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Skills Check #2 Goniometry

Jordan Waugh Englisch 59 Karten

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  1. 1Knee FlexionAAOS Value: 135
    Position: Supine
    Axis: Lateral Femoral Condyle
    S Arm: Greater Trochanter
    M Arm: Lateral Malleolus
    Geometry: Concave Tibia on Convex Femur
    Limiting: Soft Tissue
  2. 2Knee ExtensionAAOS Value: 10
    Position: Supine with roll under heel
    Axis: Lateral Femoral Condyle
    S Arm: Greater Trochanter
    M Arm: Lateral Malleolus
    Geometry: Concave Tibia on Convex Femur
    Limiting: Posterior Capsule/Muscular
  3. 3Elbow FlexionAAOS Value: 150
    Position: Supine
    Axis: Lateral Humeral Epicondyle
    S Arm: Mid-line Humerus
    M Arm: Radial Styloid
    Geometry: Concave Ulna on Convex Humerus
    Limiting: Soft tissue
  4. 4Elbow ExtensionAAOS Value: 0
    Position: Supine with towel under elbow
    Axis: Lateral Humeral Epicondyle
    S Arm: Mid-line Humerus
    M Arm: Radial Styloid
    Geometry: Concave Ulna on Convex Humerus
    Limiting: Olecranon Process/Fossa
  5. 5Glenohumeral FlexionAAOS Value: 180 (120 from GH/60 from scapularthoracic)
    Position: Supine Hookline
    Axis: Acromion
    S Arm: Mid-axillary line
    M Arm: Mid-line of Humerus
    Geometry: Convex Humeral Head on Concave Glenoid Fossa
    Limiting: Posterior/inferior capsule
  6. 6Glenohumeral ExtensionAAOS Value: 60
    Position: Prone
    Axis: Acromion
    S Arm: Mid-axillary line
    M Arm: Mid-line Humerus
    Geometry: Convex Humeral Head on Concave Glenoid Fossa
    Limiting: Anterior Capsule/GH ligament
  7. 7Glenohumeral AbductionAAOS Value: 180 (120 from GH/60 from scapularthoracic)
    Position: Supine Hookline
    Axis: Acromion
    S Arm: Parallel to Sternum
    M Arm: Lateral Epicondyle
    Geometry: Convex Humeral Head on Concave Glenoid Fossa.
    Limiting: Inferior Capsule/Acromion
  8. 8Glenohumeral Internal RotationAAOS Value: 70
    Position: Supine hookline with towel under distal Humerus
    Axis: Olecranon Process
    S Arm: Line of gravity upward
    M Arm: Ulnar Syloid
    Geometry: Convex Humeral Head on Concave Glenoid Fossa
    Limiting: Posterior Capsule
  9. 9Glenohumeral External RotationAAOS Value: 90
    Position: Supine hookline with towel under distal Humerus
    Axis: Olecranon Process
    S Arm: Line of gravity upward
    M Arm: Ulnar Styloid
    Geometry: Convex Humerus on concave Glenoid Fossa
    Limiting: Anterior capsule/superior GH Ligament
  10. 10Forearm PronationAAOS Value: 80
    Position: Seated with elbow bent and thumb pointed upward
    Axis: Outside of wrist
    S Arm: Line of gravity upward
    M Arm: Ulnar Styloid
    Geometry: Proximally- Convex Radial Head on concave Radial Notch
    Distally- Concave Radius on convex Ulna
    Limiting: Radius on Ulna
  11. 11Forearm SupinationAAOS Value: 80
    Position: Seated with elbow bent and thumb pointed up
    Axis: Inside of wrist
    S Arm: Line of gravity upward
    M Arm: Radial Styloid
    Geometry: Proximally- Convex Radial Head on concave Radial Notch
    Distally- Concave Radius on convex Ulna
    Limiting: Pronator Teres/Quadratis
  12. 12Wrist ExtensionAAOS Value: 70
    Position: Seated with arm bent, forearm on table, fingers relaxed
    Axis: Proximal Triquetrum
    S Arm: Mid-line Ulna
    M Arm: Mid-line 5th Metacarpal
    Geometry: Convex Lunate on concave Radius
    Limiting: Palmar Joint Capsule
    Note: May also place goniometer on ventral or dorsal side of hand
    Note: May also use M arm on mid-line of 2nd Metacarpal to avoid movement at the 5th Metacarpal.
