Goniometry Flashcards

1
Q

What is ROM?

A

the arch of motion that occurs in a joint

0-180 deg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is hyperextension?

A

more than 0 deg of extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What structures limit ROM under normal circumstances?

A

ligament
bone
capsule
muscle/tendon/fascia/skin
soft tissue approximation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hard end feel

A

occurs sooner in ROM than usual or in joints that usually have a soft or firm end feel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

soft end feel

A

occurs sooner than expected in a joint that normally has a hard or firm end feel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

firm end feel

A

occurs sooner than expected or in a joint that normally has a hard or firm end feel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

springy block end feel

A

springy end usually caused by meniscal tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

empty end feel

A

no end feel often due to patient pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the convex concave rule?

A

concave surface on convex … roll and glide in same direction

convex on concave surface roll and glide in opposite ways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hypomobilty

A

decrease in ROM

may be due to shortening of the ligaments , capsule, muscles, fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Capsular patterns

A

pattern of proportional restrictions in passive ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What diseases are linked to capsular patterns?

A

arthritis
capsular inflammation
capsular tightness
intra-articular fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What factors affect ROM?

A

age
gender
occupation
joint structure
AROM or PROM
Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hypermobility

A

excessice ROM in one or more joints due to laxity of soft tissues that normally limit ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what diseases are linked to hypermobility?

A

Marfans syndrome
ehlers-daho syndrome
generalized hypermoiblity syndrome
benign hypermobility syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the beighton test for systemic hypermobility?

A

a test to see how hypermobile someone is

1 point for each:
hand
elbow
thumb
palms to floor
knees

4 or more means hypermobility

17
Q

What is muscle length testing ?

A

the muscle length is maximal distance between prox and distal attatchments

assessing length of muscle and ROM

18
Q

What is passive insuffiency?

A

when a muscle is stretched passively over 2 or more joints to not allow full ROM

19
Q

What is goniometry?

A

the measurement of angles created at human joints by the bones of the body

20
Q

Where does the moving , stational , and fulcrum go

A

moving: aligned parallel to longitudal axis of distal segment

stationary: aligned parallel to longitudal axis of proximal segment

fulcrum: over joint axis

21
Q

What are the key principles of goniometry?

A

test uninvolved side first
patient must be comfortable and safe
provide stabilation of proximal segment
always perform visual estimate first

22
Q

reliability coefficients

A

1.0= perfect reliabilty
.9+ = excellent
.75-.9 = good
.5-.75 = moderate
below .5 = poor

23
Q

Intrarater

A

same tester

24
Q

interater

A

different testers

25
Q

when is ROM contraindicated?

A

dislocation or unhealed fracture
immediatelly after surgery if the motion will interupt healing

myositis ossificans

26
Q

When should ROM be measured with caution?

A

inflammation
narcotics/ muscle relaxers
marked osteoporsosis
hypermobile joint
hemophilia
regian of bruise
presence of ankylosis
immediately after injury
newly healed fracture
after prolonged immobilization