Upper Extremity Goniometry Flashcards

1
Q

Shoulder Flexion

Pt position

A

Crook-lying position or sitting. Arm at side, palm facing medially. (stabilize scapula)

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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.

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3
Q

Elevation through Flexion

Pt postion

A

Crook-lying position or sitting. Arm at side, palm facing medially. (stabilize scapula)

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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.

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5
Q

Shoulder Extension

Pt Position

A

Prone or sitting. Arm at side, palm facing medially.

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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.

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7
Q

Shoulder ABDuction

Pt position

A

(Stabilize scapula)

Supine or sitting. Arm at side in adduction & ER.

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8
Q

Elevation through ABDuction

Pt position

A

(Stabilize scapula)

Supine or sitting. Arm at side in adduction & ER.

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9
Q

Shoulder IR

Axis of rotation

A

Placed on olecranon process of ulna.

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10
Q

Shoulder flexion

Axis of rotation

A

Lateral aspect of center of the humeral head.

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11
Q

Shoulder horizontal ADDuction

Axis of rotation

A

On top of acromion process.

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12
Q

Elevation through Flexion

Axis of rotation

A

Lateral aspect of center of the humeral head.

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13
Q

Shoulder Horizontal ABDuction

Axis of rotation

A

On top of the acromion process.

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14
Q

Shoulder Extension

Axis of rotation

A

Lateral aspect of center of the humeral head.

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15
Q

Elevation through ABDuction

Axis of rotation

A

Midpoint of anterior or posterior aspect of GH joint.

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16
Q

Ahoulder ABDuction

Axis of rotation

A

Midpoint of anterior or posterior aspect of GH joint.

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17
Q

Shoulder Flexion

Stationary arm

A

Parallel to lateral midline of trunk

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18
Q

Shoulder internal rotation

Stationary arm

A

Perpendicular to the floor.

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19
Q

Elevation through flexion

Stationary arm

A

Parallel to lateral midline of trunk.

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20
Q

Shoulder horizontal ADduction

stationary arm

A

Perpendicular to the trunk

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21
Q

Shoulder extension

Stationary arm

A

Parallel to lateral midline of trunk.

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22
Q

Shouler Horizontal ABduction

Stationary arm

A

Perpendicular to the trunk.

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23
Q

Shoulder ABduction

Stationary arm

A

Parallel to the sternum.

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24
Q

Elevation through ABduction

Stationary arm

A

Parallel to sternum.

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25
Q

Shoulder flexion

Moving arm

A

Parallel to longitudinal axis of humerus.

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26
Q

Shoulder internal rotation

Moving arm

A

Parallel to longitudinal axis of ulna, pointing towards ulnar styloid process.

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27
Q

Elevation through flexion

Moving arm

A

Parallel to longitudinal axis of humerus.

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28
Q

Shoulder horizontal ADduction

Moving arm

A

Parallel to the longitudinal axis of the humerus.

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29
Q

Shoulder extension

Moving arm

A

Parallel to longitudinal axis of humerus, pointing toward lateral epicondyle.

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30
Q

Shoulder horizontal ABduction

Moving arm

A

Parallel to the longitudinal axis of the humerus.

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31
Q

Shoulder ABduction

Moving arm

A

Parallel to the longitudinal axis of the humerus.

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32
Q

Elevation through ABduction

Moving arm

A

Parallel to the longitudinal axis of the humerus.

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33
Q

Shoulder flexion

ROM

A

120

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34
Q

Shoulder internal rotation

ROM

A

70

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35
Q

Elevation though flexion

ROM

A

180

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36
Q

Shoulder horizontal ADduction

ROM

A

135

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37
Q

Shoulder extension

ROM

A

60

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38
Q

Shoulder horizontal ABduction

ROM

A

45

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39
Q

Shoulder ABduction

ROM

A

90-120

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40
Q

Elevation through ABduction

ROM

A

180

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41
Q

Shoulder external rotation

pt position

A

Supine. CONTRAINDICATION: Hx ant dislocation of GH jt.

