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24 Cards in this Set
- Front
- Back
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What is the procedure for performing goniometry?
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1.position the pt
2.explain and demonstrate 3.perform motion passively 2-3 times for pt 4.stabilize the proximal body part 5. locate your axis , by palpating the bony landmark 6.place the stationary arm along the long axis or stationary fixed segment by palpating the bony landmark 7.place the moving arm parallel to the axis. palpate the bony landmark. 8. determine axis of motion. hold the toni between fingers and thumb. place it loosely along pt. 9.align the toni and ask the pt to perform the atom 10. re align the toni and take the reading at the end of the motion. |
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what are the type of end feels found in goniometry?
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soft- soft tissue approximation
firm- slightly springy feel hard - bone contact |
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Elbow Flexion
position: supine, towel under distal humerus to keep level with the glenoid fossa axis: lateral epicondyle st. arm: lateral midline of humerus toward acromian moving arm: lateral radius midline toward radial styloid norm: 0-145* |
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Forearm Supination
position: short sitting, elbow flexed at 90*, UE close to trunk , thumb pointing upward axis: medial to the ulnar styloid process st arm: on the side of ventral wrist, parallel to humeral shaft moving: across the palmer surface of the forearm, proximal and parallel to the styloid processes of the ulna and radius. norm: 0-90* |
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Forearm Pronation
position: short sitting, UE close to trunk , elbow flexion 90*, thumb pointing upward axis: lateral to the ulnar styloid process st arm: on level of dorsal wrist , parallel to the humeral shaft moving arm: across the dorsum of the wrist, proximal and parallel to the ulnar and radial styloid processes norm: 0-90* |
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Shoulder Flexion
position: supine, hookline axis: acromian process throughout the head of the humerus st arm: midaxillary line/ midline of trunk toward the greater trochanter moving: lateral midline of humerus, toward lateral epicondyle the beginning of motion, and with medial epicondyle at the end of rom norm: 0-180* |
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Shoulder Extension
position: prone axis: slightly inferior to the acromian in line with the head of the humerus st arm: midaxillary line of trunk toward the greater trochanter moving: lateral midline of the humerus toward lateral epicondyle norm: 0-50* |
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Shoulder Abduction
position: supine , hookline axis: anterior portion of the acromian process , throughout he center of the head of the humerus st arm: lat anterior surface of the trunk , parallel with the midline of the sternum moving: ant arm , parallel to midline of humerus toward medial epicondyle norm: 0-180* |
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Shoulder Internal Rotation
position: supine, hookline, shoulder abducted and elbow flexed to 90*, may need towel under mmid humerus to keep it perpendicular to the trunk. axis: olecranon process through the humeral shaft toward the humeral head st arm: parallel to the table top or perpendicular to the floor moving: along ulnar shaft toward ulnar styloid process norm: 0-70* |
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Shoulder External Rotation
position: supine, hookline, towel under mid humerus to keep in level of plinth/trunk axis: olecranon through the humeral shaft toward the humeral head st arm: parallel to the table top or perpendicular to the floor moving: along ulnar shaft toward ulnar styloid process norm:0-90* |
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Shoulder Horizontal Abduction
position: short sitting, neutral shoulder rot., shoulder flexed to 90*, elbow flexed to 90* axis: superiorly on acromian, through the head of the humerus st arm: midline of the shoulder toward the neck moving: midline of the humeral shaft toward the lateral epicondyle norm: 0-120* |
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Shoulder Horizontal Adduction
position: short sitting , neutral shoulder rot., shoulder flexed to 90*, elbow flexed to 90* axis: superiorly on acromian throughout the head of the humerus st arm: frontal plane moving: along humeral midline toward lateral epicondyle norm: 0-30* |
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Wrist flexion
position: short sitting with elbow flexed 90 * and forearm supported on table in pronation with hand off edge , fingers are extended. axis: distal to the styloid process of the ulna . axis shifts slightly distally following movement st arm: parallel to and over the lateral midline of the ulna , in line with the olecranon process. moving : placed along the lateral midline of the 5th MC norm: 0-90* |
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Wrist Extension
position: short sitting, elbow flexed to 90*, forearm in pronation on table, wrist over edge of table in neutral, fingers loosely flexed axis: distal to ulnar styloid process, axis shifts slightly distally following movement st arm: parallel to and over the lateral midline of ulna, in line with the olecranon moving: lateral midline of 5th MC norm: 0-70* |
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Wrist Radial Deviation
position: short sitting, elbow flexed, forearm pronated, and forearm and hand supported on table axis: over capitate on dorsal aspect of the wrist st arm: dorsal midline of forearm moving: 3rd MC midline on dorsal surface norm: 0-25* |
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Wrist Ulnar Deviation
position: short sitting, forearm pronated and supported on table, elbow flexed at 90* axis: over capitate on dorsal aspect of the wrist st arm: dorsal midline of forearm moving: 3rd MC midline on dorsal surface norm: 0-35* |
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Knee Flexion
position: supine, hip flexed to 90* axis: lateral epicondyle of the femur st arm: parallel to the midline of the femur from lateral epicondyle of femur toward greater trochanter moving: parallel to lateral midline of fibula toward lateral malleolus norm: 0-130* |
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Knee Extension
position: supine , hip in neutral, towel under achilles tendon axis: lateral epicondyle of femur st arm: parallel to lateral midline of femur toward greater trochanter moving: parallel to lateral midline of fibula toward lateral malleolus norm: 0*- anything before should be documented as lacking |
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Hip Flexion
position: supine , opposite LE flat on plinth axis: lateral , 1 fingerwidth anterior and superior to greater trochanter st arm: parallel to the long axis of trunk and in line with the greater trochanter moving: lateral midline of femur toward lateral epicondyle which is along the lateral midline of the femur norm: 0-120* |
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legs should be opposite!
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Hip Extension
position: sidelying, knee extended, opposite hip/knee flexed to 90* axis: lateral , 1 fingerwidth anterior and superior to greater trochanter st arm: parallel to the long axis of trunk and in line with the greater trochanter moving: lateral midline of femur toward lateral epicondyle which is along the lateral midline of the femur norm: 0-30* |
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Hip Abduction
position: supine, knee extended axis: anterior surface of the hip in line wight the greater trochanter or ASIS to ASIS st arm: parallel and below the bilateral ASIS moving: anterior thigh , parallel to midline of femur toward midline of patella norm: 0-45* |
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Hip Adduction
position: supine, hip and knee neutral, abduct contralateral LE out of the way axis: anterior surface of the hip in line with the greater trochanter st arm: parallel and below ASIS moving: anterior thigh,parallel to midline of femur toward patella midline norm: 0-30* |
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Hip Internal Rotation
position: supine, hip and knee flexed to 90*,opposite hip and knee flexed so foot is flat on the plinth axis: anterior middle of patella st arm: parallel to midline of the trunk, toward ipsilateral shoulder moving: crest of tibia toward mid point between malleoli norm: 0-45* |
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Hip External Rotation
position: supine , hip and knee flexed to 90*, opposite hip and knee flexed so foot is flat on plinth axis: anterior middle of patella st arm: parallel to midline of the trunk, toward ipsilateral shoulder moving: crest of tibia toward midpoint between malleoli norm: 0-45* |
