Practical 2 Flashcards
Goniometry: Hip Flexion
ADL: Stepping into bathtub Normal Range: 0-120 degrees End Feel: Soft/Firm Body Position: Supine. Hip and knee in anatomical position. Pelvis in Neutral Goniometer: Axis: Greater Trochanter Stationary Arm: Parallel to Trunk Moveable Arm: Parallel to Femur, Pointing to Lateral Epicondyle
Goniometry: Hip Extension
ADL: Kicking dog toy, holding door Normal Range: 0-30 degrees End Feel: Firm Body Position: Prone. Hips and knees in anatomical position. Feel over end of plinth. Goniometer: Axis: Greater Trochanter Stationary Arm: Parallel to Trunk Moveable Arm: Parallel to Femur, Pointing to Lateral Epicondyle
Goniometry: Hip Abduction
ADL: Getting in out of car
Normal Range: 0-45 degrees
End Feel: Firm
Body Position: Supine. Pelvis Level and LE in the Anatomical Position
Goniometer:
Axis: ASIS of test leg
Stationary Arm: Along a line that joins the 2 ASIS
Moveable Arm: Parallel to Femur, Pointing toward midline of patella
Goniometry: Hip Adduction
ADL: Getting in and out of car
Normal Range: 0-30 degrees
End Feel: Soft/Firm
Body Position: Supine with LE in the Anatomical Position. Hip of the nontest side is abducted to allow full range of hip adduction on test side
Goniometer:
Axis: ASIS of test leg
Stationary Arm: Along a line that joins the 2 ASIS
Moveable Arm: Parallel to Femur, Pointing toward midline of patella
Goniometry: Hip Lateral (external) Rotation
ADL: Putting on anklet Normal Range: 0-45 degrees End Feel: Firm Body Position: Sitting with hip at 90 and knee at 90 with a towel under the thigh. Non test foot supported on a stool. Goniometer: Axis: Midpoint of Patella Stationary Arm: Perpendicular to the Floor Moveable Arm: Parallel to Tibia
Goniometry: Hip Medial (internal) Rotation
ADL: Fixing the back of your shoe Normal Range: 0-45 degrees End Feel: Firm Body Position: Sitting with hip at 90 and knee at 90 with a towel under the thigh. Non test foot supported on a stool. Goniometer: Axis: Midpoint of Patella Stationary Arm: Perpendicular to the Floor Moveable Arm: Parallel to Tibia
Goniometry: Knee Flexion
ADL: Reaching back to adjust the heel of a shoe Normal Range: 0-135 degrees End Feel: Soft Body Position: Supine Goniometer: Axis: Lateral epicondyle of femur Stationary Arm: Lateral midline of femur Moveable Arm: Lateral midline of fibula
Goniometry: Knee Extension
ADL: Laying in bed with legs straight Normal Range: 135-0 degrees End Feel: Firm Body Position: Supine (towel under femur) Goniometer: Axis: Lateral epicondyle of femur Stationary Arm: Lateral midline of femur Moveable Arm: Lateral midline of fibula
Goniometry: Ankle Plantarflexion
ADL: Pressing on brake/gas Normal Range: 0-50 End Feel: Firm or Hard Body Position: Supine (towel under knee for 20 degrees flexion, ankle off of plinth) Goniometer: Axis: Lateral Malleolus Stationary Arm: Lateral midline of fibula Moveable Arm: Parallel to sole of foot
Goniometry: Ankle Dorsiflexion
ADL: Painting toes clipping toenails Normal Range: 0-20 End Feel: Firm or Hard Body Position: Supine (towel under knee for 20 degrees flexion, ankle off of plinth) Goniometer: Axis: Lateral Malleolus Stationary Arm: Lateral midline of fibula Moveable Arm: Parallel to sole of foot
Goniometry: Ankle Inversion
ADL: Wiping something off the floor with your foot/ kicking ice cube under fridge Normal Range: 0-35 degrees End Feel: Firm Body Position: Sitting Goniometer: Axis: Talocrural Stationary Arm: Midline tibia Moveable Arm: In line w 2nd toe
Goniometry: Ankle Eversion
ADL: Wiping up the floor with your foot and a paper towel Normal Range: 0-15 degrees End Feel: Firm or Hard Body Position: Sitting Goniometer: Axis: Talocrural Stationary Arm: in line with tibia Moveable Arm: In line with 2nd toe
Goniometry: Metatarsophalangeal Flexion
ADL: Gripping something with your foot to pick it up
Normal Range: 0-45 degrees
End Feel: Soft
Goniometer:
Axis: Placed over the dorsum of MTP joint
Stationary Arm: Parallel to the longitudinal axis of first metatarsal
Moveable Arm: Parallel to the longitudinal axis of the proximal phalanx of the great toe
Body Position: Patient is sitting with ankle and toes in neutral position
Goniometry: Metatarsophalangeal Extension
ADL: Adjusting the sock on your toes
Normal Range: 0-70 degrees
End Feel: Firm
Goniometer:
Axis: Placed over the plantar aspect of MTP joint
Stationary Arm: Parallel to the longitudinal axis of first metatarsal
Moveable Arm: Parallel to the longitudinal axis of the proximal phalanx of the great toe
Body Position: Patient is sitting with ankle and toes in neutral position
MMT: Hip Flexion
ADL: Getting in bathtub
Prime Movers: Iliopsoas
Patient Position: Sitting with the knee flexed and foot unsupported. The contralateral foot is on a stool
Proper Stabilization: Stabilizes the pelvis by placing the hand over the ipsilateral iliac crest. Patient grab edge of the table to stabilize body segments.