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42
Q

Finger MCP flexion

pt position

A

Sitting, forearm is resting on table, elbow flexed, wrist slightly extended, MCP jt of finger being measured is in 0 extension.

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43
Q

Elbow flexion

pt position

A

Supine or sitting. Arm is in anatomical position with elbow in extension. Towel under distal humerus.

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44
Q

Wrist radial deviation

pt position

A

Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.

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45
Q

Elbow extension

pt position

A

Supine or sitting. Arm is in anatomical piston with elbow in extension. Towel under distal humerus.

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46
Q

Wrist ulnar deviation

pt position

A

Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.

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47
Q

Forearm supination

pt position

A

Sitting. Arm at side, elbow flexed to 90 with forearm in mid position. Hold pencil.

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48
Q

Wrist extension

pt position

A

Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.

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49
Q

Forearm pronation

pt position

A

Sitting. Arm at side, elbow flexed to 90 with forearm in mid position. Hold pencil.

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50
Q

Wrist flexion

pt position

A

Sitting, elbow flexed, forearm resting on table in pronation, wrist in neutral, hand over end of table.

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51
Q

Shoulder external rotation

axis of rotation

A

Placed on olecranon process of ulna.

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52
Q

Finger MCP

axis of rotation

A

Posterior aspect of MCP joint being measured.

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53
Q

Elbow flexion

axis of rotation

A

Lateral epicondyle of humerus.

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54
Q

Wrist radial deviation

axis of rotation

A

Posterior aspect of wrist joint over capitiate.

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55
Q

Elbow extension

axis of rotation

A

Lateral epdicondyle of humerus.

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56
Q

Wrist ulnar deviation

axis of rotation

A

Posterior aspect of wrist joint over capitiate.

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57
Q

Forearm supination

axis of rotation

A

Placed over the head of the third metacarpal.

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58
Q

Wrist extension

axis of rotation

A

Over ulnar styloid process.

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59
Q

Forearm pronation

axis of rotation

A

Placed over the head of the third metacarpal.

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60
Q

Wrist flexion

axis of rotation

A

Over ulnar styloid process.

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61
Q

Shoulder external rotation

stationary arm

A

Perpendicular to the floor.

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62
Q

Finger MCP flexion

stationary arm

A

Parallel to the longitudinal axis of shaft of metacarpal.

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63
Q

Elbow flexion

stationary arm

A

Parallel to longitudinal axis of humerus, pointing towards acromion process.

64
Q

Wrist radial deviation

stationary arm

A

Midline of forearm.

65
Q

Elbow extension

stationary arm

A

Parallel to longitudinal axis of humerus, pinging towards acromion process.

66
Q

Wrist ulnar deviation

stationary arm

A

Midline of forearm.

67
Q

Forearm supination

stationary arm

A

Perpendicular to the floor.

68
Q

Wrist extension

stationary arm

A

Parallel to longitudinal axis of ulna.

69
Q

Forearm pronation

stationary arm

A

Perpendicular to the floor.

70
Q

Wrist flexion

stationary arm

A

Parallel to longitudinal axis of ulna.

71
Q

Shoulder external rotation

moving arm

A

Parallel to longitudinal axis of ulna, pointing towards ulnar styloid process.

72
Q

Finger MCP flexion

moving arm

A

parallel to longitudinal axis of proximal phalanx.

73
Q

Elbow Flexion

moving arm

A

Parallel to the longitudinal axis of radius, pointing towards styloid process of radius.

74
Q

Wrist radial deviation

moving arm

A

Parallel to longitudinal axis of shaft of 3rd metacarpal.

75
Q

Elbow extension

moving arm

A

Parallel to the longitudinal axis of radius, pointing towards styloid process of radius.

76
Q

Wrist ulnar deviation

moving arm

A

Parallel to longitudinal axis of shaft of 3rd metacarpal.

77
Q

Forearm supination

moving arm

A

Parallel to the pencil.

