14128061
Description
Created by Jordan Waugh
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Created by Jordan Waugh
over 8 years ago
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| Question | Answer |
| Knee Flexion | AAOS 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 |
| Knee Extension | AAOS 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 |
| Elbow Flexion | AAOS 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 |
| