Goniometry Flashcards

1
Q

Goniometry: Shoulder Flexion

A

ADL: lift your arm up to turn on ceiling fan
Normal Range: 0-180
End Feel: Firm
Body Position: Supine or seated, arm at side, thumb up
Goniometer:
Axis: Lateral humeral head, below acromion process
Stationary Arm: Parallel to midline of trunk
Moveable Arm: Parallel to humerus

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2
Q

Goniometry: Shoulder Extension

A
ADL: pulling a window closed
Normal Range: 0-60
End Feel: Firm
Body Position: Prone or Seated
Goniometer:
Axis: Lateral humeral head below acromion process
Stationary Arm: Parallel to trunk
Moveable Arm: Parallel to humerus
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3
Q

Goniometry: Shoulder Abduction

A
ADL: Making a snow angel 
Normal Range: 0-180
End Feel: Firm
Body Position: Seated- anterior or posterior or Supine
Goniometer:
Axis: Anterior or posterior glenohumeral joint
Stationary Arm: Parallel to sternum
Moveable Arm: Parallel to humerus
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4
Q

Goniometry: Shoulder Horizontal Abduction

A
ADL: Playing air hockey
Normal Range: 0-135
End Feel: Firm
Body Position: Sitting with shoulder at 90, elbow flexed, and forearm in neutral
Goniometer:
Axis: Top of acromion process
Stationary Arm: Perpendicular to trunk
Moveable Arm: Parallel to humerus
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5
Q

Goniometry: Shoulder Horizontal Adduction

A
ADL: Wiping off counter
Normal Range: 0-45
End Feel: Firm/Soft
Body Position: Sitting with shoulder at 90, elbow flexed, and forearm in neutral
Goniometer:
Axis: Top of acromion process
Stationary Arm: Perpendicular to trunk
Moveable Arm: Parallel to humerus
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6
Q

Goniometry: Shoulder Internal Rotation

A
ADL:  
Normal Range: 0-70
End Feel: Firm
Body Position: Sitting- shoulder at 90 on side of body, elbow at 90, forearm neutral (arm moves down)
Goniometer:
Axis: Olecranon Process
Stationary Arm: Perpendicular to floor
Moveable Arm: Parallel to ulna
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7
Q

Goniometry: Shoulder External Rotation

A
ADL: Swatting away a bug
Normal Range: 0-90
End Feel: Firm
Body Position: Sitting- shoulder at 90 at side, elbow at 90, forearm neutral (arm moves up)
Goniometer:
Axis: Olecranon Process
Stationary Arm: Perpendicular to floor
Moveable Arm: Parallel to ulna
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8
Q

Goniometry: Elbow Flexion

A

ADL: eating/putting makeup on
Normal Range: 0-150 degrees
End Feel: Soft
Body Position: Patient is supine or sitting. Arm in anatomical position with elbow in extension. Towel placed under distal humerus
Goniometer:
Axis: Over lateral epicondyle of humerus
Stationary Arm: Parallel to longitudinal axis of the humerus, pointing toward tip of acromion process
Moveable Arm: Parallel to longitudinal axis of radius, pointing toward styloid process of radius

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9
Q

Goniometry: Elbow Extension

A

ADL: Pushing off a chair
Normal Range: 150-0 degrees (can be read 150 to 0 to -5 or 0 to 155)
End Feel: Hard
Body Position: Patient sitting. Arm starts flexed.
Goniometer:
Axis: Over lateral epicondyle of humerus
Stationary Arm: Parallel to longitudinal axis of the humerus, pointing toward tip of acromion process
Moveable Arm: Parallel to longitudinal axis of radius, pointing toward styloid process of radius

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10
Q

Goniometry: Forearm Supination

A
ADL: Flipping cards over during game
Normal Range: 0-80/90 degrees
End Feel: Firm
Body Position: Patient is sitting. Arm at side and the elbow is flexed to 90 degrees with the forearm in midposition 
Goniometer:
Axis: Perpendicular to anterior aspect of ulnar styloid
Stationary Arm: Perpendicular to floor
Moveable Arm: Perpendicular to wrist
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11
Q

Goniometry: Forearm Pronation

A
ADL: Putting a lid on a can
Normal Range: 0-80/90 degrees
End Feel: Firm
Body Position: Patient is sitting. Arm at side and elbow flexed to 90 degrees with the forearm in midposition. 
Goniometer:
Axis: Perpendicular to Posterior aspect of ulnar styloid
Stationary Arm: Perpendicular to floor
Moveable Arm: Perpendicular to wrist
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12
Q

Goniometry: Wrist Flexion

A

ADL: Writing or curling hair
Normal Range: 80 degrees
End Feel: Firm
Body Position: Sitting, elbow is flexed and forearm is resting on table in pronation. Wrist is in neutral, hand is over edge of table, Fingers are relaxed. Wrist is moved in an anterior direction
Goniometer:
Axis: Ulnar styloid
Stationary Arm: Parallel to longitudinal axis of ulna
Moveable Arm: Parallel to the longitudinal axis of the 5th metacarpal.

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13
Q

Goniometry: Wrist Extension

A

ADL: Painting nails
Normal Range: 70 degrees
End Feel: Firm/Hard
Body Position: Sitting, elbow is flexed and forearm is resting on table in pronation. Wrist is in neutral, hand is over edge of table, Fingers are relaxed. Wrist is moved in an anterior direction
Goniometer:
Axis: Ulnar styloid process
Stationary Arm: Parallel to longitudinal axis of the ulna
Moveable Arm: Parallel to longitudinal axis of 5th metacarpal

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14
Q

Goniometry: Wrist Ulnar Deviation

A
ADL: wiping a counter
Normal Range: 30 degrees
End Feel: Firm
Body Position: Sitting, elbow flexed, forearm pronated and Palmar surface of hand is resting lightly on a table. Wrist in neutral and fingers relaxed.
Goniometer:
Axis: Posterior wrist over capitate
Stationary Arm: Along midline of forearm
Moveable Arm: Parallel to shaft of third metacarpal
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15
Q

Goniometry: Wrist Radial Deviation

A
ADL: Wiping a table
Normal Range: 20 degrees
End Feel: Firm/Hard
Body Position: Sitting, elbow flexed, forearm pronated and Palmar surface of hand is resting lightly on a table. Wrist in neutral and fingers relaxed.
Goniometer:
Axis: Posterior wrist over capitate
Stationary Arm: Along midline of forearm
Moveable Arm: Parallel to shaft of third metacarpal. Wrist is abducted to radial side
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16
Q

Goniometry: Finger MCP Flexion

A
ADL: 
Normal Range: 0-90
End Feel: Firm/hard
Body Position: Elbow on table with hand up
Goniometer:
Axis: Posterior MCP joint
Stationary Arm: In line with metacarpal 
Moveable Arm: In line with proximal phalanx
17
Q

Goniometry: Finger MCP Extension

A
ADL:
Normal Range:  0-45
End Feel: Firm
Body Position: Elbow on table with hand up (MCP joint in 0 degrees of ext)
Goniometer:
Axis: Anterior MCP joint
Stationary Arm: In line with metacarpal
Moveable Arm: In line with proximal phalanx
18
Q

Goniometry: Finger MCP Abduction

A

ADL:
Normal Range: Comparable to opposite hand
End Feel: Firm
Body Position: Elbow flexed to 90, Forearm in pronation on table and wrist in neutral. Fingers in anatomical position
Goniometer:
Axis: Posterior MCP joint
Stationary Arm: In line with metacarpal
Moveable Arm: In line with proximal phalanx

19
Q

Goniometry: Finger MCP Adduction

A

ADL:
Normal Range: Comparable to opposite hand
End Feel: Firm
Body Position: Elbow flexed to 90, Forearm in pronation on table and wrist in neutral. Fingers in anatomical position
Goniometer:
Axis: Posterior MCP joint
Stationary Arm: In line with metacarpal
Moveable Arm: In line with proximal phalanx

