Upper Extremity Goniometry Flashcards
1
Q
Shoulder Flexion
Pt position
A
Crook-lying position or sitting. Arm at side, palm facing medially. (stabilize scapula)
2
Q
Shoulder IR
Pt position
A
Prone or supine. Shoulder at 90 ABDuction, elbow at 90 flexion, & forearm in midposition. TOWEL PLACED UNDER HUMEROUS.
Contraindication: Hx post dislocation of GH joint.
3
Q
Elevation through Flexion
Pt postion
A
Crook-lying position or sitting. Arm at side, palm facing medially. (stabilize scapula)
4
Q
Shoulder Horizontal ADDuction
Pt position
A
Sitting. Shoulder in 90 of ABDuction and neutral elbow flexed, and elbow is flexed and forearm is in midpoint.
5
Q
Shoulder Extension
Pt Position
A
Prone or sitting. Arm at side, palm facing medially.
6
Q
Shoulder Horizontal ABDuction
Pt position
A
Sitting. Shoulder in 90 of ABDuction and neutral elbow flexed, and elbow is flexed and forearm is in midpoint.
7
Q
Shoulder ABDuction
Pt position
A
(Stabilize scapula)
Supine or sitting. Arm at side in adduction & ER.
8
Q
Elevation through ABDuction
Pt position
A
(Stabilize scapula)
Supine or sitting. Arm at side in adduction & ER.
9
Q
Shoulder IR
Axis of rotation
A
Placed on olecranon process of ulna.
10
Q
Shoulder flexion
Axis of rotation
A
Lateral aspect of center of the humeral head.
11
Q
Shoulder horizontal ADDuction
Axis of rotation
A
On top of acromion process.
12
Q
Elevation through Flexion
Axis of rotation
A
Lateral aspect of center of the humeral head.
13
Q
Shoulder Horizontal ABDuction
Axis of rotation
A
On top of the acromion process.
14
Q
Shoulder Extension
Axis of rotation
A
Lateral aspect of center of the humeral head.
15
Q
Elevation through ABDuction
Axis of rotation
A
Midpoint of anterior or posterior aspect of GH joint.
16
Q
Ahoulder ABDuction
Axis of rotation
A
Midpoint of anterior or posterior aspect of GH joint.
17
Q
Shoulder Flexion
Stationary arm
A
Parallel to lateral midline of trunk
18
Q
Shoulder internal rotation
Stationary arm
A
Perpendicular to the floor.
19
Q
Elevation through flexion
Stationary arm
A
Parallel to lateral midline of trunk.
20
Q
Shoulder horizontal ADduction
stationary arm
A
Perpendicular to the trunk
21
Q
Shoulder extension
Stationary arm
A
Parallel to lateral midline of trunk.
22
Q
Shouler Horizontal ABduction
Stationary arm
A
Perpendicular to the trunk.
23
Q
Shoulder ABduction
Stationary arm
A
Parallel to the sternum.
24
Q
Elevation through ABduction
Stationary arm
A
Parallel to sternum.
25
Shoulder flexion
| Moving arm
Parallel to longitudinal axis of humerus.
26
Shoulder internal rotation
| Moving arm
Parallel to longitudinal axis of ulna, pointing towards ulnar styloid process.
27
Elevation through flexion
| Moving arm
Parallel to longitudinal axis of humerus.
28
Shoulder horizontal ADduction
| Moving arm
Parallel to the longitudinal axis of the humerus.
29
Shoulder extension
| Moving arm
Parallel to longitudinal axis of humerus, pointing toward lateral epicondyle.
30
Shoulder horizontal ABduction
| Moving arm
Parallel to the longitudinal axis of the humerus.
31
Shoulder ABduction
| Moving arm
Parallel to the longitudinal axis of the humerus.
32
Elevation through ABduction
| Moving arm
Parallel to the longitudinal axis of the humerus.
33
Shoulder flexion
| ROM
120
34
Shoulder internal rotation
| ROM
70
35
Elevation though flexion
| ROM
180
36
Shoulder horizontal ADduction
| ROM
135
37
Shoulder extension
| ROM
60
38
Shoulder horizontal ABduction
| ROM
45
39
Shoulder ABduction
| ROM
90-120
40
Elevation through ABduction
| ROM
180
41
Shoulder external rotation
| pt position
Supine. CONTRAINDICATION: Hx ant dislocation of GH jt.
42
Finger MCP flexion
| pt position
Sitting, forearm is resting on table, elbow flexed, wrist slightly extended, MCP jt of finger being measured is in 0 extension.
43
Elbow flexion
| pt position
Supine or sitting. Arm is in anatomical position with elbow in extension. Towel under distal humerus.
44
Wrist radial deviation
| pt position
Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.
45
Elbow extension
| pt position
Supine or sitting. Arm is in anatomical piston with elbow in extension. Towel under distal humerus.
46
Wrist ulnar deviation
| pt position
Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.
47
Forearm supination
| pt position
Sitting. Arm at side, elbow flexed to 90 with forearm in mid position. Hold pencil.
48
Wrist extension
| pt position
Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.
