Goniometry Practical Flashcards

1
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Cervical flexion

A

(a) Normal Range: 60° (AMA)

(b) Test Position: Client sitting with back support. Stabilize lumbar and thoracic spines.

(c) Goniometer Alignment:
A) Axis: external auditory meatus.
S) Stationary arm: vertical.
M) Moving arm: aligned with nostrils.

(d) Normal End Feel
Capsular or ligamentous

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2
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Cervical extension

A

(a) Normal Range: 75° (AMA)

(b) Test Position: Client sitting with back support. Stabilize lumbar and thoracic spines. Mouth relaxed and slightly open.

(c) Goniometer Alignment:
A) Axis: external auditory meatus.
S) Stationary arm: vertical.
M) Moving arm: aligned with nostrils.

(d) Normal End Feel
Bony or Capsular

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3
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Cervical lateral flexion

A

(a) Normal Range: 45° (AMA)

(b) Test Position: Client sitting with back support. Stabilize lumbar and thoracic spines.

(c) Goniometer Alignment:
A) Axis: Spinous process of C7
S) Stationary arm: spinous processes of thoracic spine
M) Moving arm: posterior midline of head at occipital protuberance

(d) Normal End Feel
Capsular or ligamentous

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4
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Cervical rotation

A

(a) Normal Range: 80° (AMA)

(b) Test Position: Client sitting with back support. Stabilize lumbar and thoracic spines.

(c) Goniometer Alignment:
A) Axis: center of superior aspect of head.
S) Stationary arm: aligned with acromion processes
M) Moving arm: aligned with tip of nose.

(d) Normal End Feel
Capsular or ligamentous

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5
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Trunk rotation

A

(a) Normal Range: 45° (AMA)

(b) Test Position: Client is sitting with pelvis
stabilized. No accessory motions: Side bending, forward bending or backward bending.

(c) Goniometer Alignment:
A) Axis: center of superior aspect of head.
S) Stationary arm: aligned with ASISs.
M) Moving arm: aligned with acromion processes.

(d) Normal End Feel
Capsular or ligamentous

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6
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Shoulder flexion

A

(a)Normal Range: 180° (AMA)

(b) Test position: Client is supine with shoulder at 0°. Extend elbow and place forearm at 0° of supination/ pronation, so that the palm faces the body.

(c) Goniometer Alignment:
A) Axis: lateral aspect of the greater tubercle
S) Stationary arm: mid axillary line of the thorax
M) Moving arm: Lateral midline of humerus

(d) Normal End Feel
Firm

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7
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Shoulder extension

A

(a) Normal Range: 50° (AMA)

(b) Test position: Client is prone with shoulder at 0°. Slightly bend the elbow and place forearm at 0° of supination/ pronation, so that the palm faces the body.

(c) Goniometer Alignment:
A) Axis: lateral aspect of the greater tubercle
S) Stationary arm: mid axillary line of the thorax
M) Moving arm: Lateral midline of humerus

(d) Normal End Feel
Firm

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8
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Shoulder abduction

A

(a) Normal Range: 180° (AMA)

(b) Test position: Client is supine with shoulder in lateral rotation. Shoulder is at 0° of flexion and extension with elbow extended. Palm faces up

(c) Goniometer Alignment:
A) Axis: acromial process
S) Stationary arm: midline anterior of the sternum
M) Moving arm: anterior midline of humerus

(d) Normal End Feel
Firm

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9
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Shoulder internal rotation

A

(a) Normal Range: 90° (AMA)

(b) Test position: Client is supine with shoulder abducted at 90°. The forearm starts at neutral position with elbow flexed 90°. Have elbow come slightly off the table.

(c) Goniometer Alignment:
A) Axis: olecranon process of ulna
S) Stationary arm: vertically alignment
M) Moving arm: aligned with ulna (styloid process)

(d) Normal End Feel:
Capsular

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10
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Shoulder external rotation

A

(a) Normal Range: 90° (AMA)

(b) Test position: Client is supine with shoulder abducted at 90°. The forearm starts at neutral position with elbow flexed 90°. Have elbow come slightly off the table.

