goniometry Flashcards

1
Q

Hip flexion

A

Starting position: supine10

Stabilisation: ensure that the pelvis remains flat

Axis: greater trochanter of the femur

Stationary arm: parallel to the long axis of the trunk

Moving arm: the lateral midline of the femur towards the lateral epicondyle of
the knee

Normal range: 0° - 115°

End feel: soft tissue

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2
Q

Hip extension

A

Starting position: Prone

Stabilisation: Ensure that the pelvis remains flat

Axis: Greater trochanter of the femur

Stationary arm: parallel to the long axis of the trunk.

Moving arm: the lateral midline of the femur towards the lateral epicondyle of
the knee.

Normal range: 0° - 30°

Normal end-feel: leathery

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3
Q

Hip abduction

A

Starting position: Supine, opposite leg in abduction

Stabilisation: Place the opposite leg in abduction to stabilise the pelvis

Axis: anterior superior iliac spine.

Stationary arm: parallel to the long axis of the trunk.

Moving arm: parallel to the midline of the femur, towards the midline of the
patella.

Normal range: 0° - 50

Normal end-feel: leathery

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4
Q

Hip Adduction

A

Starting position: Supine, opposite leg in abduction.

Stabilisation: Ensure that the pelvis remains flat.

Axis: Anterior superior iliac spine (ASIS)

Stationary arm: Parallel to the long axis of the trunk

Moving arm: Parallel to the midline of the femur, towards the midline of the
patella.

Normal range: 0° - 30°

Normal end-feel: leathery

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5
Q

Hip medial rotation

A

Starting position: Sitting, hips flexed to 90°, knees flexed to 90°, opposite foot
supported by stool, ensure hip and knee are in alignment

Stabilisation: Thigh must be supported by the plinth

Axis: Anterior mid-patella

Stationary arm: maintained in a vertical position

Moving arm: anterior midline of the tibia, aiming for a point midway between the
malleoli

Normal range: 0° - 40° Normal end-feel: leathery

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6
Q

Hip lateral rotation

A

Starting position: Sitting, hips flexed to 90°, knees flexed to 90°, opposite foot
supported by stool, ensure the hip and knee are in alignment

Stabilisation: thigh must be supported by the plinth

Axis: anterior mid-patella

Stationary arm: Maintained in a vertical position

Moving arm: Anterior midline of the tibia, aiming for a point midway between the
malleoli

Normal range: 0° - 45°

Normal end-feel: leathery

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7
Q

Knee flexion

A

Starting position: Prone, pillow under the abdomen, feet over edge of plinth

Stabilisation: Thigh is supported by the plinth

Axis: Lateral epicondyle of the femur

Stationary arm: Parallel to the lateral midline of the femur on a line from the
lateral epicondyle to the greater trochanter

Moving arm: Parallel to the lateral midline of the fibula toward the lateral
malleolus

Normal range: 0° - 135° Normal end-feel: soft tissue or leathery

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8
Q

Quadriceps lag

A

Starting position: Sitting, hips flexed to 90°, knees flexed to 90°, opposite foot
supported by stool

Stabilisation: Thigh is supported by the plinth

Axis: Lateral epicondyle of the femur

Stationary arm: Parallel to the lateral midline of the femur on a line from the
lateral epicondyle to the greater trochanter

Moving arm: Parallel to the lateral midline of the fibula toward the lateral
malleolus

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9
Q

Ankle plantarflexion

A

Starting position: Sitting, ankle in plantar grade

Stabilisation: Thigh is supported by the plinth

Axis: Inferior aspect of the lateral malleolus

Stationary arm: Parallel to the lateral midline of the fibula toward the fibular
head

Moving arm: Parallel to the longitudinal axis of the 5th metatarsal

Normal range: 0° - 50°

Normal end feel: bony block

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10
Q

Ankle dorsiflexion

A

Starting position: Sitting, ankle in plantar grade

Stabilisation: Thigh is supported by the plinth

Axis: Inferior aspect of the lateral malleolus

Stationary arm: Parallel to the lateral midline of the fibula toward the fibular
head