  13. 13Wrist FlexionAAOS Value: 80
    Position: Seated with arm bent, forearm on table, fingers relaxed
    Axis: Proximal Triquetrum
    S Arm: Mid-line Ulna
    M Arm: Mid-line 5th Metacarpal
    Geometry: Convex Lunate on concave Radius
    Limiting: Dorsal Capsule
  14. 14Wrist Ulnar DeviationAAOS Value: 30
    Position: Seated with arm bent, forearm and hand on table
    Axis: Proximal Lunate
    S Arm: Lateral Epicondyle
    M Arm: 3rd metacarpal
    Geometry: Convex Lunate on concave Radius
    Limiting: Radial joint capsule
  15. 15Wrist Radial DeviationAAOS Value: 20
    Position: Seated with arm bent, forearm and hand on table
    Axis: Proximal Lunate
    S Arm: Lateral Epicondyle
    M Arm: 3rd Metacarpal
    Geometry: Convex Lunate on Concave Radius
    Limiting: Radial Styloid and Scaphoid
  16. 16MCP FlexionAAOS Value: 90 (50 for thumb)
    Position: Seated with arm bent, forearm on table
    Axis: Middle of dorsal MCP Joint
    S Arm: Dorsal side of Metacarpal
    M Arm: Mid-line of proximal phalanx
    Geometry: Concave Proximal Phalanx on Convex Metacarpal
    Limiting: Dorsal Capsule
  17. 17MCP ExtensionAAOS Value: 45
    Position: Seated with arm bent and forearm on table
    Axis: Middle of dorsal MCP Joint
    S Arm: Dorsal side of Metacarpal
    M Arm: Mid-line of Proximal Phalanx
    Geometry: Concave Proximal Phalanx on convex Metacarpal
    Limiting: Palmar Capsule
  18. 18PIP FlexionAAOS Value: 100
    Position: Seated with arm bent, forearm on table
    Axis: Dorsal side of PIP joint
    S Arm: Mid-line Proximal Phalanx
    M Arm: Mid-line Middle Phalanx
    Geometry: Convex Proximal Phalanx on concave Middle Phalanx
    Limiting: Dorsal Capsule
  19. 19DIP FlexionAAOS Value: 90 (80 for thumb)
    Position: Seated with arm bent, forearm on table
    Axis: Dorsal side of DIP Joint
    S Arm: Mid-line Middle Phalanx
    M Arm: Mid-line Distal Phalanx
    Geometry: Convex Distal Phalanx on concave Middle Phalanx
    Limiting: Dorsal Capsule
  20. 20Thumb Palmar AbductionAAOS Value: 70
    Position: Seated with arm bent, forearm and hand on table, thumb pointing up
    Axis: Radial Styloid
    S Arm: Mid-line Radius
    M Arm: Mid-line 1st Metacarpal
    Geometry: Concave 1st Metacarpal on convex Trapezium
    Limiting: Anterior Capsule
  21. 21Thumb Radial AbductionAAOS Value: 20 (measured from neutral, will need to subtract final from neutral position)
    Position: Seated with arm bent, forearm and hand supinated on table
    Axis: Scaphoid
    S Arm: Mid-line 2nd Metacarpal
    M Arm: Mid-line 1st Metacarpal
    Geometry: Concave 1st Metacarpal on convex Trapezium
    Limiting: Radial Capsule
  22. 22Hip FlexionAAOS Value: 120
    Position: Supine
    Axis: Greater Trochanter
    S Arm: Mid-line of Flank
    M Arm: Lateral Femoral Epicondyle
    Geometry: Convex Femoral Head on concave Acetabulum
    Limiting: Soft Tissue
    Note: Palpate ASIS, Flexion stops when Pelvis falls into posterior tilt.
  23. 23Hip ExtensionAAOS Value: 20
    Position: Prone
    Axis: Greater Trochanter
    S Arm: Mid-axillary line
    M Arm: Lateral Femoral Epicondyle
    Geometry: Convex Femoral Head on Concave Acetabulum
    Limiting: Anterior Capsule
    Note: Palpate PSIS, Extension stops when Pelvis falls into anterior tilt.
