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CP Week 12 > Hip & Knee Goniometry > Flashcards

Hip & Knee Goniometry Flashcards

1
Q

Describe the steps of the examination procedure

A
  1. place pt in testing position
  2. move distal segment (as close as possible) to starting position
  3. complete passive ROM & end feel
  4. palpate bony landmarks
  5. stabilize proximal joint segment
  6. move distal segment through the full ROM
  7. place goni, palpating landmarks again if necessary
  8. read & record
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2
Q

Hip flexion ROM value

A

120 degrees

120-140 is common

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3
Q

Hip flexion testing position

A

supine
neutral abd/add
neutral rot

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4
Q

Hip flexion end feel

A

soft - due to anterior thigh muscle bulk

firm (sometimes) - due to tension of posterior joint capsule

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5
Q

Hip flexion alignment

A

Stationary: lateral midline of pelvis
Moving: lateral midline of femur (lateral epicondyle)
Fulcrum: greater trochanter

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6
Q

Hip extension ROM value

A

20 degrees

18-30 is common

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7
Q

Hip extension testing position

A

prone
neutral abd/add
neutral rot

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8
Q

Hip extension end feel

A

firm - due to tension in the anterior joint capsule

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9
Q

Hip extension alignment

A

Stationary: lateral midline of pelvis
Moving: lateral midline of femur (lateral epicondyle)
Fulcrum: greater trochanter

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10
Q

Hip abduction ROM values

A

40 degrees

40-55 is common

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11
Q

Hip abduction testing position

A

supine
neutral flx/ext
neutral rot

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12
Q

Hip abduction end feel

A

firm - due to tension in the inferior joint capsule

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13
Q

Hib abduction alignment

A

Stationary: imaginary line from ASIS to ASIS
Moving: anterior midline of femur towards patella
Fulcrum: ASIS

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14
Q

Hip Adduction ROM values

A

20 degrees

20-25 is common

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15
Q

Hip adduction testing position

A

supine
neutral flx/ext
neutral rot
*move contralateral LE into abduction

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16
Q

Hip adduction end feel

A

Firm - due to tension in the superior joint capsule and superior band of the iliofemoral ligament

17
Q

Hip adduction alignment

A

Stationary: imaginary line from ASIS to ASIS
Moving: anterior midline of femur towards patella
Fulcrum: ASIS

18
Q

Hip IR mean ROM

A

45 degrees

30-45 is common

19
Q

Hip IR testing position

A

sitting
neutral abd/add
knee flexed to 90
towel roll placed under distal femur to maintain level femur

20
Q

Hip IR end feel

A

Firm - due to tension in the posterior joint capsule and the ischiofemoral ligament

21
Q

Hip IR alignment

A

Stationary: perpendicular to floor
Moving: anterior midline of lower leg (crest of tibia)
Fulcrum: anterior patella

22
Q

Hip ER mean ROM

A

45 degrees

32-50 is common

23
Q

Hip ER testing position

A

sitting
neutral abd/add
knee flexed to 90

24
Q

Hip ER end feel

A

Firm - due to tension in the anterior joint capsule, iliofemoral ligamnet, and pubofemoral ligament

25
Q

Hip ER alignment

A

Stationary: perpendicular to floor
Moving: anterior midline of lower leg (crest of tibia)
Fulcrum: anterior patella

26
Q

Knee flexion mean ROM

A

135

135-150 is common

27
Q

Knee flx testing position

A

supine
neutral hip flx/ext
neutral hip abd/add

28
Q

Knee flx end feel

A

Soft - due to contact between the muscle bulk of the posterior calf and the thigh or between the heel and the buttocks

29
Q

Knee flx alignment

A

Stationary: greater trochanter
Moving: lateral malleolus
Fulcrum: lateral epicondyle of femur

30
Q

Knee ext mean ROM

A

0 degrees

31
Q

Knee ext testing position

A

supine
neutral hip flx/ext
neutral hip abd/add

32
Q

Knee ext end feel

A

Firm - due to the tension of the posterior joint capsule, the oblique and arcuate popliteal ligaments, the collateral ligaments, and the cruciate ligaments

33
Q

Knee ext alignment

A

Stationary: greater trochanter
Moving: lateral malleolus
Fulcrum: lateral epicondyle of femur

CP Week 12 (3 decks)

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