Gonio UQ

Question 1

Shoulder flexion

Answer 1

SUPINE
Norm 0 to 180
Pillow under knees, thumb up
SA- Midline of thorax
Fulcrum- lateral aspect of acromion process
MA- Lateral epicondyle of humerus

Question 2

Shoulder extension

Answer 2

PRONE
Norm 0-60
Pillow under feet, thumb down
SA- midline of thorax
Fulcrum- lateral aspect of acromion process
MA- lateral epicondyle of humerus

Question 3

Shoulder abduction

Answer 3

SUPINE
Norm 0-180
Pillow under knees, thumb facing out
SA- Parallel to Sternum
Fulcrum- Anterior aspect of acromion process
MA- MEDIAL epicondyle of humerus
*hold onto acromion during motion so you don’t lose it

Question 4

Shoulder internal rotation

Answer 4

SUPINE
Norm 0-70
Roll under arm, arm out to side, elbow bent 90 degrees, palm facing forward
SA- perpendicular to floor
Fulcrum- Olecranon process
MA- ulnar styloid process
*Stop rotation when acromion starts to pop up
*Do not allow elbow abduction

Question 5

Shoulder external rotation

Answer 5

SUPINE
Norm 0-90
Roll under arm, arm out to side, elbow bent 90 degrees,  palm facing forward
SA- Perpendicular to floor
Fulcrum- Olecranon process
MA- Ulnar styloid process
*Stop rotation when acromion starts to pop up
*Do not allow elbow abduction

Question 6

Elbow flexion

Answer 6

SUPINE
Norm 0-150
Roll under arm, palm up
SA- Acromion process
Fulcrum- lateral epicondyle
MA- Styloid process of radius
*Extension is return from flexion; assess baseline if full extension cannot be reached
*Hand must be supinated!
*Note if hyperextension is present "0-20 degrees hyperextension"

Question 7

Forearm pronation

Answer 7

SITTING
Norm 0-80
Elbow bent 90 degrees, thumb up
SA- Parallel with anterior midline of humerus
Fulcrum- in line and just proximal to ulnar styloid process
MA- DORSAL surface of wrist, at level of ulnar styloid process
*Use small goni

Question 8

Forearm supination

Answer 8

SITTING
Norm 0-80
Elbow bent 90 degrees, thumb up
SA- Parallel with anterior midline of humerus
Fulcrum- in line and just proximal to ulnar styloid process
MA- VOLAR surface of wrist, at level of ulnar styloid process
*Use small goni

Question 9

Wrist flexion

Answer 9

SITTING
Norm 0-80
Forearm on table with wrist hanging off
SA- Olecranon process
Fulcrum- Triquetrum
MA-midline of 5th metacarpal
*Use small goni

Question 10

Wrist hyperextension

Answer 10

SITTING
Norm 0-70
Forearm on table with wrist hanging off
SA-Olecranon process
Fulcrum- Triquetrum
MA- Midline of 5th metacarpal
*Use small goni

Question 11

Wrist radial deviation

Answer 11

SITTING
Norm 0-20
Elbow bent 90 degrees
SA- Lateral epicondyle of humerus
Fulcrum- Capitate
MA- Midline of 3rd metacarpal 
*Use small goni

Question 12

Wrist ulnar deviation

Answer 12

SITTING
Norm 0-30
Elbow bent 90 degrees
SA- Lateral epicondyle of humerus
Fulcrum- Capitate
MA- Midline of 3rd metacarpal 
*Use small goni

Question 13

MCP Flexion

Answer 13

SITTING
Norm 0-90
Forearm on table
*Use finger goni

Question 14

PIP Flexion

Answer 14

SITTING
Norm 0-100
Forearm on table
*Use finger goni

Question 15

DIP Flexion

Answer 15

SITTING
Norm 0-90
Forearm on table
*Use finger goni