Lower Gonio Flashcards by Deleted Deleted

Steps for assessing joint ROM

1) stabilize proximal segment
2) palpate landmarks
3) align goniometer
4) have patient move through maximum ROM
5) re-palpate landmarks and read scale

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Which ROM comes first? Passive or active?

Active. Passive only if cannot due to injury/dysfunction

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When assessing PASSIVE ROM, what is felt?

End feel

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What does end-feel provide info on?

information on quality of resistance at end of ROM

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What are 4 typical end feels?

Bony, capsular, muscular, soft tissue

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Name 3 abnormal end feels?

Empty, springy, muscle spasm

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Give an example of a bony/ hard end feel

Elbow extension

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Give an example of a capsular/firm end feel

Elbow supination

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Give an example of a muscular/firm end feel

Dorsiflexion with knee extension

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Give an example of soft tissue end feel?

Elbow Flexion

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Give an example of empty end feel?

Injury induced protective response

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Give an example of a springy end feel?

Rebound at extreme of possible ROM due to injury

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Hip Flexion

Position? SA? Fulcrum? MA Normative values?

120, supine
Knee bent on bed.

SA= midline of pelvis/trunk
Fulcrum= Greater trochanter
MA= Lateral femoral condyle

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Hip Abduction

Position? SA? Fulcrum? MA Normative values?

45 degrees

Put patient on bed away from you to give more room. watch patellar movement.

SA= contralateral ASIS
Fulcrum=ipsilateral ASIS
MA=midline of patella

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Hip adduction

return from abduction

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Hip Extension

Position? SA? Fulcrum? MA Normative values?

0-15 degrees

Prone

SA= midline trunk pelvis
Fulcrum= Greater Trochanter
MA= lateral femoral epicondyle

Hip External Rotation

Position? SA? Fulcrum? MA Normative values?

0-45 degrees

Prone, with cloth under knee to raise.

SA= perpendicular to floor
Fulcrum= midpoint of patella
MA= Anterior tibial crest

Hip Internal Rotation

Position? SA? Fulcrum? MA Normative values?

0-45 degrees

Prone, cloth under knee

SA= Perpendicular to floor
Fulcrum= Midpoint of patella
MA= Anterior tibial crest

What muscle mainly causes lumbar lordosis?

Psoas Major ; flex opposite leg to alleviate tight iliopsoas.

Always write reading as a what?

Range EX: 0-44

Knee Flexion

Position? SA? Fulcrum? MA Normative values?

Supine, 135 degrees

If hyperextension is present, needs to be measured.

SA=Greater trochanter
Fulcrum= Lateral Epicondyle of Femur
MA= Lateral malleolus

Knee extension

Return from flexion

Knee hyper extension

Have the cloth under achilles and see if you can align to 0

Dorsiflexion with knee extended PRONE

Position? SA? Fulcrum? MA Normative values?

Prone with feet off of the table. Pointed down 0-10 degrees.

SA= Fibular head , midline of fibula
Fulcrum= Lies where it may
MA= Along midline of 5th metatarsal

Dorsiflexion with knee flexed PRONE Position? SA? Fulcrum? MA Normative values?

Prone with leg bent at 90 degree angle 15-20 due to relaxation of gastroc and soleus ``` SA= fibular head , midline of fibula Fulcrum= Lies where it may MA= Midline of 5th metatarsal ```

Dorsiflexion with knee flexed SUPINE Position? SA? Fulcrum? MA Normative values?

0-20 supine, with pillow under knee and feet off bed. SA= fibular head Fulcrum=Lies where it may MA= midline of 5th metatarsal

Plantarflexion supine Position? SA? Fulcrum? MA Normative values?

0-50 degrees supine feet off bed and pillow under ankle SA= Midline of fibula, fibular head Fulcrum=Lies where it may MA= midline of 5th metatarsal

Watch out for what in dorsiflexion?

Eversion

Foot inversion Position? SA? Fulcrum? MA Normative values?

0-35 degrees, sitting off bed or longsitting with pillow under knees ``` SA= Midline of tibial crest Fulcrum= Talocrural joint midway between lateral and medial malleolus MA= Along the 2nd metatarsal ```

How much more inversion than eversion?

Foot eversion Position? SA? Fulcrum? MA Normative values?

0-15 degrees Sitting off bed or longsitting with pillow under knees ``` SA= Midline of tibial crest Fulcrum= Talocrural joint between malleoli MA= 2nd metatarsal midline ```

First MTP Extension Position? SA? Fulcrum? MA Normative values?

0-90 degrees , longsitting with pillow under knees SA= midline of first metatarsal Fulcrum=First MTP joint MA=Midline of proximal phalanx of big toe

First MTP flexion Position? SA? Fulcrum? MA Normative values?

0-30 degrees, longsitting with pillow under knees SA=midline of first metatarsal Fulcrum= 1st MTP MA= midline of proximal phalanx of big toe