

Mean ROM

MCP ABD

A

0-20

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77
Q

Testing position

MCP ABD

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral pronation/supination
  4. neutral MCP flexion/extension
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78
Q

Stabilization

MCP ABD

A

stabilize metacarpal to prevent wrist motion

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79
Q

End Feel

MCP ABD

A

firm

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80
Q

Alignment

MCP ABD

A
  1. Fulcrum = dorsal aspect of MCP joint
  2. stationary arm = dorsal midline of metcarpal
  3. moving arm = dorsal midline of proximal phalanx
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81
Q

Mean ROM

PIP flexion

A

100

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82
Q

testing position

PIP flexion

A
  1. patient in sitting, forearm and hand resting on a supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral pronation/supination
  4. neutral MCP flexion/extension
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83
Q

Stabilization

PIP flexion

A

stabilize proximal phalanx to prevent motioon of the MCP joint

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84
Q

End Feel

PIP flexion

A

hard, sometimes soft or firm

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85
Q

Alignment

PIP flexion

A
  1. Fulcrum = dorsal aspect of PIP joint
  2. stationary arm = dorsal midline of proximal phalanx
  3. moving arm = dorsal midline of middle phalanx
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86
Q

Mean ROM

PIP extension

A

0

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87
Q

Testing position

PIP extension

A
  1. patient in sitting, forearm and hand resting on a supporting surface
  2. wrist in neutral flexion/extension and radial/ulnary deviation
  3. radioulnar joints in neutral pronation/supination
  4. neutral MCP flexion/extension
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88
Q

Stabilization

PIP extension

A

stabilize proximal phalanx to prevent motion of the MCP joint

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89
Q

End Feel

PIP extension

A

firm

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90
Q

Alignment

PIP extension

A
  1. Fulcrum = dorsal aspect of PIP joint
  2. stationary arm = dorsal midline of proximal phalanx
  3. moving arm = dorsal midline of middle phalanx
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91
Q

Mean ROM

DIP flexion

A

90

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92
Q

Testing position

DIP flexion

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral pronation/supination
  4. neutral MCP flexion/extension
  5. PIP in 70-900 of flexion
93
Q

stabilization

DIP flexion

A

stabilize middle and proximal phalanx to prevent motion of the PIP joint

94
Q

End feel

DIP flexion

A

firm

95
Q

Alignment

DIP flexion

A
  1. Fulcrum = dorsal aspect of DIP joint
  2. stationary arm = dorsal midline of middle phalanx
  3. moving arm = dorsal midline of distal phalanx
96
Q

Mean ROM

DIP extension

A

0

97
Q

Testing position

DIP extension

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral pronation/supination
  4. neutral MCP flexion/extension
  5. PIP in 70-900 of flexion
98
Q

Stabilization

DIP extension

A

stabilize middle and proximal phalanx to prevent motion of the PIP joint

99
Q

End feel

DIP extension

A

firm

100
Q

Alignment

DIP extension

A
  1. Fulcrum = dorsal aspect of DIP joint
  2. stationary arm = dorsal midline of middle phalanx
  3. moving arm = dorsal midline of distal phalanx
101
Q

Mean ROM

1st CMC flexion

A

15

102
Q

Testing position

1st CMC flexion

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints iin full supination
  4. CMC joint in 00 of abduction
  5. 1st MCP and IP joints in slight flexion
103
Q

Stabilization

1st CMC flexion

A

stabilize the carpals, radius, and ulna to prevent wrist motions

104
Q

End feel

1st CMC flexion

A

soft or firm

105
Q

Alignment

1st CMC flexion

A
  1. Fulcrum = palmar aspect of CMC joint
  2. stationary arm = anterior midline of radius, radial head
  3. moving arm = anterior midline of 1st metacarpal
106
Q

Mean ROM

1st CMC extension

A

35

107
Q

Testing position

1st CMC extension

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. Radioulnar joints in full supination
  4. CMC joint in 00 of abduction
  5. 1st MCP and IP joints in slight flexion
108
Q

Stabilization

1st CMC extension

A

stabilize the carpals, radius, and ulna to prevent wrist motions

109
Q

End Feel

1st CMC extension

A

firm

110
Q

Alignment

1st CMC extension

A
  1. Fulcrum = palmar aspect of CMC joint
  2. stationary arm = anterior midline of radius, radial head
  3. moving arm = anterior midline of 1st metacarpal
111
Q

