Shoulder Complex Goniometry Flashcards
Flexion: Plane = Axis = GH range = Shoulder complex range =
Flexion: Plane = sagittal plane Axis = coronal axis GH range = 0-100 Shoulder complex range = 0-180
Flexion:
position =
Flexion:
position = supine, knees flexed; palm faces body
Flexion: Stabilize:
GH =
SC =
Flexion: Stabilize:
GH = scapula to prevent elev., post tilt and up rotation
SC = thorax to prevent spinal ext
Flexion: End feel:
GH =
SC =
Flexion: End feel:
GH = firm(post. joint capsule, post. deltoid, teres minor, teres major, infraspinatus)
SC = firm(latissimus dorsi, SC joint capsule and ligs)
Flexion:
Fulcrum =
Flexion:
Fulcrum = acromion process
Flexion: Gon. positions:
Stationary arm =
Moving arm =
Flexion: Gon. positions:
Stationary arm = mid-axillary line of trunk
Moving arm = lateral midline of humerus(lateral epicondyle)
Extension: Plane = Axis = GH range = SC range =
Extension: Plane = sagittal Axis = coronal GH range = 0-20 SC range = 0-60
Extension:
Position =
Extension:
Position = prone, facing away from shoulder tested(no pillow); elbow slightly flexed
Extension: Stabilize:
GH =
SC =
Extension: Stabilize:
GH = scapula to prevent elev. and ant. tilt
SC = thorax to prevent spinal flex
Extension: End feel:
GH =
SC =
Extension: End feel:
GH = firm(coracohumeral lig., ant. joint capsule)
SC = firm(pec major and minor, serratus anterior, SC capsule and ligs)
Extension:
Fulcrum =
Extension:
Fulcrum = acromion process
Extension: Gon. position:
Stationary arm =
moving arm =
Extension: Gon. position:
Stationary arm = mid-axillary line of trunk
moving arm = lateral midline of humerus(lateral epicondyle)
ABD/Adduction:
Position =
ABD/Adduction:
Position = supine; shoulder neutral with palm facing ant. and elbow extended
Abd/adduction: Stabilize:
GH =
SC =
Abd/adduction: Stabilize:
GH = scapula to prevent up rot. and elevation
SC = thorax to prevent lat flex
Abd/adduction: End-feel:
GH =
SC =
Abd/adduction: End-feel:
GH = firm(inf. joint capsule, teres major, lats, pec major)
SC = firm(rhomboid major and minor, lower trap, SC joint lig and capsule)
Abd/adduction:
Fulcrum =
Abd/adduction:
Fulcrum = anterior aspect of acromion process
Abd/adduction: Gon position:
Stationary arm =
moving arm =
Abd/adduction: Gon position:
Stationary arm = parallel to anterior sternal midline
moving arm = medial midline of humerus(medial epicondyle)
Internal Rotation: Plane = axis = GH range = SC range =
Internal Rotation: Plane = horizontal axis = longitudinal GH range = 0-50 SC range = 0-70
IR:
position =
IR:
position = supine; shoulder ABD to 90; elbow flexed and just off table; palms facing feet; place pad under humerus so it is level with acromion process
IR: Stabilize:
GH =
SC =
IR: Stabilize:
GH = humerus, scapula to maintain position and prevent ant. tilt
SC = humerus then thorax
IR: End feel:
GH =
SC =
IR: End feel:
GH = firm(post jt capsule, teres minor, infraspinatus)
SC = firm(rhomboid major and minor, SC joint capsule and ligaments)
IR:
Fulcrum =
IR:
Fulcrum = olecranon process
IR: Gon. position:
Stationary =
Moving =
IR: Gon. position:
Stationary = perpendicular or parallel to floor
Moving = ulnar styloid process
ER: plane = axis = GH range = SC =
ER: plane = transverse axis = longitudinal GH range = 0-95 SC = 0-90
ER:
Position =
ER:
Position = supine, shoulder abd. to 90, elbow flexed and just off table edge, palm facing feet, pad under humerus so its level with acromion process
ER: Stabilize:
GH =
SC =
ER: Stabilize:
GH = firm(ant. jt capsule, pec major, lats, teres major, subscapularis)
SC = firm(pec minor, SC joint capsule and ligs)
ER:
fulcrum =
ER:
fulcrum = olecranon
ER: Gon. position:
Stationary =
moving arm =
ER: Gon. position:
Stationary = perpendicular or parallel to floor
moving arm = ulnar styloid process
Horizontal Abd:
plane =
axis =
range =
Horizontal Abd:
plane = transverse
axis = longitudinal
range = 0-45
Horizontal Abd:
position =
Horizontal Abd:
position = sitting, shoulder abd to 90 and neutral rotation, elbow flexed, with forearm in neutral rotation
Horizontal Abd:
stabilize =
Horizontal Abd:
stabilize = trunk and scapula
Horizontal Abd:
end-feel =
Horizontal Abd:
end-feel = firm(ant. jt capsule, GH lig, pec major)
Horizontal Abd:
fulcrum =
Horizontal Abd:
fulcrum = superior aspect of acromion process
Horizontal Abd: Gon. position:
Stationary =
moving =
Horizontal Abd: Gon. position:
Stationary = perpendicular to the trunk
moving = lateral midline of humerus(lateral epicondyle)
Horizontal Add:
plane =
axis =
range =
Horizontal Add:
plane = transverse
axis = longitudinal
range = 0-135
Horizontal add:
position =
Horizontal add:
position = sitting, shoulder abd to 90, neutral rotation, elbow flexed, forearm in neutral rotation
Horizontal add:
stabilize =
Horizontal add:
stabilize = trunk and scapula
Horizontal add:
end-feel =
Horizontal add:
end-feel = firm/soft(post. joint capsule, soft tissue apposition)
Horizontal add:
fulcrum =
Horizontal add:
fulcrum = superior aspect of acromion process
Horizontal add: Gon. position:
stationary =
moving =
Horizontal add: Gon. position:
stationary = perpendicular to trunk
moving = lateral midline of humerus(lateral epicondyle)
