Goniometry Flashcards
2 subcategories of kinematic a
Osteokinematics, arthrokinematics
Accessory motion
Arthrokinematics
Physiologic motion
Osteokinematics
Movement of a bone segment as it moves away from trunk or pelvis about the joint axis
Osteokinematics
Actual movements of the articulate or joint surfaces in relation to one another during Osteokinematics motion
Arthrokinematics
3 types of Arthrokinematics
Glide, roll, spin
Accessory (Arthrokinematic) movement is evaluated by assessing
Joint play
______ is used as a reference point for most goniometric measurments of joint ROM
Anatomical position
Used by PT to assess Osteokinematics or joint range of motion
Goniometry
Joint ROM is a function of joint _____, _____, & _______ as well as ______ & ______ that cross the joint being assessed
Morphology, capsule, ligaments (inert tissues)
Muscles and tendons (contractile tissues)
Proximal segment of goniometer
Stationary arm
Distal segment of goniometer
Moving arm
Exception for anatomical position as the reference point
Pronation/supination
In general/ assess ______ first as this allows patient to move through their available Active ROM, without risk of causing pain
ACTIVE ROM
Patient repeats Active ROM _____
1-2 times
When a patient cannot actively move through the typical ROM for the joint being assessed, then we must assess _________ and determine joint _______
Passive ROM
End feel
4 typical end feels
Bony - hard
Capsular - firm
Muscular - firm
Soft tissue - soft
Elbow extension end feel
Bony - hard
Elbow supination end feel
Capsular - firm
Ankle dorsiflexion with knee ext end feel
Muscular - firm
Elbow Flexion end feel
Soft tissue - soft
Abnormal end feels
Empty, springy, muscle spasm
No end feel is noted due to pain interfering (protective response)
Empty
Rebound at extreme of possible ROM
Springy end feel
Which rather reliability is generally higher
Intra
If a therapist measures the same joint ROM twice, the two measurements should be within _____
5 degrees
Use a _____ goniometer on larger joints
Larger
Full ROM across a joint is dependent on 2 components
Joint ROM
Muscle length
