Week 2 - Goniometry Flashcards
Where would Goniometry fall under the Guide to Physical Therapist Practice and HOAC?
Range of Motion & Muscle Length under Test and Measurements under the Data Gathering (hands-on) of Examination.
When will a physical therapist use Goniometry?
When they want to objectively quantify joint range of motion as well as muscle length.
What are the reasons for selecting Test & Measurements? (4)
- To assist in confirming or rejecting proposed hypotheses. 2. To confirm or document an impaired Body Structure or Function 3. To guide or direct treatment 4. Use as an intervention Outcome Measure
For which Reason for Selecting Test & Measurements would a PT select the Lachman Test for the knee based on subjective information provided by the patient that they have an injury to the ACL?
- To assist in confirming or rejecting proposed hypotheses: (We may hypothesize based on the subjective information provided by the patient that they have an injury to the ACL, thus we might select the Lachman Test as one of our test and measures to asses the integrity of the ACL.)
For which Reason for Selecting Test & Measurements would a PT select MMT if they feel the patient has a muscle strength deficit based on the history and subjective information?
- To confirm or document an impaired Body Structure or Function (We may feel that the patient has a muscle strength deficit based on the history and subjective information that we have obtained, thus we would use Manual Muscle Testing to confirm or document that indeed the patient has a muscle strength deficit.)
For which Reason for Selecting Test & Measurements would a PT select Joint Play Assessment do decide whether to include joint mobilization as part as our intervention?
- To guide or direct treatment (If we determine by assessing joint play that we feel the individual has a restricted glide, then joint play would help us understand the need for doing joint mobilization as part as our intervention.)
For which Reason for Selecting Test & Measurements would a PT select Goniometry as a way to document the impaired range of motion as we begin treatment, and to reassess the patients range of motion after we have performed X number of treatments to show change?
- Use as an intervention Outcome Measure (We may believe that the patient has a restriction in range of motion and indeed observing the patient move actively we see that they do have a restriction in joint range of motion. Thus we would use Goniometry as a way to not only document the impaired range of motion as we begin treatment, but to use Goniometry to reassess the patients range of motion after we have performed X number of treatments to show that we have made a change in the patients range of motion.
Full ROM across a joint is dependent on what two components? (2)
- Joint ROM 2. Muscle Length
What is Joint ROM?
The motion available at any single joint in the body.
What is full or complete Joint ROM influenced by? (2)
- Associated bony structure 2. Physiologic characteristics of the connective tissue surrounding the joint -Especially Ligaments and Joint Capsule
When we reference joint range of motion, what are we technically referring to?
Joint Kinematics
What is Joint Kinematics?
Refers to motion of the body, without regard to forces or torques that may produce motion.
What is an example of Kinematics using walking?
Kinematics describes human movement such as walking, but in considering how we walk and the movements associated with walking, kinematics ignores the causes of the motion which are usually produced by forces, momentum, & energy which we term kinetics.
What are the 2 subcategories of Joint Motion or Kinematics?
- Osteokinematics 2. Arthrokinematics
What is another term for Osteokinematics?
Physiologic Motion
What is another term for Arthrokinematics?
Accessory Motion
Define Osteokinematics (Physiologic Motion).
Movement of a bone segment (ie; humerus or femur) as it moves away from the trunk or pelvis about the joint axis.
Define Arthrokinematics (Accessory Motion).
Refers to the action movement of the articular or joint surfaces in relatinon to one another during osteokinematic motion.
If we describe “flexion of the shoulder,” is this: A. Osteokinematics B. Arthrokinematics
A. Osteokinematics (Moving the humerus away from the trunk about the axis passing through the glenohumeral joint.)
If we describe “the movement of the head of the humerus and the glenoid fossa” as we perform shoulder flexion, is this: A. Osteokinematics B. Arthrokinematics
B. Arthrokinematics (Movement of the articular or joint surfaces in relatinon to one another during osteokinematic motion.)
T/F: Osteokinematic or Physiologic Motion occur between the articular or joint surfaces as we perform Arthrokinematic or Acessory Movements.
False: Arthrokinematic or Acessory Movements occur between the articular or joint surfaces as we perform Osteokinematic or Physiologic Motion.
What are the 3 components of arthrokinematic or accessory movement ?
- Glide or Slide 2. Roll 3. Spin
What is used to assess the 3 components of arthrokinematic or accessory movement?
Joint Play
What is used to assess osteokinematics or physiologic motion?
Goniometry