  24. 24Hip External RotationAAOS Value: 45
    Position: Prone with knee bent 90 degrees
    Axis: Inferior Patella
    S Arm: Line of gravity upward
    M Arm: Mid-line of Anterior Tibia
    Geometry: Convex Humeral Head on concave Acetabulum
    Limiting: Anterior Capsule
    Note: When prone, the foot moves medially during external rotation
  25. 25Hip Internal RotationAAOS Value: 45
    Position: Prone with knee bent 90 degrees
    Axis: Inferior Patella
    S Arm: Line of gravity upward
    M Arm: Mid-line Anterior Tibia
    Geometry: Convex Femoral Head on concave Acetabulum
    Limiting: Posterior Capsule
  26. 26Hip AbductionAAOS Value: 40
    Position: Supine
    Axis: Same side ASIS
    S Arm: Opposite side ASIS
    M Arm: Mid-line Femur
    Geometry: Convex Femoral Head on concave Acetabulum
    Limiting: Medial Capsule/Adductor muscles
  27. 27Hip AdductionAAOS Value: 30
    Position: Supine with opposite leg abducted
    Axis: Same side ASIS
    S Arm: Opposite side ASIS
    M Arm: Mid-line Femur
    Geometry: Convex Femoral Head on Concave Acetabulum
    Limiting: Lateral Capsule/Abductor muscles
  28. 28Talocrural DorsiflexionAAOS Value: 20
    Position: Prone with knee bent 90 degrees, foot in subtalar neutral
    Axis: Lateral Malleolus
    S Arm: Fibular Head
    M Arm: Parallel to 5th Metatarsal
    Geometry: Convex Talus on concave Mortise
    Limiting: Posterior Capsule
  29. 29Talocrural PlantarflexionAAOS Value: 50
    Position: Prone with knee bent 90 degrees, foot in subtalar neutral
    Axis: Lateral Malleolus
    S Arm: Fibular Head
    M Arm: Parallel to 5th Metatarsal
    Geometry: Convex Talus on concave Mortise
    Limiting: Anterior Capsule
  30. 30Subtalar InversionAAOS Value: 2/3 inversion 1/3 eversion
    Position: Prone figure 4, foot in subtalar neutral
    Axis: Break of Achilles Tendon
    S Arm: Mid-line of leg
    M Arm: Mid-line of Calcaneous
    Geometry: Concave Calcaneous on convex Talus
    Limiting: Lateral Capsule
    Note: Bisect Calcaneous and lower 1/3 of leg with a pen
  31. 31Subtalar EversionAAOS Value: 2/3 inversion 1/3 eversion
    Position: Prone figure 4, foot in subtalar neutral
    Axis: Break of Achilles Tendon
    S Arm: Mid-line of leg
    M Arm: Mid-line of Calcaneous
    Geometry: Concave Calcaneous on convex Talus
    Limiting: Medial Capsule
    Note: Bisect Calcaneous and lower 1/3 of leg with a pen
  32. 32Midtarsal InversionAAOS Value: 5 to 1 in favor of inversion
    Position: prone figure 4, foot in subtalar neutral
    Axis: Outside of foot
    S Arm: Perpendicular to Calcaneous
    M Arm: Plantar side of foot
    Geometry: Concave Metatarsal base on convex Cuboid and Cuneiforms
    Limiting: Lateral Capsule
  33. 33Midtarsal EversionAAOS Value: 5 to 1 in favor of inversion
    Position: Prone figure 4, foot in subtalar neutral
    Axis: Inside of foot
    S Arm: Perpendicular to Calcaneous
    M Arm: Plantar side of foot
    Geometry: Concave Metatarsal base on convex Cuboid and Cuneiforms
    Limiting: Medial Capsule
  34. 34MTP ExtensionAAOS Value: 70
    Position: Supine with towel under ankle and 1st ray dropped
    Axis: Medial foot at middle of MTP Joint
    S Arm: Mid-line of 1st Metatarsal
    M Arm: Mid-line of 1st proximal phalanx
    Geometry: Concave Proximal Phalanx on convex 1st Metatarsal
    Limiting: Plantar Capsule
  35. 35MTP FlexionAAOS Value:45
    Position: Supine with towel under the ankle and 1st ray dropped
    Axis: Medial foot at middle of MTP Joint
    S Arm: Mid-line of 1st Metatarsal
    M Arm: Mid-line of 1st Proximal Phalanx
    Geometry: Concave Proximal Phalanx on convex 1st Metatarsal
    Limiting: Dorsal Capsule
  36. 36Cervical Rotation - GoniometerAAOS Value: 60
    Position: Seated with neutral spine
    Axis: Crown of Head
    S Arm: Forward in sagittal plane
    M Arm: Over top of nose
    Geometry: Concave Atlas on convex Axis
    Limiting: Opposite side rotation - SCM
    Same side rotation - Facet Joints
  37. 37Cervical Rotation - InclinometerNorm: 60
    Inclinometer Position: Middle of forehead
    Patient Position: Supine
  38. 38Cervical Side Bending - GoniometerAAOS Value: 45
    Position: Seated; neutral spine
    Axis: C7 Spinous Process
