Lower Extremity Goniometry Flashcards
Ankle Dorsiflexion
Patient position
supine or sitting, foot off the table
Ankle Dorsiflexion
Axis of rotation
Inferior/posterior lateral malleolus
Ankle Dorsiflexion
stationary arm
parallel to fibula
Ankle Dorsiflexion
Moving arm
parallel to sole of the heel (not lined up with the 5th)
Ankle Dorsiflexion
average ROM
20
Ankle Plantarflexion
pt position
supine or sitting, foot off table
Ankle Plantarflexion
axis of rotation
Inferior/posterior lateral malleolus
Ankle Plantarflexion
Stationary arm
parallel to fibula
Ankle Plantarflexion
moving arm
parallel to sole of the heel (not lined up with the 5th)
Ankle Plantarflexion
average ROM
50
Rearfoot Eversion/Inversion
pt position
prone, ankle neutral
Rearfoot Eversion/Inversion
axis of rotation
between M. & L. malleolus
Rearfoot Eversion/Inversion
stationary arm
parallel to the lower leg
Rearfoot Eversion/Inversion
moving arm
Midline of poster aspect of calcaneous
Rearfoot Eversion/Inversion
average ROM
5
Ankle inversion/eversion
pt postion
sitting at the end of the table
Ankle inversion/eversion
axis of rotation
anterior talocrural joint midway
Ankle inversion/eversion
stationary arm
parallel to tibia
Ankle inversion/eversion
moving arm
parallel to 2nd metatarsal
Ankle inversion/eversion
average ROM
inversion = 35 eversion = 20
1st MTP join flexion/extension
pt position
supine or sitting
1st MTP join flexion/extension
axis of rotation
medial aspect at MTP joint
1st MTP join flexion/extension
stationary arm
parallel to long axis of 1st metatarsal
1st MTP join flexion/extension
moving arm
parallel to long axis of proximal phalanx
1st MTP join flexion/extension
average ROM
flexion = 45 extension = 70
Lesser 4 toes
flexion/extension
pt position = sitting
average ROM = observed as “full” or “decreased”
1st MTP joint Abduction/adduction
pt position
supine or sitting
1st MTP joint Abduction/adduction
axis of rotation
MTP joint dorsum side
1st MTP joint Abduction/adduction
Stationary arm
parallel to 1st metatarsal
1st MTP joint Abduction/adduction
moving arm
parallel to long axis of proximal phalanx
1st MTP joint Abduction/adduction
average ROM
compare bilaterally
knee flexion/extension
pt position
supine
knee flexion/extension
axis of rotation
over lateral epicondyle
knee flexion/extension
stationary arm
parallel to femur pointing towards greater trochanter
knee flexion/extension
moving arm
parallel to fibula pointing towards lateral malleolus
knee flexion/extension
average ROM
flexion = 135-145 extension = 0 (up to 10 hyperextension possible)
straight-leg raise (hamstring flexibility)
pt position
supine (maintain full knee extension) - keep opposite leg flat on table
straight-leg raise (hamstring flexibility)
axis of rotation
greater trochanter
straight-leg raise (hamstring flexibility)
stationary arm
parallel to table
straight-leg raise (hamstring flexibility)
moving arm
fermoral shaft/lateral joint line of knee
straight-leg raise (hamstring flexibility)
average ROM
<70 is pathologic
Hip flexion/extension
pt position
flexion = supine extension = prone
Hip flexion/extension
axis of rotation
greater trochanter
Hip flexion/extension
stationary arm
parallel to table
Hip flexion/extension
moving arm
parallel to long axis of femur
Hip flexion/extension
average ROM
flexion = 120 extension = 30
Hip abduction/adduction
pt position
supine
Hip abduction/adduction
axis of rotation
ASIS
Hip abduction/adduction
stationary arm
along the line that joins the 2 ASISs
Hip abduction/adduction
moving arm
parallel to femur
S: is recorded as 0
Hip abduction/adduction
average ROM
abduction = 45 adduction = 30
Hip internal/external rotation
pt position
sitting
Hip internal/external rotation
axis of rotation
midpoint of patella
Hip internal/external rotation
stationary arm
perpendicular to floor
Hip internal/external rotation
moving arm
parallel to anterior midline of tibia
Hip internal/external rotation
average ROM
45