Range of Movement Assessment Flashcards
What type of data does goniometry give?
numeric ratio data (when 0 is absolute)
What three things must be done before completing goniometry?
- appropriately undress patient
- position patient to allow full ROM
- assess ROM by EYE
when is an inclinometer used?
when goniometry is impossible
GONIOMETER POSITION: Elbow Flexion
STATIONARY ARM: Parallel to shaft of humerus
AXIS: Lateral epicondyle of humerus
MOVING ARM: Radial styloid
GONIOMETER POSITION: Elbow Extension
STATIONARY ARM: Parallel to shaft of humerus
AXIS: Lateral epicondyle of humerus
MOVING ARM: Radial styloid
GONIOMETER POSITION: Wrist Flexion
STATIONARY ARM: Parallel to shaft of ulna
AXIS: ulna styloid
MOVING ARM: 5th metacarpal
GONIOMETER POSITION: Wrist Extension
STATIONARY ARM: Parallel to shaft of ulna
AXIS: ulna styloid
MOVING ARM: 5th metacarpal
GONIOMETER POSITION: Radial Deviation
STATIONARY ARM: Lateral epicondyle of humerus/shaft of forearm
AXIS: capitate bone
MOVING ARM: 3rd metacarpal
GONIOMETER POSITION: Ulna Deviation
STATIONARY ARM: Lateral epicondyle of humerus/shaft of forearm
AXIS: capitate bone
MOVING ARM: 3rd metacarpal
GONIOMETER POSITION: Hip Flexion
STATIONARY ARM: Mid-axillary line of trunk
AXIS: greater trochanter
MOVING ARM: lateral epicondyle of femur
GONIOMETER POSITION: Hip Extension
STATIONARY ARM: Mid-axillary line of trunk
AXIS: greater trochanter
MOVING ARM: lateral epicondyle of femur
GONIOMETER POSITION: Hip abduction
STATIONARY ARM: ASIS on opposite side
AXIS: ASIS on test side
MOVING ARM: centre of patella
GONIOMETER POSITION: Hip adduction
STATIONARY ARM: ASIS on opposite side
AXIS: ASIS on test side
MOVING ARM: centre of patella
GONIOMETER POSITION: Knee Flexion
STATIONARY ARM: Parallel to shaft of femur – towards greater trochanter
AXIS: lateral epicondyle of femur
MOVING ARM: axis of fibula – pointing to lateral malleolus
GONIOMETER POSITION: Knee extension
STATIONARY ARM: Parallel to shaft of femur – towards greater trochanter
AXIS: lateral epicondyle of femur
MOVING ARM: axis of fibula – pointing to lateral malleolus
GONIOMETER POSITION: Dorsiflexion
STATIONARY ARM: shaft of fibula – towards head of fibula
AXIS: 1.5cm below lateral malleolus
MOVING ARM: shaft of 5th metatarsal
GONIOMETER POSITION: Plantarflexion
STATIONARY ARM: shaft of fibula – towards head of fibula
AXIS: 1.5cm below lateral malleolus
MOVING ARM: shaft of 5th metatarsal
Patient positioning: ELBOW FLEXION
Seated with arm hanging freely by side
Patient positioning: ELBOW EXTENSION
Seated with arm hanging freely by side
Patient positioning: WRIST FLEXION
Patient sitting with wrist over edge of table - palm down
Patient positioning: WRIST EXTENSION
Patient sitting with wrist over edge of table - palm down
Patient positioning: RADIAL DEVIATION
Patient sitting with wrist over edge of table - palm down
Patient positioning: ULNAR DEVIATION
Patient sitting with wrist over edge of table - palm down
Patient positioning: HIP FLEXION
Supine
Patient positioning: HIP EXTENSION
Prone lying with knee extended - feet over the edge of the plinth
Patient positioning: HIP ABDUCTION
Supine - non-test side off edge supported on stool
Patient positioning: HIP ADDUCTION
Supine - non-test side off edge supported on stool
Patient positioning: KNEE FLEXION
Supine
Patient positioning: KNEE EXTENSION
Supine
Patient positioning: DORSIFLEXION
Half lying - pillow under knees to allow slight flexion. Measure from plantar-grade - 0 degrees.
Patient positioning: PLANTARFLEXION
Half lying - pillow under knees to allow slight flexion. Measure from plantar-grade - 0 degrees.
How to calculate shoulder flexion/extension?
Attempt by EYE first. attach inclinometer on deltoid line - set to 0. Stand side on to the patient. Ask the patient to complete the movement. At the end of range take the measurement. repeat twice.
How to calculate shoulder abduction?
Attempt by EYE first. Attach inclinometer to front of biceps. Set to 0. Stand infront of patient. Ask the patient to complete the movement. Stop before flexion obscures the movement. Take the measurement at the end of range. Repeat twice.
How to calculate neck flexion/extension?
Inclinometer laterally just above ears. From nuetral - look up towards the ceiling or bring chin down to chest.
how to calculate lumbar flexion?
patient standing with feeding 15cm apart. Palpate PSIS - half way between the two - 10cm above and 5cm below - mark on patient. Patient to place hands on thighs and slide down as far as they can. Remeasure the distance between the marks.
How to calculate lumbar extension?
Patient standing with feet 15cm apart. Slide hands on back of thighs down as far as can. Record ROM by EYE first. Measure from tip of 3rd finger to floor with tape measure - record ROM. Repeat 2 times.
How to calculate lumbar lateral flexion?
Patient standing with feet 15cm apart. Slide hands on side of thigh down as far as can. Record ROM by EYE first. Measure from tip of 3rd finger to floor with tape measure - record ROM. Repeat 2 times.
