Range of Movement Assessment Flashcards

1
Q

What type of data does goniometry give?

A

numeric ratio data (when 0 is absolute)

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2
Q

What three things must be done before completing goniometry?

A
  • appropriately undress patient
  • position patient to allow full ROM
  • assess ROM by EYE
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3
Q

when is an inclinometer used?

A

when goniometry is impossible

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4
Q

GONIOMETER POSITION: Elbow Flexion

A

STATIONARY ARM: Parallel to shaft of humerus
AXIS: Lateral epicondyle of humerus
MOVING ARM: Radial styloid

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5
Q

GONIOMETER POSITION: Elbow Extension

A

STATIONARY ARM: Parallel to shaft of humerus
AXIS: Lateral epicondyle of humerus
MOVING ARM: Radial styloid

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6
Q

GONIOMETER POSITION: Wrist Flexion

A

STATIONARY ARM: Parallel to shaft of ulna
AXIS: ulna styloid
MOVING ARM: 5th metacarpal

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7
Q

GONIOMETER POSITION: Wrist Extension

A

STATIONARY ARM: Parallel to shaft of ulna
AXIS: ulna styloid
MOVING ARM: 5th metacarpal

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8
Q

GONIOMETER POSITION: Radial Deviation

A

STATIONARY ARM: Lateral epicondyle of humerus/shaft of forearm
AXIS: capitate bone
MOVING ARM: 3rd metacarpal

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9
Q

GONIOMETER POSITION: Ulna Deviation

A

STATIONARY ARM: Lateral epicondyle of humerus/shaft of forearm
AXIS: capitate bone
MOVING ARM: 3rd metacarpal

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10
Q

GONIOMETER POSITION: Hip Flexion

A

STATIONARY ARM: Mid-axillary line of trunk
AXIS: greater trochanter
MOVING ARM: lateral epicondyle of femur

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11
Q

GONIOMETER POSITION: Hip Extension

A

STATIONARY ARM: Mid-axillary line of trunk
AXIS: greater trochanter
MOVING ARM: lateral epicondyle of femur

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12
Q

GONIOMETER POSITION: Hip abduction

A

STATIONARY ARM: ASIS on opposite side
AXIS: ASIS on test side
MOVING ARM: centre of patella

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13
Q

GONIOMETER POSITION: Hip adduction

A

STATIONARY ARM: ASIS on opposite side
AXIS: ASIS on test side
MOVING ARM: centre of patella

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14
Q

GONIOMETER POSITION: Knee Flexion

A

STATIONARY ARM: Parallel to shaft of femur – towards greater trochanter
AXIS: lateral epicondyle of femur
MOVING ARM: axis of fibula – pointing to lateral malleolus

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15
Q

GONIOMETER POSITION: Knee extension

A

STATIONARY ARM: Parallel to shaft of femur – towards greater trochanter
AXIS: lateral epicondyle of femur
MOVING ARM: axis of fibula – pointing to lateral malleolus

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16
Q

GONIOMETER POSITION: Dorsiflexion

A

STATIONARY ARM: shaft of fibula – towards head of fibula
AXIS: 1.5cm below lateral malleolus
MOVING ARM: shaft of 5th metatarsal

17
Q

GONIOMETER POSITION: Plantarflexion

A

STATIONARY ARM: shaft of fibula – towards head of fibula
AXIS: 1.5cm below lateral malleolus
MOVING ARM: shaft of 5th metatarsal

18
Q

Patient positioning: ELBOW FLEXION

A

Seated with arm hanging freely by side

19
Q

Patient positioning: ELBOW EXTENSION

A

Seated with arm hanging freely by side

20
Q

Patient positioning: WRIST FLEXION

A

Patient sitting with wrist over edge of table - palm down

21
Q

Patient positioning: WRIST EXTENSION

A

Patient sitting with wrist over edge of table - palm down

22
Q

Patient positioning: RADIAL DEVIATION

A

Patient sitting with wrist over edge of table - palm down

23
Q

Patient positioning: ULNAR DEVIATION

A

Patient sitting with wrist over edge of table - palm down

24
Q

Patient positioning: HIP FLEXION

A

Supine

25
Q

Patient positioning: HIP EXTENSION

A

Prone lying with knee extended - feet over the edge of the plinth

26
Q

Patient positioning: HIP ABDUCTION

A

Supine - non-test side off edge supported on stool

27
Q

Patient positioning: HIP ADDUCTION

A

Supine - non-test side off edge supported on stool

28
Q

Patient positioning: KNEE FLEXION

A

Supine

29
Q

Patient positioning: KNEE EXTENSION

A

Supine

30
Q

Patient positioning: DORSIFLEXION

A

Half lying - pillow under knees to allow slight flexion. Measure from plantar-grade - 0 degrees.

31
Q

Patient positioning: PLANTARFLEXION

A

Half lying - pillow under knees to allow slight flexion. Measure from plantar-grade - 0 degrees.

32
Q

How to calculate shoulder flexion/extension?

A

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.

33
Q

How to calculate shoulder abduction?

A

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.

34
Q

How to calculate neck flexion/extension?

A

Inclinometer laterally just above ears. From nuetral - look up towards the ceiling or bring chin down to chest.

35
Q

how to calculate lumbar flexion?

A

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.

36
Q

How to calculate lumbar extension?

A

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.

37
Q

How to calculate lumbar lateral flexion?

A

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.