Mean ROM

1st CMC abduction

A

70

112
Q

Testing position

1st CMC abduction

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in neutral supination/pronation
  4. 1st CMC, MCP and IP joints at 00 flexion
113
Q

Stabilization

1st CMC abduction

A

stabilize the carpals and 2nd metacarpal to prevent wrist motions

114
Q

End feel

1st CMC abduction

A

firm

115
Q

Alignment

1st CMC abduction

A
  1. Fulcrum = lateral aspect of radial styloid process
  2. stationary arm = laterla midline of the 2nd metacarpal, MCP joint
  3. moving arm = lateral midline of 1st metacarpal, MCP joint
116
Q

1st CMC opposition

A

measure the linear distance between the tip of the thumb and the center of the proximal digital crease of the little finger

117
Q

Mean ROM

1st MCP flexion

A

50

118
Q

Testing position

1st MCP flexion

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in full supination
  4. 1st CMC joint in 00 of flexion, abduction
  5. 1st IP joint in 00 of flexion
119
Q

Stabilization

1st MCP flexion

A

stabilize the 1st metacarpal to prevent wrist motion and flexion of the CMC joint

120
Q

End feel

1st MCP flexion

A

hard or firm

121
Q

Alignment

1st MCP flexion

A
  1. Fulcrum = dorsal aspect of the MCP joint
  2. stationary arm = dorsal midline of the metacarpal
  3. moving arm = dorsal midline of the proximal phalanx
122
Q

Mean ROM

1st MCP extension

A

0

123
Q

Testing position

1st MCP extension

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. Radioulnar joint in full supination
  4. 1st CMC joint in 00 of flexion and abduction
  5. 1st IP joint in 00 of flexion
124
Q

Stabilization

1st MCP extension

A

stabilize the 1st metacarpal to prevent wrist motion and flexion of the CMC joint

125
Q

End feel

1st MCP extension

A

firm

126
Q

Alignment

1st MCP extension

A
  1. Fulcrum = dorsal aspect of the MCP joint
  2. stationary arm = dorsal midline of the metacarpal
  3. moving arm = dorsal midline of the proximal phalanx
127
Q

Mean ROM

1st IP flexion

A

80

128
Q

Testing position

1st IP flexion

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in full supination
  4. 1st CMC joint in 00 of flexion and abduction
  5. 1st MCP joint in 00 of flexion
129
Q

Stabilization

1st IP flexion

A

stabilize the 1st proximal phalanx to prevent motion of the MCP joint

130
Q

End feel

1st IP flexion

A

firm, sometimes hard

131
Q

Alignment

1st IP flexion

A
  1. Fulcrum = dorsal aspect of IP joint
  2. stationary arm = dorsal midline of the proximal phalanx
  3. moving arm = dorsal midline of the distal phalanx
132
Q

Mean ROM

1st IP extension

A

20

133
Q

Testing position

1st IP extension

A
  1. patient in sitting, forearm and hand resting on supporting surface
  2. wrist in neutral flexion/extension and radial/ulnar deviation
  3. radioulnar joints in full supination
  4. 1st CMC joint in 00 of flexion and abduction
  5. 1st MCP joint in 00 of flexion
134
Q

Stabilization

1st IP extension

A

stabilize the 1st proximal phalanx to prevent motion of the MCP joint

135
Q

End feel

1st IP extension

A

firm

136
Q

Alignment

1st IP extension

A
  1. Fulcrum = dorsal aspect of the IP joint
  2. stationary arm = dorsal midline of the proximal phalanx
  3. moving arm = dorsal midline of the distal phalanx
137
Q

Mean ROM

Cervical Flexion

A

45 (40-45 common)

138
Q

Testing position

Cervical Flexion

A
  1. seated
  2. good upright posture
  3. neutral rotation and lateral flexion of spine
  4. Ask the patient to tuck the chin toward the chest and bend head down until resistance is felt
139
Q

Stabilization

Cervical Flexion

A
  1. stabilize at shoulder girdle
  2. patient places hands on knees
140
Q

End Feel

Cervical Flexion

A

Firm

141
Q

Goni Alignment

Cervical Flexion

A
  1. Flucrum = external auditory meatus
  2. Stationary arm = perpendicular or parallel to ground
  3. Moving arm = base of the nares
142
Q

Mean ROM

Cervical Extension

A

45 (up to 70)

143
Q

Testing Position

Cervical Extension

A
  1. Seated
  2. Good upright posture
  3. Neural rotation and lateral flexion of spine
  4. Ask the patient to tuck the chin toward the chest and bend head back and look up
144
Q