(c) Goniometer Alignment:
A) Axis: olecranon process of ulna
S) Stationary arm: vertically alignment
M) Moving arm: aligned with ulna (styloid process)

(d) Normal End Feel:
Capsular

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11
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Elbow flexion

A

(a) Normal Range: 140° (AMA)

(b) Test position: Client is Supine with Shoulder neutral
(arm at side). Forearm is supinated and
elbow flexed.

(c) Goniometer Alignment:
A) Axis: Lateral epicondyle of humeras
S) Stationary arm: aligned with humerus (center of acromion
process).
M) Moving arm: aligned with radius (styloid process)

(d) Normal End Feel:
Soft tissue approximation

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12
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Elbow extension

A

(a) Normal Range: 0° (AMA)

(b) Test position: Client is Supine with Shoulder neutral
(arm at side). Forearm is supinated and elbow extended. Towel is placed underneath the upperarm.

(c) Goniometer Alignment:
A) Axis: Lateral epicondyle of humeras
S) Stationary arm: aligned with humerus (center of acromion
process).
M) Moving arm: aligned with radius (styloid process)

(d) Normal End Feel:
Bone on bone

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13
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Supination

A

(a) Normal Range: 80° (AMA)

(b)Test Position: Client is sitting with shoulder neutral (arm at side) and elbow flexed at 90°. Forearm is supinated.

(c) Goniometer Alignment
A) Axis: medial to ulnar styloid.
S) Stationary arm: parallel to humerus.
M) Moving arm: aligned with ventral aspect of radius.

(d) Normal End Feel:
Capsular

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14
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Pronation

A

(a) Normal Range: 80° (AMA)

(b) Test Position: Client is sitting with shoulder neutral (arm at side) and Elbow flexed at 90°. Forearm is pronated.

(c) Goniometer Alignment:
A) Axis: lateral to ulnar styloid.
S) Stationary arm: parallel to humerus.
M) Moving arm: aligned with dorsum of radius.

(d)Normal End Feel:
Capsular

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15
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Wrist flexion

A

(a) Normal Range: 60°(AMA)

(b)Test Position: Client is sitting with Forearm pronated and stabilized on table. Client flexes wrist with fingers
relaxed.

(c) Goniometer Alignment
A) Axis: lateral wrist (triquetrum).
S) Stationary arm: aligned with ulna.
M) Moving arm: aligned with fifth metacarpal.

(d) Normal End Feel:
Capsular

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16
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Wrist extension

A

(a) Normal Range: 60°(AMA)

(b) Test Position: Client is sitting with forearm pronated and stabilized on table. Client extends wrist with fingers relaxed.

(c) Goniometer Alignment:
A) Axis: lateral wrist (triquetrum).
S) Stationary arm: aligned with
ulna.
M) Moving arm: aligned with fifth
metacarpal.

(d) Normal End Feel:
Capsular

17
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Hip flexion

A

(a) Normal Range: 100.0° (AMA)

(b) Test Position: Client is in supine position. Allow knee to flex. Stabilize pelvis to prevent rotation. Subject flexes hip.

(c) Goniometer Alignment
A) Axis: greater trochanter.
S) Stationary arm: aligned with midline of pelvis.
M) Moving arm: aligned with femur (lateral epicondyle).

(d) Normal End Feel:
Capsular

18
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Hip extension

A

(a) Normal Range: 30.0° (AMA)

(b) Test Position: Client is in prone position with stabilized pelvis to prevent rotation. Subject extends hip.

(c) Goniometer Alignment:
A) Axis: greater trochanter.
S) Stationary arm: aligned with midline of pelvis.
M) Moving arm: aligned with femur (lateral epicondyle).

(d) Normal End Feel:
Capsular or ligamentous

19
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Hip adduction

A

(a) Normal Range: 20.0° (AMA)

(b) Test Position: Client is in supine position. Stabilize pelvis and adduct opposite hip.

(c) Goniometer Alignment:
A) Axis: anterior superior iliac spine (ASIS).
S) Stationary arm: aligned with opposite ASIS.
M) Moving arm: aligned with femur (center of patella).