20
Q

Goniometry: Finger PIP Flexion

A
ADL: 
Normal Range: 0-100
End Feel: Hard/Soft/Firm
Body Position: Sitting with forearm resting on a table either neutral or pronation. Wrist neutral and fingers in anatomical position. 
Goniometer:
Axis: Posterior PIP joint
Stationary Arm: Proximal phalanx
Moveable Arm: Middle phalanx
21
Q

Goniometry: Finger PIP Extension

A
ADL: 
Normal Range: 0
End Feel: Firm
Body Position: Sitting with forearm resting on a table either neutral or pronation. Wrist neutral and fingers in anatomical position. 
Goniometer: extend to limit?
Axis: 
Stationary Arm: 
Moveable Arm:
22
Q

Goniometry: Finger DIP Flexion

A
ADL: 
Normal Range: 0-90
End Feel: Firm
Body Position: Sitting with forearm resting on a table either neutral or pronation. Wrist neutral and fingers in anatomical position. 
Goniometer: 
Axis: Posterior DIP joint
Stationary Arm: Middle phalanx
Moveable Arm: Distal phalanx
23
Q

Goniometry: Finger DIP Extension

A
ADL: 
Normal Range: 0
End Feel: Firm
Body Position: Sitting with forearm resting on a table either neutral or pronation. Wrist neutral and fingers in anatomical position. 
Goniometer: extend to limit?
Axis: 
Stationary Arm: 
Moveable Arm:
24
Q

Goniometry: Thumb CMC Flexion

A
ADL: 
Normal Range: 0-15
End Feel: Soft/Firm
Body Position: Sitting, elbow flexed with forearm in neutral on table
Goniometer:
Axis: Over the CMC joint
Stationary Arm: Parallel to radius
Moveable Arm: In line with thumb metacarpal
25
Q

Goniometry: Thumb CMC Extension (radial abduction)

A
ADL: 
Normal Range: 0-20
End Feel: Firm
Body Position: Sitting, elbow flexed with forearm in neutral on table
Goniometer:
Axis: Over the CMC joint
Stationary Arm: Parallel to radius
Moveable Arm: In line with thumb metacarpal
26
Q

Goniometry: Thumb MCP Flexion

A
ADL: 
Normal Range: 0-50
End Feel: Firm
Body Position: Sitting, elbow flexed with forearm in neutral on table (MCP and IP joints in extension)
Goniometer:
Axis: Posterior MCP joint
Stationary Arm: Parallel to shaft of metacarpal
Moveable Arm: Shaft of proximal phalanx
27
Q

Goniometry: Thumb MCP Extension

A
ADL: 
Normal Range: 0
End Feel: Firm
Body Position: Sitting, elbow flexed with forearm in neutral on table (MCP and IP joints in extension)
Goniometer: Extend to limit
28
Q

Goniometry: Thumb IP Flexion

A
ADL: 
Normal Range: 80-0-10
End Feel: 
Body Position: Sitting, elbow flexed with forearm in neutral on table (MCP and IP joints in extension)
Goniometer:
Axis: Posterior IP joint
Stationary Arm: In line with proximal phalanx
Moveable Arm: Shaft of distal phalanx
29
Q

Goniometry: Thumb CMC Abduction (palmar abduction)

A
ADL: 
Normal Range: 0-70
End Feel: Firm
Body Position: Sitting, elbow flexed, forearm in neutral, thumb and fingers relaxed
Goniometer:
Axis: Base of 1st and 2nd metacarpals
Stationary Arm: 2nd metacarpal
Moveable Arm: 1st metacarpal
30
Q

Goniometry: Thumb Opposition

A

ADL:
Normal Range: Pad of thumb and 5th finger should touch
End Feel:
Body Position: Sitting, elbow flexed, forearm in supine
Goniometer: Ruler to take measurement between thumb and 5th digit