Stabilization

Cervical Extension

A
  1. stabilize at shoulder girdle
  2. patient places hands on knees
145
Q

End feel

Cervical Extension

A

Firm

146
Q

Goni Alignment

Cervical Extension

A
  1. Fulcrum = external auditory meatus
  2. Stationary = perpendicular to ground
  3. Moving = base of the nares
147
Q

Mean ROM

Cervical Lateral Flexion

A

45 (20-45 some source)

148
Q

Testing Position

Cervical Lateral Flexion

A
  1. sitting
  2. good upright posture
  3. neutral flexion/extension
  4. netural rotation
149
Q

Stabilization

Cervical lateral flexion

A

stabilize shoulder girdle to prevent lateral flexion of thoracic and lumbar spine

150
Q

End feel

Cervical lateral flexion

A

Firm

151
Q

Goni alignment

Cervical lateral flexion

A
  1. Fulcrum = spinous process of C7
  2. Stationary arm = spinous processes of thoracic spine/perpendicular to ground
  3. Moving arm = dorsal midline of head, occipital protuberance
152
Q

Mean ROM

Cervical Rotation

A

60 (70-90 in others, common to see 50)

153
Q

Testing position

Cervical Rotation

A
  1. Seated
  2. good upright posture
  3. neutral flexion/extension, lateral flexion
154
Q

Stabilization

Cervical rotation

A

stabilize shoulder girdle to prevent thoracic and lumbar rotation

155
Q

End Feel

Cervical Rotation

A

Firm

156
Q

Goni Alignment

Cervical Rotation

A
  1. Fulcrum = center of cranial aspect of the head
  2. stationary arm = parallel to imaginary line between acromion processes
  3. moving arm = tip of the nose
157
Q

Minimum amount of functional ROM in cervical rotation

A

60-700 to look over the shoulder in the car while driving

158
Q

Mean ROM

Hip flexion

A

120 (120-140 common in adults)

159
Q

Testing position

Hip flexion

A
  1. Supine
  2. Neutral abduction/adduction
  3. Neutral rotation
160
Q

Stabilization

Hip Flexion

A
  1. stabilize at pelvis to prevent posterior tilting
  2. utilize contralateral LE in neutral position
161
Q

End feel

Hip Flexion

A

Soft - due to muscle bulk of anterior thigh

sometimes firm due to tension of the posterior joint capsule

162
Q

Goni alignment

Hip flexion

A
  1. Fulcrum = lateral aspect of the hip joint, using greater trochanter for reference
  2. Stationary arm = lateral midline of pelvis
  3. Moving arm = lateral midline of femur, lateral epicondyle
163
Q

Mean ROM

Hip Extension

A

20 (18-30 common)

164
Q

Testing Position

Hip Extension

A
  1. Prone
  2. Neutral abduction/adduction
  3. Neutral rotation
165
Q

Stabilization

Hip Extension

A
  1. stabilize pelvis to prevent an anterior tilt
  2. utlize the contralateral LE in neutral
166
Q

End Feel

Hip Extension

A

Firm, due to tension in anterior joint capsule

167
Q

Goni Alignment

Hip Extension

A
  1. Fulcrum = lateral aspect of the hip joint, using the greater trochanter for reference
  2. Stationary arm = lateral midline of pelvis
  3. Moving arm = lateral midline of the femur, lateral epicondyle
168
Q

Mean ROM

Hip Abduction

A

40 (40-55 common)

169
Q

Testing position

Hip Abduction

A
  1. Supine
  2. Neutral flexion/extension
  3. Neutral rotation
170
Q

Stabilization

Hip Abduction

A

stabilize at pelvis to prevent lumbar motion

171
Q

End Feel

Hip Abduction

A

Firm, due to tension in inferior joint capsule

172
Q

Goni Alignment

Hip Abduction

A
  1. Fulcrum = ASIS
  2. Stationary arm = imaginary horizontal line drawn from one ASIS to the other
  3. Moving arm = anterior midline of femur, towards the midline of patella
173
Q

Mean ROM

Hip IR

A

45 (vary from 30-45)

174
Q

Testing position

Hip IR

A
  1. Sitting
  2. Neutral abduction/adduction
  3. Knee flexed to 90 degrees
  4. Place towel roll under distal femur to maintain level femur
175
Q