(d) Normal End Feel:
Capsular or ligamentous

20
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Hip abduction

A

(a) Normal Range: 40.0° (AMA)

(b) Test Position: Client is in supine position. Stabilize pelvis and abduct opposite hip.

(c) Goniometer Alignment:
A) Axis: anterior superior iliac spine (ASIS).
S) Stationary arm: aligned with opposite ASIS.
M) Moving arm: aligned with femur (center of patella).

(d) Normal End Feel: Capsular or ligamentous

21
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Hip internal rotation

A

(a) Normal Range: 40.0° (AMA)

(b) Test Position: Client is sitting on table with knee flexed. Stabilize distal thigh.

(c) Goniometer Alignment:
A) Axis: center of patella.
S) Stationary arm: aligned vertically.
M) Moving arm: aligned with leg (crest of tibia).

(d) Normal End Feel:
Capsular

22
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Hip external rotation

A

(a) Normal Range: 50.0° (AMA)

(b) Test Position: Client is sitting on table with knee flexed. Stabilize distal thigh.

(c) Goniometer Alignment:
A) Axis: center of patella.
S) Stationary arm: aligned vertically.
M) Moving arm: aligned with leg (crest of tibia).

(d) Normal End Feel:
Capsular

23
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Knee flexion

A

(a) Normal Range: 150° (AMA)

(b) Test Position: Client is in supine position. Allow hip and knee to flex.

(c) Goniometer Alignment:
A) Axis: lateral epicondyle of femur.
S) Stationary arm: aligned with greater trochanter.
M) Moving arm: aligned with lateral malleolus.

(d) Normal End Feel:
Soft tissue approximation

24
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Knee extension

A

(a) Normal Range: 0° (AMA)

(b) Test Position: Client is in prone position (Supine for modified). Stabilize femur (place a towel underneath) and allow the knee to fully extend.

(c) Goniometer Alignment:
A) Axis: lateral epicondyle of femur.
S) Stationary arm: aligned with greater trochanter.
M) Moving arm: aligned with lateral malleolus.

(d) Normal End Feel:
Capsular

25
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Ankle dorsiflexion

A

(a) Normal Range: 20° (AMA)

(b) Test Position: Client will be lying in supine position with knee extended. Ankle is in neutral position with leg stabilized. Stabilize sub-talar and keep in neutral. Ankle goes into dorsiflexion.

(c) Goniometer Alignment:
A) Axis: lateral malleolus
S) Stationary arm: aligned with fibular head
M) Moving arm: aligned with fifth metatarsal

(d) Normal End Feel:
Capsular

26
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Ankle plantarflexion

A

(a) Normal Range: 40° (AMA)

(b) Test Position: Client will be lying in supine position with knee extended. Ankle is in neutral position slightly off the table with leg stabilized. Ankle goes into plantar flexion

(c) Goniometer Alignment:
A) Axis: lateral malleolus
S) Stationary arm: aligned with fibular head
M) Moving arm: aligned with fifth metatarsal

(d) Normal End Feel:
Capsular

27
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Ankle inversion

A

(a) Normal Range: 20° (AMA) (or 30°)

(b) Test Position: Client is in prone position (seated for modified). Stabilize tibia in sagittal plane.

(c) Goniometer Alignment:
A) Axis: midpoint between malleoli.
S) Stationary arm: aligned with midline of leg.
M) Moving arm: aligned with midline of calcaneus.

(d) Normal End Feel:
Capsular

28
Q

Determine the (a) Normal range, (b) Test position, (c) Goniometer alignment, (d) Normal end feel for the following:
Ankle eversion

A

(a) Normal Range: 10° OR 20° (AMA)

(b) Test Position: Client is in prone position (seated for modified). Stabilize tibia in sagittal plane.

(c) Goniometer Alignment:
A) Axis: mid-point between malleoli.
S) Stationary arm: aligned with midline of leg.
M) Moving arm: aligned withmidline of calcaneus.

(d) Normal End Feel:
Capsular