Goni Flashcards
Shoulder humeral flexion
therapist position
norm
end feel
Client is supine with knees flexed
Observe the scapula to prevent compensatory elevation, posterior tilt, and upward rotation
0-180 degrees
firm
FULCRUM: lateral surface of the acromion process
STABLE ARM: mid axilla/thorax
MOVABLE ARM: middle of humerus
passive ROM: shoulder flexion
Shoulder extension
-stabilize scap/shoulder
put other hand supporting the elbow/proximal part of arm, DON’T cross elbow joint
-stabilize shoulder, other hand on proximal part of arm
shoulder extension/hyperextension
Client is prone and head is turned away from testing side or sitting.
Starting—testing extremity is at client’s side, elbow in slight flexion and forearm in neutral. Pinky point up. Ending—client moves the testing extremity into maximum humeral extension
norm- 0-60 degrees
FULCRUM: lateral surface of the acromion process
STABLE ARM: midline of axilla/thorax MOVABLE ARM: lateral midline of the humerus
Shoulder humeral abduction
thumb up
norm- 0-180 degrees
Client is sitting or standing.
Starting—testing extremity is at client’s side, humerus is in full external rotation, elbow exten- sion, and forearm in supination. Ending—client moves the testing extremity into maximum humeral abduction
FULCRUM: at anterior or posterior surface of the acromion process depending on the client’s start- ing position
STABLE ARM: parallel to the sternum (anterior) or spine (posterior)
MOVABLE ARM: medial aspect of the humerus
Shoulder: humeral external rotation
PROM- Stabilize at humerus and other hand on forearm, AROM and PROM are done laying
towel under arm
Client is prone.
Starting—testing extremity is in 90 degrees of humeral abduction, elbow flexed to 90 degrees, forearm perpendicular to the plinth. A pad is placed under the humerus (Figure 1-3-9).
Ending—client moves the testing extremity into maximum humeral external rotation
norm-0-90 degrees
FULCRUM: midline of the olecranon process STABLE ARM: perpendicular to the floor MOVABLE ARM: midline of the lateral ulna
Shoulder: humeral internal rotation
PROM- Stabilize at humerus and other hand on forearm
towel under arm
norm-0-70 degrees
Client is prone.
Starting—testing extremity is in 90 degrees of humeral abduction, elbow flexed to 90 degrees, forearm is perpendicular to the plinth.
Ending—client moves the testing extremity into maximum humeral internal rotation.
FULCRUM: midline of the olecranon process STABLE ARM: perpendicular to the floor MOVABLE ARM: midline of the lateral ulna
Shoulder: humeral adduction
thumb up
norm- 180-0 degrees
end feel- soft
FULCRUM: at the anterior or posterior surface of the acromion process depending on the client’s starting position
STABLE ARM: parallel to the sternum (anterior) or spine (posterior)
MOVABLE ARM: medial aspect of the humerus
Client is sitting or standing.
Starting—testing extremity is in maximal humeral abduction and external rotation, elbow extension and forearm in supination. Ending—client moves the testing extremity into maximum humeral adduction
Shoulder: humeral horizontal abduction
norm- 0-45 degrees
Client is sitting.
Starting—testing extremity is in 90 degrees of humeral abduction and neutral rotation, elbow flexed to 90 degrees, forearm pronated. Ending—client moves the testing extremity into maximum humeral horizontal abduction.
FULCRUM: superior aspect of the acromion process
STABLE ARM: parallel to humerus
MOVABLE ARM: parallel to the humerus (goniometer arms start parallel to the humerus, once the extremity moves, the stable arm remains in the initial position)
Shoulder: humeral horizontal adduction
norm-0-135 degrees
end feel- firm/soft
Client is sitting.
Starting—testing extremity is in 90 degrees of humeral abduction and neutral rotation, the elbow flexed, forearm pronated. Ending—client moves the testing extremity into maximum humeral horizontal adduction
FULCRUM: superior aspect of the acromion process
STABLE ARM: parallel to humerus
MOVABLE ARM: parallel to the humerus (goniometer arms start parallel to the humerus, once the extremity moves, the stable arm remains in the initial position)
