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56 Cards in this Set
- Front
- Back
the technique of human joint measurement
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goniometry
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refers to the number of degrees present in a joint
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range of joint motion
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refers to the length of the muscle
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range of muscle length
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for __ joint muscles, the range of joint motion and range of muscle length will be the same
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one
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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
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two
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used to place the joints in a zero starting position, to stabilize the proximal joint component, and to permit a complete ROM
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positioning
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soft tissues around a joint should be __ to permit complete ROM of the joint
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lax
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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
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stabilization
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this arm of the goniometer should be parallel to the longitudinal axis of the proximal portion of the joint (non-moving segment)
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stationary arm
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this arm of the goniometer should be parallel to the longitudinal axis of the distal portion of the joint (moving segment)
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moving arm
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this part of the goniometer should be placed over the appropriate location of the axis of motion of the joint being measured
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fulcrum
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less than normal ROM
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hypomobile
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more than normal ROM
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hypermobile
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the use of __ numbers indicates a lack of motion
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negative
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the use of what in front of a number indicates hypermobility?
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a plus sign
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How is a range of motion that begins in 20 degrees of hyperextension and ends in 105 degrees of flexion recorded?
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20-0-105
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How would the end range of elbow hyperextension that is at 20 degrees be recorded?
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+20 degrees
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How much total ROM does someone who moves from 20-70 degrees of flexion have?
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50 degrees
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How would the end range of extension be notated when someone is limited to 20-70 degrees of flexion?
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-20 degrees
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the normal end feel for knee flexion
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soft
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the normal end feel for knee extension
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firm
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the preferred position used to measure knee flexion and extension
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supine
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normal range for knee flexion and extension
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0-140
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landmarks for the arms and fulcrum for knee extension/flexion
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SA: lateral midline of the femur
MA: lateral midline of the fibula Axis: lateral epicondyle |
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normal end feel for hip abduction and adduction
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firm
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preferred position in which to measure hip abduction and adduction
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supine
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normal range for hip abduction
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0-45
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normal range for hip adduction
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0-10
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landmarks for the arms and fulcrum for hip abduction and adduction
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SA: ASIS to ASIS
MA: anterior midline of the femur Axis: ipsilateral ASIS |
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preferred position for hip medial and lateral rotation
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sitting with knees hanging off of table; neutral hip position (put a towel roll under the knee)
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normal end feel for hip rotation
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firm
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normal range for hip medial and lateral rotation
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0-45
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positioning of the arms and fulcrum for hip medial and lateral rotation
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SA: perpendicular to the floor
MA: anterior midline of lower leg Axis: longitudinal axis of femur |
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preferred position for hip extension
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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)
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normal end feel for hip extension
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firm
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normal range for hip extension
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0-10
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positioning of the arms and fulcrum for hip extension
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SA: lateral midline of pelvis
MA: lateral midline of femur Axis: greater trochanter |
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normal end feel for hip flexion
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soft
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normal range for hip flexion
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0-125
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preferred position for hip flexion measurement
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supine
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positioning of the arms and fulcrum for hip flexion
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SA: midline of pelvis
MA: midline of femur Axis: greater trochanter |
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positioning of the arms and fulcrum for hip flexion
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SA: midline of pelvis
MA: midline of femur Axis: greater trochanter |
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proper procedure for measuring hip flexion
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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
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preferred position for ankle dorsiflexion
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prone with knee at 90 degrees
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normal end feel for ankle dorsiflexion
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firm
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normal range for ankle dorsiflexion
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0-20
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positioning for arms and fulcrum for ankle dorsiflexion
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SA: lateral midline of the fibula
MA: parallel to the line of the calcaneus Axis: lateral malleolus (or just above) |
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normal end feel for ankle plantarflexion
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firm
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normal range for ankle plantarflexion
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0-50
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preferred position for measuring ankle plantarflexion
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prone with knee at 90 degrees
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proper positioning for arms and fulcrum for ankle plantarflexion
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SA: lateral fibular midline
MA: parallel to the line of the calcaneus Axis: lateral malleolus (or just above) |
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preferred position for measuring subtalar inversion/eversion
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prone
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normal end feel for subtalar inversion/eversion
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firm
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normal range for ankle subtalar inversion
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0-20
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normal range for ankle subtalar eversion
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0-10
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positioning of arms and fulcrum for measuring ankle subtalar inversion and eversion
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SA: posterior midline of lower leg
MA: posterior midline of calcaneus Axis: midway between bilateral malleoli |