Goniometry Flashcards

1
Q

Normal End feels:

  • soft
  • firm
  • hard
A
  • soft tissue approximation
  • muscular stretch, capsular stretch, ligamentous stretch
  • bone contacting bone
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2
Q

abnormal end feels:

  • soft
  • firm
  • hard
  • empty
A
  • occurs sooner or later in the ROM than is usual, or in a joint that is normally hard or firm, boggy (edema, synovitis)
  • occurs sooner or alter in ROM, or in joint than normally is hard or soft
  • occurs sooner or later in ROM, or in joint that is normally other- bony grating or bony block is felt
  • no real end-feel because pain prevents reaching of ROM
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3
Q

steps for goniometry

A
  1. positioning
  2. stabilization
  3. ROM
  4. End feel assessment
  5. Visual Estimate
  6. Measure
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4
Q

Shoulder flexion (GH)

A

patient position: supine, palm facing the body
axis: acromion
stationary arm alignment: mid-axillary line
moveable arm alignment: lateral midline humerus (lateral epicondyle)

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5
Q

Shoulder flexion (complex)

A
normal range: 0-180
position: supine, palm facing the body
Axis: acromion
SAA: mid-axillary line
MAA: lateral midline humerus (lateral epicondyle)
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6
Q

Shoulder Abduction (GH)

A

range: 0- ~120
position: supine, elbow extended, palm facing anteriorly
Axis: anterior acromion
SAA: parallel midline sternum
MAA: medial midline humerus (medial epicondyle)

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7
Q

Shoulder Abduction (complex)

A

range: 0-180
position: supine, elbow extended, palm facing anteriorly
Axis: anterior acromion
SAA: parallel midline sternum
MAA: medial midline humerus (medial epicondyle)

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8
Q

Shoulder medial rotation

A

range: *0-70
position: supine, shoulder abducted to 90, neutral forearm
Axis: olecranon
SAA: parallel to or perpendicular to floor
MAA: border of ulna; project to styloid

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9
Q

Shoulder lateral rotation

A

range: 0-90 in 90 degrees of abduction
position: supine, shoulder abducted to 90, neutral forearm
axis: olecranon
SAA: parallel to or perpendicular to floor
MAA: border of ulna; project to styloid

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10
Q

Shoulder extension

A

range: 0-50/60
position: prone, palm facing the body
axis: acromion
SAA: mid-axillary line
MAA: lateral midline humerus; project to lateral epicondyle

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11
Q

Shoulder horizontal adduction

A

range: 0-120
position: supine, shoulder abducted to 90, neutral forearm
axis: superior acromion
SAA: parallel to ground
MAA: midshaft of humerus; project to lateral epicondyle

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12
Q

Shoulder horizontal abduction

A

range: 0-30
position: supine, shoulder abducted to 90, neutral forearm
axis: superior acromion
SAA: parallel to ground
MAA: midshaft of humerus, project to lateral epicondyle

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13
Q

Elbow extension/flexion

A

range: 0-145/150 or 10-0-150
position: supine, arm close to side of body, forarm supinated
axis: over lateral epicondyle
SAA: lateral midline of humerus
MAA: lateral midline of radius; project to styloid

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14
Q

Pronation (R/U)

A

position: sitting, arm at side, elbow flexed to 90
Axis: 3rd MCP
SAA: midline of anterior humerus
MAA: dorsum of forearm at R/U joint or parallel to pen lightly held

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15
Q

Pronation (complex)

A

range: 0-75
position: sitting, arm at side, elbow flexed to 90
Axis: 3rd MCP
SAA: midline of anterior humerus
MAA: dorsum of forearm at R/U joint or parallel to pen lightly held

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16
Q

Supination (R/U)

A

position: sitting, arm at side, elbow flexed to 90
axis: 3rd MCP
SAA: midline of the anterior humerus
MAA: palmar forearm at R/U joint or parallel to pen lightly held

17
Q

Supination (complex)

A

range: 0-85/90
position: sitting, arm at side, elbow flexed to 90
axis: 3rd MCP
SAA: midline of the anterior humerus
MAA: palmar forearm at R/U joint or parallel to pen lightly held