    S Arm: Line of gravity upward
    M Arm: Inion
    Limiting: Scalenes
  39. 39Cervical Side Bending - InclinometerAAOS Value: 45
    Inclinometer Position: Crown of Head in Frontal Plane
    Patient Position: Seated; neutral spine
  40. 40Cervical Flexion - GoniometerAAOS Value: 45
    Position: Seated; neutral spine
    Axis: External Auditory Meatus
    S Arm: Line of Gravity Upward
    M Arm: Base of Nares
    Limiting: Splenius/Supraspinous Ligaments
    Note: "zero" is at 90, so subtract measurement from 90
  41. 41Cervical Flexion - InclinometerNorm: 45
    Inclinometer Position: Crown of Head in Sagittal Plane
    Patient Position: Seated; neutral spine
  42. 42Cervical Extension - GoniometerAAOS Value: 45
    Position: Seated; neutral spine
    Axis: External Auditory Meatus
    S Arm: Line of Gravity Upward
    M Arm: Base of Nares
    Limiting: Strap Muscles if the patient can continue when mouth is open
    Note: "zero" is at 90 so subtract measurement from 90
  43. 43Cervical Extension - InclinometerNorm: 45
    Inclinometer Position: Crown of Head in the Sagittal Plane
    Patient Position: Seated; neutral spine
  44. 44Thoracolumbar Side Bending - GoniometerAAOS Value: 35
    Position: Standing
    Axis: S1 Spinous Process
    S Arm: Line of Gravity Upward
    M Arm: T1 Spinous Process
    Limiting: Quadratus Lumborum/Lats/External Oblique
  45. 45Thoracolumbar Side Bending - InclinometerNorm: 35
    Inclinometer Position: S1 and T1 Spinous Process in the Frontal Plane (find the difference)
    Patient Position: Standing
  46. 46Thoracic Side Bending - GoniometerAAOS Value: None
    Position: Standing
    Axis: L1 Spinous Process
    S Arm: Line of Gravity Upward
    M Arm: T1 Spinous Process
    Limiting: Quadratus Lumborum/Lats/External Oblique
  47. 47Thoracic Side Bending - InclinometerNorm: None
    Inclinometer Position: L1 and T1 Spinous Process in Frontal Plane (find the difference)
    Patient Position: Standing
  48. 48Lumbar Side Bending - GoniometerAAOS Value: None
    Position: Standing
    Axis: S1 Spinous Process
    S Arm: Line of Gravity Upward
    M Arm: L1 Spinous Process
    Limiting: Quadratis Lumborum/Lats/External Oblique
  49. 49Lumbar Side Bending - InclinometerNorm: None
    Inclinometer Position: S1 and L1 Spinous Process in the Frontal Plane (find the difference)
    Patient Position: Standing
  50. 50Thoracolumbar RotationAAOS Value: 45
    Position: Seated; feet on floor; arms folded across body; head on elbows
    Axis: Crown of Head
    S Arm: Straight Forward
    M Arm: Directly above Sternum
    Limiting: Facet Joints
  51. 51Thoracolumbar Flexion - Modified SchoberNorm: 7 cm
    Position: Standing
    Tape Measure Position: S1 to T1 Spinous Process
  52. 52Thoracolumbar Flexion - InclinometerAAOS Value: 80
    Inclinometer Position: S1 and T1 Spinous Process in Sagittal Plane (find the difference)
    Patient Position: Standing
  53. 53Lumbar Flexion - Modified SchoberNorm: None
    Position: Standing
    Tape Measure Position: S1 to L1 Spinous Process
  54. 54Lumbar Flexion - InclinometerAAOS Value: 30
    Inclinometer Position: S1 and L1 Spinous Process in Sagittal Plane (find the difference)
    Patient Position: Standing
  55. 55Thoracic Flexion - Modified SchoberNorm: None
    Position: Standing
    Tape Measure Position: L1 to T1 Spinous Process
  56. 56Thoracic Flexion - InclinometerAAOS: 50
    Inclinometer Position: L1 and T1 Spinous Process in the Sagittal Plane (find the difference)
    Patient Position: Standing
  57. 57TMJ ProtractionNorm: 5-7 mm
    Position: Seated
  58. 58TMJ Lateral DeviationPosition: Seated
    Norm: 9mm
  59. 59TMJ OpeningNorm: 40-50 mm
    Position: Seated

Informationen

Beschreibung
Stationary Arm- Placed on proximal segment (the arm with a circle). Moving Arm- Placed on distal segment. Axis- Placed in the middle of a joint (pin connecting stationary/movement arms). Use PROM with over pressure Use good mechanics Always look at goniometer straight on Watch patient's face for signs of pain Use consistent approach Use the correct sized goniometer Always use the same tester Avoid parallax ***Repeat measurements
Erstellt von
Jordan Waugh
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