Stabilization

Hip IR

A
  1. Stabilize at distal femur to prevent hip abduction, adduction, flexion beyond 900
  2. avoid pelvic motion
176
Q

End Feel

Hip IR

A

Firm, due to tension in the posterior joint capsule and the ischiofemoral ligament

177
Q

Goni Alignment

Hip IR

A
  1. Fulcrum = anterior patella
  2. Stationary arm = perpendicular to the floor
  3. Moving arm = anterior midline of the lower leg, crest of tibia
178
Q

Mean ROM

Hip ER

A

45 (32-50 common)

179
Q

Testing position

Hip ER

A
  1. Sitting
  2. Neutral abduction/adduction
  3. Knee flexed at 900
180
Q

Stabilization

Hip ER

A
  1. stabilize at distal femur to prevent hip abduction, adduction, flexion beyond 900
  2. avoid pelvic motion
181
Q

End feel

Hip ER

A

Firm, due to tension in the anterior joint capsule, iliofemoral ligament and pubofemoral ligament

182
Q

Goni Alignment

Hip ER

A
  1. Fulcrum = anterior patella
  2. Stationary arm = perpendicular to the floor
  3. Moving arm = anterior midline of lower leg, crest of tibia
183
Q

Mean ROM

Knee Flexion

A

135 (135-150)

184
Q

Testing position

Knee Flexion

A
  1. Supine
  2. Start with hip in neutral flexion/extension and neutral hip abduction/adduction
185
Q

Stabilization

Knee Flexion

A

Stabilize femur to prevent hip motion other than flexion

186
Q

End Feel

Knee Flexion

A

Soft, due to contact between the muslce bulk of the posterior calf and the thigh or betwen the heel and the buttocks

187
Q

Goni Alignment

Knee Flexion

A
  1. Fulcrum = lateral epicondyle of femur
  2. Stationary arm = lateral midline of femur, toward the greater trochanter
  3. Moving arm = lateral midline of fibula, toward the lateral malleolus
188
Q

Mean ROM

Knee Extension

A

0

189
Q

Testing Position

Knee Extension

A
  1. Supine
  2. Hip in neutral flexion/extension and neutral hip abduction/adduction
190
Q

Stabilization

Knee Extension

A

stabilize femur to prevent hip motion

191
Q

End Feel

Knee Extension

A

Firm, due to the tension of the:

  1. posterior joint capsule
  2. the oblique & arcuate popliteal ligaments
  3. the collateral ligaments
  4. ACL/PCL
192
Q

Goni Alignment

Knee Extension

A
  1. Fulcrum = lateral epicondyle of femur
  2. Stationary arm = lateral midline of femur, greater trochanter
  3. Moving arm = lateral midline of fibula, towards the lateral malleolus
193
Q

Mean ROM

Ankle/Talocrural Dosiflexion

A

20

194
Q

Testing Position

Ankle/Talocrural dorsiflexion

A
  1. short sitting
  2. knee flexed to 900
  3. neutral inversin/eversion
195
Q

Stabilization

Ankle/Talocrural dorsiflexion

A

stabilize the tibia and fibula to prevent knee and hip motion

196
Q

End Feel

Ankle/Talocrural dorsiflexion

A

firm

197
Q

Goni Alignment

Ankle/Talocrural dorsiflexin

A
  1. Fulcrum = lateral malleolus
  2. Stationary arm = lateral midline of fibula, head of the fibula
  3. Moving arm = parallel lateral aspect of the 5th metatarsal
198
Q

Mean ROM

Ankle/Talocrural Plantarflexion

A

50

199
Q

Testing Position

Ankle/Talocrural Plantarflexion

A
  1. short sitting
  2. knee flexed to 900
  3. neutral inversion/eversion
200
Q

Stabilization

Ankle/Talocrural Stabilization

A

stabilize the tiba and fibular to prevent knee and hip motion

201
Q

End feel

Ankle/talocrural Plantarflexion

A

Firm

202
Q

Goni Alignment

Ankle/Talocrural Plantarflexion

A
  1. Fulcrum = lateral malleolus
  2. stationary arm = lateral midline of the fibula, head of the fibula
  3. moving arm = parallel to lateral aspect of the 5th metatarsal
203
Q

Mean ROM

Inversion (combo of supination/adduction/ and plantarflexion)

A

35

204
Q

Testing position

Inversion (combo of supination/adduction/ and plantarflexion)

A
  1. sitting
  2. knee flexed at 900
  3. hip in neutral rotation, abduction/adduction
205
Q