78
Q

Wrist extension

moving arm

A

Parallel to longitudinal axis of 5th metacarpal.

79
Q

Forearm pronation

moving arm

A

Parallel to the pencil.

80
Q

Wrist flexion

moving arm

A

Parallel to longitudinal axis of 5th metacarpal.

81
Q

Shoulder external rotation

ROM

A

90

82
Q

Finger MCP flexion

ROM

A

90

83
Q

Elbow flexion

ROM

A

150

84
Q

Wrist radial deviation

ROM

A

20

85
Q

Elbow extension

ROM

A

0 (up to 15 hyperextension possible)

86
Q

Wrist ulnar deviation

ROM

A

30

87
Q

Forearm supination

ROM

A

80-90

88
Q

Wrist extension

ROM

A

70

89
Q

Forearm pronation

ROM

A

80-90

90
Q

Wrist flexion

ROM

A

80

91
Q

Finger MCP extension

pt position

A

Sitting, forearm is resting on table, elbow flexed, wrist slightly extended, MCP jt of finger being measured measured is in 0 extension.

92
Q

Thumb MCP & IP extension

pt position

A

Sitting, elbow flexed, forearm resting on table in midposition. Wrist & fingers in anatomical position. MCP & IP jt extended.

93
Q

Finger IP flexion

pt position

A

Sitting, forearm resting on table in midposition or pronation. Wrist & fingers in anatomical position.

94
Q

Thumb MCP & IP flexion

pt position

A

Sitting, elbow flexed, forearm resting on table in midposition. Wrist & fingers in anatomical position. MCP & IP jt extended.

95
Q

Finger IP extension

pt position

A

Sitting, forearm resting on table in midposition or pronation. Wrist & fingers in anatomical position.

96
Q

Thumb CM ABduction

pt position

A

Sitting, elbow flexed with forearm in mid position & resting on table. Fingers anatomical position, thumb maintains contact with metacarpal & pros phalanx.

97
Q

Thumb CM Flexion

pt position

A

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
Q

Thumb CM extension

pt position

A

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
Q

Finger MCP extension

axis of rotation

A

Anterior surface of MCP joint being measured.

100
Q

Thumb MCP & IP extension

axis of rotation

A

Posterior or lateral aspect of MCP jt or IP jt.

101
Q

Finger IP flexion

axis of rotation

A

Posterior surface of PIP or DIP jt being measured.

102
Q

Thumb MCP & IP flexion

axis of rotation

A

Posterior or lateral aspect of MCP jt or IP jt.

103
Q

Finger IP extension

axis of rotation

A

Anterior surface of PIP or DIP jt being measured.

104
Q

Thumb CM ABduction

axis of rotation

A

Junction of the bases of 1st & 2nd metacarpals.

105
Q

Thumb CM flexion

axis of rotation

A

placed over CM joint

106
Q

Thumb CM extension

axis of rotation

A

Placed over CM joint

107
Q

Finger MCP extension

stationary arm

A

Parallel to the longitudinal axis of shaft of metacarpal.

108
Q

Thumb MCP & IP extension

stationary arm

A

MCP jt: parallel to longitudinal axis of shaft of thumb metacarpal. IP jt: parallel to longitudinal axis of proximal phalanx.

109
Q

Finger IP flexion

stationary arm

A

PIP jt: parallel to longitudinal axis of proximal phalanx. DIP jt: parallel to longitudinal axis of middle phalanx.

110
Q

Thumb MCP & IP flexion

stationary arm

A

MCP jt: parallel to longitudinal axis of shaft of thumb metacarpal. IP jt: parallel to longitudinal axis of proximal phalanx.

111
Q

Finger IP extension

stationary arm

A

PIP jt: parallel to longitudinal axis of proximal phalanx. DIP jt: parallel to longitudinal axis of middle phalanx.

112
Q

Thumb CM ABduction

stationary arm

A

Parallel to longitudinal axis of 2nd metacarpal.