49
Forearm pronation
| pt position
Sitting. Arm at side, elbow flexed to 90 with forearm in mid position. Hold pencil.
50
Wrist flexion
| pt position
Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.
51
Shoulder external rotation
| axis of rotation
Placed on olecranon process of ulna.
52
Finger MCP
| axis of rotation
Posterior aspect of MCP joint being measured.
53
Elbow flexion
| axis of rotation
Lateral epicondyle of humerus.
54
Wrist radial deviation
| axis of rotation
Posterior aspect of wrist joint over capitiate.
55
Elbow extension
| axis of rotation
Lateral epdicondyle of humerus.
56
Wrist ulnar deviation
| axis of rotation
Posterior aspect of wrist joint over capitiate.
57
Forearm supination
| axis of rotation
Placed over the head of the third metacarpal.
58
Wrist extension
| axis of rotation
Over ulnar styloid process.
59
Forearm pronation
| axis of rotation
Placed over the head of the third metacarpal.
60
Wrist flexion
| axis of rotation
Over ulnar styloid process.
61
Shoulder external rotation
| stationary arm
Perpendicular to the floor.
62
Finger MCP flexion
| stationary arm
Parallel to the longitudinal axis of shaft of metacarpal.
63
Elbow flexion
| stationary arm
Parallel to longitudinal axis of humerus, pointing towards acromion process.
64
Wrist radial deviation
| stationary arm
Midline of forearm.
65
Elbow extension
| stationary arm
Parallel to longitudinal axis of humerus, pinging towards acromion process.
66
Wrist ulnar deviation
| stationary arm
Midline of forearm.
67
Forearm supination
| stationary arm
Perpendicular to the floor.
68
Wrist extension
| stationary arm
Parallel to longitudinal axis of ulna.
69
Forearm pronation
| stationary arm
Perpendicular to the floor.
70
Wrist flexion
| stationary arm
Parallel to longitudinal axis of ulna.
71
Shoulder external rotation
| moving arm
Parallel to longitudinal axis of ulna, pointing towards ulnar styloid process.
72
Finger MCP flexion
| moving arm
parallel to longitudinal axis of proximal phalanx.
73
Elbow Flexion
| moving arm
Parallel to the longitudinal axis of radius, pointing towards styloid process of radius.
74
Wrist radial deviation
| moving arm
Parallel to longitudinal axis of shaft of 3rd metacarpal.
75
Elbow extension
| moving arm
Parallel to the longitudinal axis of radius, pointing towards styloid process of radius.
76
Wrist ulnar deviation
| moving arm
Parallel to longitudinal axis of shaft of 3rd metacarpal.
77
Forearm supination
| moving arm
Parallel to the pencil.
78
Wrist extension
| moving arm
Parallel to longitudinal axis of 5th metacarpal.
79
Forearm pronation
| moving arm
Parallel to the pencil.
80
Wrist flexion
| moving arm
Parallel to longitudinal axis of 5th metacarpal.
81
Shoulder external rotation
| ROM
90
82
Finger MCP flexion
| ROM
90
83
Elbow flexion
| ROM
150
84
Wrist radial deviation
| ROM
20
85
Elbow extension
| ROM
0 (up to 15 hyperextension possible)
86
Wrist ulnar deviation
| ROM
30
87
Forearm supination
| ROM
80-90
88
Wrist extension
| ROM
70
89
Forearm pronation
| ROM
80-90
90
Wrist flexion
| ROM
80
91
Finger MCP extension
| pt position
Sitting, forearm is resting on table, elbow flexed, wrist slightly extended, MCP jt of finger being measured measured is in 0 extension.
92
Thumb MCP & IP extension
| pt position
Sitting, elbow flexed, forearm resting on table in midposition. Wrist & fingers in anatomical position. MCP & IP jt extended.
93
Finger IP flexion
| pt position
Sitting, forearm resting on table in midposition or pronation. Wrist & fingers in anatomical position.
94
Thumb MCP & IP flexion
| pt position
Sitting, elbow flexed, forearm resting on table in midposition. Wrist & fingers in anatomical position. MCP & IP jt extended.
95
Finger IP extension
| pt position
Sitting, forearm resting on table in midposition or pronation. Wrist & fingers in anatomical position.
96
Thumb CM ABduction
| pt position
Sitting, elbow flexed with forearm in mid position & resting on table. Fingers anatomical position, thumb maintains contact with metacarpal & pros phalanx.
97
Thumb CM Flexion
| pt position
Sitting, elbow flexed with forearm in mid position & resting on table. Slight ulnar deviation, fingers anatomical position, thumb maintains contact with metacarpal & prox phalanx.
98
Thumb CM extension
| pt position
Sitting, elbow flexed with forearm in mid position & resting on table. Slight ulnar deviation, fingers anatomical position, thumb maintains contact with metacarpal & prox phalanx.
99
Finger MCP extension
| axis of rotation
Anterior surface of MCP joint being measured.
100
Thumb MCP & IP extension
| axis of rotation
Posterior or lateral aspect of MCP jt or IP jt.
101
Finger IP flexion
| axis of rotation
Posterior surface of PIP or DIP jt being measured.
102
Thumb MCP & IP flexion
| axis of rotation
Posterior or lateral aspect of MCP jt or IP jt.
103
Finger IP extension
| axis of rotation
Anterior surface of PIP or DIP jt being measured.
104
Thumb CM ABduction
| axis of rotation
Junction of the bases of 1st & 2nd metacarpals.
105
Thumb CM flexion
| axis of rotation
placed over CM joint
106
Thumb CM extension
| axis of rotation
Placed over CM joint
107
Finger MCP extension
| stationary arm
Parallel to the longitudinal axis of shaft of metacarpal.
108
Thumb MCP & IP extension
| stationary arm
MCP jt: parallel to longitudinal axis of shaft of thumb metacarpal. IP jt: parallel to longitudinal axis of proximal phalanx.
109
Finger IP flexion
| stationary arm
PIP jt: parallel to longitudinal axis of proximal phalanx. DIP jt: parallel to longitudinal axis of middle phalanx.
110
Thumb MCP & IP flexion
| stationary arm
MCP jt: parallel to longitudinal axis of shaft of thumb metacarpal. IP jt: parallel to longitudinal axis of proximal phalanx.
111
Finger IP extension
| stationary arm
PIP jt: parallel to longitudinal axis of proximal phalanx. DIP jt: parallel to longitudinal axis of middle phalanx.
112
Thumb CM ABduction
| stationary arm
Parallel to longitudinal axis of 2nd metacarpal.
113
Thumb CM flexion
| stationary arm
Parallel to longitudinal axis of radius.
114
Thumb CM extension
| stationary arm
Parallel to longitudinal axis of radius.
115
Finger MCP Extension movement arm
Parallel to long axis of proximal phalanx
116
Thumb MCP & IP Extension movement arm
MCP jt: parallel to longitudinal axis of proximal phalanx. IP jt: parallel to longitudinal axis of distal phalanx
117
Finger IP Flexion movement arm
PIP jt: parallel to longitudinal axis of middle phalanx. DIP jt: parallel to longitudinal axis of distal phalanx
118
Thumb MCP & IP Flexion movement arm
MCP jt: parallel to longitudinal axis of proximal phalanx. IP jt: parallel to longitudinal axis of distal phalanx.
119
Finger IP Extension movement arm
PIP jt: parallel to long axis of middle phalanx. DIP jt: parallel to long axis of distal phalanx
120
Thumb CM Flexion movement arm
Parallel to long axis of thumb metacarpal. Note: goni arms are not aligned at 0 so this position is recorded as 0. (opposition: thumb to pinky)
121
Thumb CM Extension movement arm
Parallel to long axis of thumb metacarpal. Note: goni arms are not aligned at 0 so this position is recorded as 0
122
Thumb CM ABduction movement arm
Parallel to longitudinal axis of 1st metacarpal. NOTE: toni arms are not aligned at 0 so this position is recorded as 0
123
Finger MCP Extension average ROM
45
124
Thumb MCP & IP Extension average ROM
MCP: 0
IP: hypertext 10-30
125
Finger IP Flexion average ROM
PIP: 100
DIP: 90
126
Thumb MCP & IP Flexion average ROM
MCP: 50
IP: 80
127
Finger IP Extension ROM
0
128
Thumb CM ABduction average ROM
70-80
129
Thumb CM Flexion ROM
15
130
Thumb CM Extension ROM
20
131
Cervical Flexion pt. position
sitting, head in neutral position
132
Trunk lateral flexion pt. position
standing
133
Cervical extension pt. position
sitting, head in neutral position
134
Cervical rotation pt. position
sitting, head in neutral position
135
Cervical lateral flexion
sitting, head in neutral position
136
Cervical flexion axis of rotation
over lobe of the ear
137
Trunk lateral flexion axis of rotation
In the midline at the level of the PSIS
138
Cervical Extension axis of rotation
Over lobe of the ear
139
Cervical rotation axis of rotation
Over the midpoint of the top of the head
140
Cervical lateral flexion axis of rotation
Over C7 spinous process
141
Cervical flexion stationary arm
perpendicular to the floor
142
Trunk lateral flexion stationary arm
perpendicular to the floor
143
Cervical Extension stationary arm
perpendicular to the floor
144
Cervical rotation stationary arm
parallel to a line joining the 2 acromion processes
145
Cervical lateral flexion stationary arm
Along the spine & perpendicular to the floor
146
Cervical flexion movement arm
parallel to base of the nares
147
Trunk lateral flexion movement arm
points towards the spine of the C7
148
Cervical extension movement arm
parallel to the base of the nares
149
Cervical rotation movement arm
aligned with the nose. Starting position will indicate 90, this is 0
150
cervical lateral flexion movement arm
Points towards the midpoint of the head. Goni will indicate 0 in the start position
151
Cervical flexion ROM
45
152
Trunk lateral flexion ROM
compare bilaterally
153
Cervical extension ROM
45
154
Cervical Rotation ROM
comare bilaterally
155
Cervical lateral flexion ROM
45
