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56 Cards in this Set

  • Front
  • Back
the technique of human joint measurement
goniometry
refers to the number of degrees present in a joint
range of joint motion
refers to the length of the muscle
range of muscle length
for __ joint muscles, the range of joint motion and range of muscle length will be the same
one
for __ joint muscles, the normal range of muscle length will be less than the total range of motion of the joints over which the muscle passes
two
used to place the joints in a zero starting position, to stabilize the proximal joint component, and to permit a complete ROM
positioning
soft tissues around a joint should be __ to permit complete ROM of the joint
lax
this helps to isolate the motion at a particular joint to insure that a true measurement of ROM results rather than a measurement of combined motions at a series of joints; should be supplemented manually when needed
stabilization
this arm of the goniometer should be parallel to the longitudinal axis of the proximal portion of the joint (non-moving segment)
stationary arm
this arm of the goniometer should be parallel to the longitudinal axis of the distal portion of the joint (moving segment)
moving arm
this part of the goniometer should be placed over the appropriate location of the axis of motion of the joint being measured
fulcrum
less than normal ROM
hypomobile
more than normal ROM
hypermobile
the use of __ numbers indicates a lack of motion
negative
the use of what in front of a number indicates hypermobility?
a plus sign
How is a range of motion that begins in 20 degrees of hyperextension and ends in 105 degrees of flexion recorded?
20-0-105
How would the end range of elbow hyperextension that is at 20 degrees be recorded?
+20 degrees
How much total ROM does someone who moves from 20-70 degrees of flexion have?
50 degrees
How would the end range of extension be notated when someone is limited to 20-70 degrees of flexion?
-20 degrees
the normal end feel for knee flexion
soft
the normal end feel for knee extension
firm
the preferred position used to measure knee flexion and extension
supine
normal range for knee flexion and extension
0-140
landmarks for the arms and fulcrum for knee extension/flexion
SA: lateral midline of the femur
MA: lateral midline of the fibula
Axis: lateral epicondyle
normal end feel for hip abduction and adduction
firm
preferred position in which to measure hip abduction and adduction
supine
normal range for hip abduction
0-45
normal range for hip adduction
0-10
landmarks for the arms and fulcrum for hip abduction and adduction
SA: ASIS to ASIS
MA: anterior midline of the femur
Axis: ipsilateral ASIS
preferred position for hip medial and lateral rotation
sitting with knees hanging off of table; neutral hip position (put a towel roll under the knee)
normal end feel for hip rotation
firm
normal range for hip medial and lateral rotation
0-45
positioning of the arms and fulcrum for hip medial and lateral rotation
SA: perpendicular to the floor
MA: anterior midline of lower leg
Axis: longitudinal axis of femur
preferred position for hip extension
supine, knee in extension, clear calf from edge of table (put hand under lumbar spine, flex until the spine flattens; bring leg down until pelvis tilts, have someone hold the leg, then measure it)
normal end feel for hip extension
firm
normal range for hip extension
0-10
positioning of the arms and fulcrum for hip extension
SA: lateral midline of pelvis
MA: lateral midline of femur
Axis: greater trochanter
normal end feel for hip flexion
soft
normal range for hip flexion
0-125
preferred position for hip flexion measurement
supine
positioning of the arms and fulcrum for hip flexion
SA: midline of pelvis
MA: midline of femur
Axis: greater trochanter
positioning of the arms and fulcrum for hip flexion
SA: midline of pelvis
MA: midline of femur
Axis: greater trochanter
proper procedure for measuring hip flexion
start from hip extension (to make sure patient is in zero); check for zero by having the patient posteriorly tilt and if the legs stay on the table, they have 10 degrees of extension; make sure the pelvis does not posteriorly tilt when you are measuring
preferred position for ankle dorsiflexion
prone with knee at 90 degrees
normal end feel for ankle dorsiflexion
firm
normal range for ankle dorsiflexion
0-20
positioning for arms and fulcrum for ankle dorsiflexion
SA: lateral midline of the fibula
MA: parallel to the line of the calcaneus
Axis: lateral malleolus (or just above)
normal end feel for ankle plantarflexion
firm
normal range for ankle plantarflexion
0-50
preferred position for measuring ankle plantarflexion
prone with knee at 90 degrees
proper positioning for arms and fulcrum for ankle plantarflexion
SA: lateral fibular midline
MA: parallel to the line of the calcaneus
Axis: lateral malleolus (or just above)
preferred position for measuring subtalar inversion/eversion
prone
normal end feel for subtalar inversion/eversion
firm
normal range for ankle subtalar inversion
0-20
normal range for ankle subtalar eversion
0-10
positioning of arms and fulcrum for measuring ankle subtalar inversion and eversion
SA: posterior midline of lower leg
MA: posterior midline of calcaneus
Axis: midway between bilateral malleoli