Goniometry- Question 4 Flashcards
Shoulder flexion
position- seated with humerus in neutral position
axis= lateral aspect of humerus, distal to acromion process
static= parallel to trunk
mobile= lateral epicondyle of humerus
GH= 100 SG= 180
Shoulder extension
position- seated with humerus in neutral position and no obstruction behind
axis= lateral aspect of humerus, distal to acromion process
static= parallel to trunk
mobile= lateral epicondyle of humerus
GH= 40 SG= 150
shoulder abduction
position- seated with humerus adduction and lateral rotated
axis= acromion process, posterior aspect of shoulder
static= parallel to trunk
mobile= parallel to medial midline of humerus
GH= 120 SG= 180
shoulder adduction
??
axis= acromion process
static= parallel to midline of sternum
mobile= aligned with lateral epicondyle of humerus
0= in anatomical position
35
elbow flexion
position- seated, with humerus adducted, laterally rotated and forearm supinated
axis= lateral epicondyle of humerus
static= in line with acromion process
mobile= in line with styloid process of radius
145 degrees
elbow extension
position- seated, with humerus adducted, laterally rotated and forearm supinated
axis= lateral epicondyle of humerus
static= in line with acromion process
mobile= in line with styloid process of radius
5 degrees of hyper extension
wrist flexion
position- seated forearm mid position, hand and forearm resting on plinth on the ulnar border
axis= lateral aspect of wrist joint just distal to radial styloid process and anatomical snuff box
static= parallel to radius
mobile= parallel to metacarpal of index finger
80 degrees
wrist extension
position- seated forearm mid position, hand and forearm resting on plinth on the ulnar border
axis= lateral aspect of wrist joint just distal to radial styloid process and anatomical snuff box
static= parallel to radius
mobile= parallel to metacarpal of index finger
70 degrees
wrist ulnar deviation
position- seated with forearm pronated and palm of hand resting flat on table surface
axis= middle of posterior aspect of wrist over capitate
static= midline of forearm
mobile= third metacarpal
30 degrees
wrist radial deviation
position- seated with forearm pronated and palm of hand resting flat on table surface
axis= middle of posterior aspect of wrist over capitate
static= midline of forearm
mobile= third metacarpal
15 degrees
knee extension
position- supine lying, place rolled towel under ankle to prevent leg from resting on plinth
stabilize femur to ensure neutral hip position
axis= lateral epicondyle of femur
static= greater trochanter of femur
mobile= in line with lateral malleolus of ankle
5 degrees
knee flexion
position- lying supine
axis= lateral epicondyle of femur
static= greater trochanter of femur
mobile= in line with lateral malleolus of ankle
140 degrees
hip flexion
position-lying supine
palpate pelvis to feel point at which it posteriorly rotates during active hip flexion, ask patient to hold knee with both hands to keep position
axis= greater trochanter
static= parallel to midline of trunk
mobile= in line with lateral epicondyle of femur
90 degrees
hip abduction
position- lying supine
axis= over ASIS on side to be measured
static= line between bilateral ASIS
mobile= anterior midline of femur to midline of patella
40 degrees
hip adduction
position- lying supine
move leg not being measured across plinth away from contralateral leg to ensure it does not obstruct the movement
axis= over ASIS on side to be measured
static= line between bilateral ASIS
mobile= anterior midline of femur to midline of patella
20 degrees
hip extension
position- prone lying
axis= greater trochanter
static= lateral midline of trunk and pelvis
mobile= in line with lateral epicondyle of femur
ensure ASIS remains on plinth, pillow placed under patients abdomen for comfortably
20 degrees
hip medial rotation
position- sitting on side of plinth, towel under thigh ensures femur is parallel to the ground
axis= anterior aspect of the patella
static= perpendicular to the ground
mobile= in line with tibial tuberosity (anterior shaft)
ensure hip does not lift up of the plinth
40 degrees
hip lateral rotation
position- sitting on side of plinth, towel under thigh ensures femur is parallel to the ground
axis= anterior aspect of the patella
static= perpendicular to the ground
mobile= in line with tibial tuberosity (anterior shaft)
ensure hip does not lift up of the plinth
50 degrees
dorsi-flexion
position- sitting with 90 degrees of knee flexion- may need a pillow under patient’s knee
ensure neutral eversion/inversion
axis= lateral malleolus of ankle
static= lateral midline of fibula towards fibula head
mobile= lateral aspect of 5th metatarsal
20 degrees
plantar-flexion
position- sitting with 90 degrees of knee flexion- may need a pillow under patient’s knee
ensure neutral eversion/inversion
axis= lateral malleolus of ankle
static= lateral midline of fibula towards fibula head
mobile= lateral aspect of 5th metatarsal
50 degrees
inversion
position- sitting with 90 degrees of knee flexion- may need a pillow under patient’s knee
stabilize tibia and fibula to prevent knee extension by placing hand around shin
axis= anterior aspect of ankle midway between malleolus
static= anterior midline of leg towards tibial tuberosity
mobile= anterior midline of 2nd metatarsal
20 degrees
eversion
position- sitting with 90 degrees of knee flexion- may need a pillow under patient’s knee
stabilize tibia and fibula to prevent knee extension by placing hand around shin
axis= anterior aspect of ankle midway between malleolus
static= anterior midline of leg towards tibial tuberosity
mobile= anterior midline of 2nd metatarsal
10 degrees
Radio-ulnar pronation
Position- sitting with elbow flexed to 90, palm facing medially
Axis- lateral aspect of wrist- in line with ulnar styloid process
Static- parallel to humerus
Mobile- over wrist
95 degrees
Radio-ulnar, supination
Position- sitting with elbow flexed to 90, palm facing medially
Axis- medial aspect of wrist- in line with ulnar styloid process
Static- parallel to humerus
Mobile- over wrist
95 degrees
Shoulder lateral rotation
Position- supine lying, shoulder abducted to approx 90 degrees, with elbow resting on plinth supported by a folded towel
Axis- olecranon process
Static- perpendicular to the plinth
Mobile- in line with ulnar styloid process
50- GH
90- SG
Shoulder medial rotation
Position- supine lying, shoulder abducted to approx 90 degrees, with elbow resting on plinth supported by a folded towel
Axis- olecranon process
Static- perpendicular to the plinth
Mobile- in line with ulnar styloid process
90 degrees