Resistance: Anterior aspect of the thigh proximal to the knee joint
Gravity Eliminated Position: Side Lying
MMT: Hip Extension
ADL: Kicking dog toy, holding door
Prime Movers: Gluteus Maximus, Biceps Femoris, Semitendinosus, Semimembranosus
Patient Position: Prone with the legs in the anatomical position and pillow placed under the pelvis
Proper Stabilization: Stabilize pelvis and patient grasps edge of the plinth
Resistance: The posterior aspects of the thigh proximal to the knee joint
Gravity Eliminated Position: Side Lying
MMT: Hip Abduction
ADL: Stepping out of car
Prime Movers: Gluteus Medius, Gluteus Minimus, Tensor Fascia Latae
Patient Position: Lies on non test side with the hip and knee maintained in flexion by the patient to stabilize the trunk and pelvis. Hip being tested is slightly extended and in neutral rotation
Therapist Position: Stands behind the patients butt to maintain position.
Proper Stabilization: Position of the non test leg offers stabilization and therapist stabilizes pelvis by placing hand on superior aspect of the iliac crest
Resistance: Lateral aspect of the thigh proximal to the knee
Gravity Eliminated Position: Supine
MMT: Hip Adduction
ADL: Stepping into car
Prime Movers: Adductor Longus, Adductor Brevis, Adductor Magnus, Pectineus, and Gracilis
Patient Position: Lies on test side. Hip of non test leg is abducted about 25-30 degrees and help in position by therapist providing support under the mesial aspect of the thigh and knee.
Therapist Position: Stands behind against patients butt to maintain the side-lying position.
Proper Stabilization: Patient grasps the edge of the plinth
Resistance: Medial aspect of the thigh proximal to the knee joint
Gravity Eliminated Position: Supine
MMT: Hip Lateral (external) Rotation
ADL: Putting anklet on
Prime Movers: Piriformis, Obturator Externus, Gemellus Superior, Quadratus Femoris, Gemellus Inferior, Obturator Internus
Patient Position: Sitting with hip in 90 degrees of flexion and neutral rotation. A pad is placed under the distal thigh to keep the thigh in a horizontal position. Midpoint of patella aligned with the ASIS. Leg not being tested is abducted and foot is supported on a stool.
Proper Stabilization: Weight of the trunk provides some stabilization and patient grabs the edge of the plinth to stabilize pelvis. Therapist places a hand on the medial aspect of the distal thigh to prevent adduction of the hip and maintains the position of the femur without resisting movement.
Resistance: Lateral aspect of the lower leg proximal to the ankle joint. The application of resistance stresses knee joint and caution should be exercised
Gravity Eliminated Position: Supine
MMT: Hip Medial (internal) Rotation
ADL: Putting anklet on
Prime Movers: Gluteus Medius, Gluteus Minimus, Tensor Fascia Latae
Patient Position: Sitting with hip 90 degrees of flexion and neutral rotation.Pad placed under the distal thigh to keep it in horizontal position. Midpoint of the patella is aligned with ASIS.
Proper Stabilization: Weight of the trunk provides some stabilization. Patient grasps the edge of the plinth to stabilize the pelvis. Therapist places hand on the anterolateral aspect of the distal thigh to prevent hip abduction and flexion. Therapist maintains position of the femur without restricting movement
Resistance: Applied on the medial aspect of the lower leg proximal to the ankle joint, Application of resistance stresses the knee joint and caution should be exercised. The alternate test position described for internal rotators may be used in the presence of knee stability.
Gravity Eliminated Position: Supine
MMT: Knee Flexion
ADL: Adjusting the heel of your shoe
Prime Movers: Biceps Femoris, Semitendinosus, Semimembranosus
Patient Position: Prone lying with a pillow under abdomen. Knee is in extension and tibia in neutral rotation and isolating the medial and lateral hamstrings by positioning the tibia in either internal or external rotation
Proper Stabilization: Pelvis and thigh
Resistance: Proximal to the ankle joint on the posterior aspect of the leg
Gravity Eliminated Position: Side-lying
MMT: Knee Extension
ADL: Laying on the couch or bed legs straight
Prime Movers: Rectus Femoris, Vastus Intermedius, Vastus Lateralis, Vastus Medialis
Patient Position: Patient is sitting and knee is flexed. Pad is placed under distal thigh to maintain the thigh in a horizontal position
Proper Stabilization: At thigh and patient grasps edge of plinth
Resistance: Anterior surface of distal end of the leg
Gravity Eliminated Position:
MMT: Ankle Plantarflexion
ADL: Pointing to a spot on the floor with your toe
Prime Movers: Gastrocnemius, Soleus
Patient Position: Prone
Proper Stabilization: Lower leg proximal to the ankle
Resistance: Posterior aspect of the calcaneus
Gravity Eliminated Position: Side-lying
MMT: Ankle Dorsiflexion
ADL: Painting/Clipping Toenails Prime Movers: Tibialis Anterior Patient Position: Supine Therapist Position: Proper Stabilization: Lower leg proximal to the ankle Resistance: Dorsal aspect of foot Gravity Eliminated Position: Side-lying
MMT: Foot Inversion
ADL: Scratch medial side of foot
Prime Movers: Tibialis Posterior
Patient Position: sitting on table both legs hanging off. Relaxed foot and bring into inversion.
Proper Stabilization: Lower leg to proximal to the ankle
Resistance: Applied to medial border of the foot
Gravity Eliminated Position: Side-lying
MMT: Foot Eversion
ADL: Flicking something across floor
Prime Movers: Peroneus Longus and Peroneus Brevis
Patient Position: sitting on table both legs hanging off. Relaxed foot and bring into eversion.
Proper Stabilization: Lower leg proximal to the ankle
Resistance: Lateral border of the foot
Gravity Eliminated Position: side lying