18
Q

Wrist flexion

A

range: 0-80
position: sitting, elbow flexed to 90, forearm in neutral, wrist neutral deviation
axis: triquetrum/capitate
SAA: lateral midline of ulna; project to olecranon
MAA: 5th MC

19
Q

Wrist extension

A

range: 0-70
position: sitting, elbow flexed to 90, forearm in neutral, wrist neutral deviation
axis: triquetrium
SAA: lateral midline of ulna; project to olecranon
MAA: 5th MC

20
Q

Radial deviation

A

range: 0-20/25
position: sitting, elbow flexed to 90, forearm in neutral, wrist neutral flex/ext
axis: capitate
SAA: dorsal midline of forearm; project to lateral epicondyle
MAA: 3rd MC

21
Q

Ulnar deviation

A

range: 0-30/35
position: sitting, elbow flexed to 90, forearm in neutral, wrist neutral flex/ext
axis: capitate
SAA: dorsal midline of forearm; project to lateral epicondyle
MAA: 3rd MC

22
Q

thumb CMC flexion

A

range: record start and end # ~15 degrees of motion
position: sitting, forearm supinated, wrist neutral, MCP and IP thumb in neutral, CMC adducted
axis: CMC joint
SAA: anterior radius
MAA: Palmar 1st MC

23
Q

thumb CMC abduction in plane palm

A

range: record start and end number
position: sitting, forearm supinated, wrist neutral, MCP and IP thumb in neutral, CMC adducted
axis: CMC joint
SAA: anterior radius
MAA: Palmar 1st MC

24
Q

thumb CMC abduction perpendicular

A

range: record start and end number
position: sitting, forearm neutral, wrist neutral, MCP and IP thumb in neutral, CMC adducted
axis: between 1st and 2nd CMC joints
SAA: lateral 2nd MC
MAA: dorsal midline 1st MC

25
Q

CMC opposition

A

range: a) touching thumb tip to 5th base MCP, b) Compare sides
position: sitting, forearm supinated, wrist neutral, IPs extended. A) MCPs flexed, B) MCPs relaxed
axis: no axis, liner measure
SAA: a) base 5th MC, b) outer 5th MC
MAA: a) tip thumb, b) outer 1st MC

26
Q

MCP extension/flexion

A

range: 0-50
position: sitting, forearm supinated, wrist, CMC, and IP neutral
axis: dorsal MCP joint
SAA: Dorsal midline metacarpal
MAA: dorsal midline proximal phalanx

27
Q

IP extension/flexion

A

range: 0-80/90
position:sitting, forearm supinated, wrist, CMC, and MCP neutral
axis: dorsal IP joint
SAA: dorsal midline proximal phalanx
MAA: dorsal midline distal phalanx

28
Q

finger MCP flexion

A

range: 0-90
position: sitting, forearm and wrist in neutral, relaxed PIP & DIP
axis: dorsal MCP joint
SAA: dorsal midline metacarpal
MAA: dorsal midline proximal phalanx

29
Q

finger MCP extension

A

range: 0-30
position: sitting, forearm and wrist in neutral, relaxed PIP & DIP
axis: dorsal MCP joint
SAA: dorsal midline metacarpal
MAA: dorsal midline proximal phalanx

30
Q

finger abduction

A

range: 0-20
position: sitting, forearm pronated, wrist neutral, MCP neutral flex/ext
axis: dorsal MCP joint
SAA: dorsal midline metacarpal
MAA: dorsal midline proximal phalanx

31
Q

finger adduction

A

range: 0-20
position: sitting, forearm pronated, wrist neutral, MCP neutral flex/ext
axis: dorsal MCP joint
SAA: dorsal midline metacarpal
MAA: dorsal midline proximal phalanx

32
Q

PIP flexion

A

range: 0-120 or 10-0-120
position: sitting. forearm and wrist neutral, MCP neutral flex/ext
axis: dorsal PIP joint
SAA: dorsal midline proximal phalanx
MAA: dorsal midline middle phalanx

33
Q

DIP flexion

A

range: 0-80 or 10-0-80
position: as above and with PIP in 70-90 degrees in flexion
axis: dorsal DIP joint
SAA: dorsal midline middle phalanx
MAA: dorsal midline distal phalanx