Alternative position

Inversion (combo of supination/adduction/ and plantarflexion)

A

patient in supine with the leg extended and foot extended off the table to allow for free movment

206
Q

Stabilization

Inversion (combo of supination/adduction/ and plantarflexion)

A

stabilize tibia and fibula to prevent knee extension and lateral rotation and abduction of the hip

207
Q

End Feel

Inversion (combo of supination/adduction/ and plantarflexion)

A

Firm

208
Q

Goni Alignment

Inversion (combo of supination/adduction/ and plantarflexion)

A
  1. Fulcrum = anterior aspect of ankle midway between the malleoli
  2. Stationary arm = anterior midline of the leg, towards the tibial tuberosity
  3. Moving arm = anterior midline of 2nd metatarsal
209
Q

Mean ROM

Eversion (combo pronation, abduction, and dorsiflexion)

A

15

210
Q

Testing position

Eversion (combo pronation, abduction, and dorsiflexion)

A
  1. sitting
  2. knee flexed to 900
  3. hip in neutral rotation, abduction/adduction
211
Q

Alternative Position

Eversion (combo pronation, abduction, and dorsiflexion)

A

patient in supine with the leg extended and foot extended off the table to allow for free movment

212
Q

End Feel

Eversion (combo pronation, abduction, and dorsiflexion)

A

some note hard end feel due to bone

or

firm due to tension in the joint capsule

213
Q

Goni Alignment

Eversion (combo pronation, abduction, and dorsiflexion)

A
  1. Fulcrum = anterior aspect of ankle midway betwen the malleoli
  2. Stationary arm = anterior midline of the leg, towards the tibial tuberosity
  3. Moving arm = anterior midline of 2nd metatarsal
214
Q

Mean ROM

Subtalar/Rearfoot Inversion

A

5 (up to 15)

215
Q

Testing position

Subtalar/Rearfoot inversion

A
  1. Prone
  2. Knee in neutral flexion/extension
  3. Hip in neutral rotation, abduction/adduction
216
Q

Stabilization

Subtalar/Rearfoot Inversion

A

stabilize tibia and fibula to prevent lateral hip and knee rotation and adduction of the hip

217
Q

End Feel

Subtalar/Rearfoot Inversion

A

Firm (tension in lateral joint capsule and ligament)

218
Q

Goni Alignmnet

Subtalar/Rearfoot Inversion

A
  1. Fulcrum = posterior aspect of ankle midway between the malleolus
  2. Stationary arm = posterior midline of the lower leg
  3. Moving arm = posterior midline of the calcaneus
219
Q

Mean ROM

Subtalar/Rearfoot Eversion

A

5 (up to 12)

220
Q

Testing position

Subtalar/Rearfoot Eversion

A
  1. Prone
  2. Knee in neutral flexion/extension
  3. Hip in neutral rotation, abduction/adduction
221
Q

Stabilization

Subtalar/Rearfoot Eversion

A

stabilize tibia and fibular to prevent medial hip and knee rotation and abduction of the hip

222
Q

End Feel

Subtalar/Rearfoot Eversion

A
  1. Hard or firm in some people
    1. hard due to contact of the calcaneus and the floor of the sinus tarsi
    2. firm due to the tension of the deltoid ligament, medial talocalcaneal ligament, and the tibialis posterior muscle
223
Q

Goni Alignment

Subtalar/Rearfoot Eversion

A
  1. Fulcrum = posterior aspect of ankle midway between the malleoli
  2. Stationary arm = posterior midline of the lower leg
  3. Moving arm = posterior midline of the calcaneus
224
Q

Mean ROM

1st MTP extension

A

70

225
Q

Tesing Position

1st MTP extension

A
  1. Supine or sitting
  2. Neutral dorsiflexion/plantarflexion, inversion/eversion
  3. MTP joitn in neutral abduction/adduction
  4. IP joint in neutral flexion/extension
226
Q

Stabilization

1st MTP extension

A
  1. stabilize the metatarsal to prevent ankle motion
  2. do not flex other MTP joints
227
Q

End feel

1st MTP Extension

A

Firm

228
Q

Goni Alignment

1st MTP Extension

A
  1. Fulcrum = dorsal aspect of 1st MTP joint
  2. Stationary arm = dorsal midline of hte 1st metatarsal
  3. Moving arm = dorsal midling of the proximal phalanx of 1st toe

DPT Semester 1 (12 decks)

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