113
Q

Thumb CM flexion

stationary arm

A

Parallel to longitudinal axis of radius.

114
Q

Thumb CM extension

stationary arm

A

Parallel to longitudinal axis of radius.

115
Q

Finger MCP Extension movement arm

A

Parallel to long axis of proximal phalanx

116
Q

Thumb MCP & IP Extension movement arm

A

MCP jt: parallel to longitudinal axis of proximal phalanx. IP jt: parallel to longitudinal axis of distal phalanx

117
Q

Finger IP Flexion movement arm

A

PIP jt: parallel to longitudinal axis of middle phalanx. DIP jt: parallel to longitudinal axis of distal phalanx

118
Q

Thumb MCP & IP Flexion movement arm

A

MCP jt: parallel to longitudinal axis of proximal phalanx. IP jt: parallel to longitudinal axis of distal phalanx.

119
Q

Finger IP Extension movement arm

A

PIP jt: parallel to long axis of middle phalanx. DIP jt: parallel to long axis of distal phalanx

120
Q

Thumb CM Flexion movement arm

A

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
Q

Thumb CM Extension movement arm

A

Parallel to long axis of thumb metacarpal. Note: goni arms are not aligned at 0 so this position is recorded as 0

122
Q

Thumb CM ABduction movement arm

A

Parallel to longitudinal axis of 1st metacarpal. NOTE: toni arms are not aligned at 0 so this position is recorded as 0

123
Q

Finger MCP Extension average ROM

A

45

124
Q

Thumb MCP & IP Extension average ROM

A

MCP: 0
IP: hypertext 10-30

125
Q

Finger IP Flexion average ROM

A

PIP: 100
DIP: 90

126
Q

Thumb MCP & IP Flexion average ROM

A

MCP: 50
IP: 80

127
Q

Finger IP Extension ROM

A

0

128
Q

Thumb CM ABduction average ROM

A

70-80

129
Q

Thumb CM Flexion ROM

A

15

130
Q

Thumb CM Extension ROM

A

20

131
Q

Cervical Flexion pt. position

A

sitting, head in neutral position

132
Q

Trunk lateral flexion pt. position

A

standing

133
Q

Cervical extension pt. position

A

sitting, head in neutral position

134
Q

Cervical rotation pt. position

A

sitting, head in neutral position

135
Q

Cervical lateral flexion

A

sitting, head in neutral position

136
Q

Cervical flexion axis of rotation

A

over lobe of the ear

137
Q

Trunk lateral flexion axis of rotation

A

In the midline at the level of the PSIS

138
Q

Cervical Extension axis of rotation

A

Over lobe of the ear

139
Q

Cervical rotation axis of rotation

A

Over the midpoint of the top of the head

140
Q

Cervical lateral flexion axis of rotation

A

Over C7 spinous process

141
Q

Cervical flexion stationary arm

A

perpendicular to the floor

142
Q

Trunk lateral flexion stationary arm

A

perpendicular to the floor

143
Q

Cervical Extension stationary arm

A

perpendicular to the floor

144
Q

Cervical rotation stationary arm

A

parallel to a line joining the 2 acromion processes

145
Q

Cervical lateral flexion stationary arm

A

Along the spine & perpendicular to the floor

146
Q

Cervical flexion movement arm

A

parallel to base of the nares

147
Q

Trunk lateral flexion movement arm

A

points towards the spine of the C7

148
Q

Cervical extension movement arm

A

parallel to the base of the nares

149
Q

Cervical rotation movement arm

A

aligned with the nose. Starting position will indicate 90, this is 0

150
Q

cervical lateral flexion movement arm

A

Points towards the midpoint of the head. Goni will indicate 0 in the start position

151
Q

Cervical flexion ROM

A

45

152
Q

Trunk lateral flexion ROM

A

compare bilaterally

153
Q

Cervical extension ROM

A

45

154
Q

Cervical Rotation ROM

A

comare bilaterally

155
Q

Cervical lateral flexion ROM

A

45