Moving arm: Parallel to the longitudinal axis of the 5th metatarsal

Normal range: 0° - 20°

Normal end-feel: leathery

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11
Q

Ankle inversion

A

Starting position: Half lying, pillow under the knee, 2nd toe in line with the tibia

Stabilisation: The lower leg should be stabilised by the therapist

Axis: Dorsal surface of the foot, midway between the malleoli

Stationary arm: parallel to the longitudinal axis of the tibia towards the tibial
tuberosity

Moving arm: dorsal surface of the second metatarsal shaft

Normal range: 0° - 20°

Normal end feel: leathery

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12
Q

Ankle Eversion

A

Starting position: Half lying, pillow under the knee, 2nd toe in line with the tibia

Stabilisation: The lower leg should be stabilised by the therapist

Axis: Dorsal surface of the foot, midway between the malleoli

Stationary arm: parallel to the longitudinal axis of the tibia towards the tibial
tuberosity

Moving arm: dorsal surface of the second metatarsal shaft

Normal range: 0° - 10°

Normal end feel: leathery

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13
Q

Shoulder flexion

A

Starting position: Crook lying, feet flat, forearm in pronation

Stabilisation: Scapula is stabilised by patient lying flat and symmetrical

Axis: 2.5 cm below the acromion process

Stationary arm: Midaxillary line of the trunk towards the greater trochanter

Moving arm: Lateral longitudinal midline of the humerus towards the lateral
epicondyle of the elbow

Normal range: 0° - 180° Normal end-feel: leathery

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14
Q

Shoulder extension

A

Starting position: Prone + pillow under abdomen

Stabilisation: Scapula

Axis: 2.5 cm below the acromion process

Stationary arm: mid-axillary line of the trunk towards the greater trochanter

Moving arm: lateral longitudinal midline of the humerus towards the lateral
epicondyle of the elbow

Normal range: 0° - 50°

Normal end-feel: leathery

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15
Q

Shoulder abduction

A

Starting position: Crook lying, feet flat, forearm in anatomical position

Stabilisation: Thorax is stabilised by patient lying flat and symmetrical

Axis: One finger inferior and lateral to the coracoid process

Stationary arm: parallel to the midline of the body

Moving arm: Parallel to the midline of the humerus in line with the medial
epicondyle of the elbow

Normal range: 5° - 180 ° Normal end-feel: soft tissue

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16
Q

Gleno-humeral Abduction

A

Starting position: Crook lying, feet flat

Stabilisation: Therapist depresses scapula, patient holds onto therapist’s other
arm.

Axis: One finger inferior and lateral to the coracoid process

Stationary arm: Perpendicular to the midline of the body

Moving arm: Parallel to the midline of the humerus inline with the medial
epicondyle of the elbow

Normal range: 5° - 95°

Normal end-feel: bony block

17
Q

Shoulder medial

A

Starting position: Supine, shoulder abducted to 90°, forearm vertical

Stabilisation: Arm is supported by the plinth

Axis: Olecranon

Stationary arm: vertical

Moving arm: in line with the ulna towards styloid process

Normal range: 0° - 70°

Normal end-feel: leathery

18
Q

lateral rotation

A

Starting position: Supine, shoulder abducted to 90°, forearm vertical

Stabilisation: Arm is supported by the plinth

Axis: Olecranon

Stationary arm: vertical

Moving arm: in line with the ulna towards styloid process

Normal range: 0° - 90°

Normal end feel: leathery

19
Q

Elbow flexion

A

Starting position: Crook lying, forearm in anatomical position, arm as close to
trunk as possible

Stabilisation: Stabilise the humerus by making sure it stays flat on the plinth

Axis: Lateral epicondyle of the humerus
Stationary arm: Lateral midline of the humerus towards the acromion process

Moving arm: Lateral midline of the radius in line with the styloid process

Normal range: 0° - 150 °

Normal end-feel: soft tissue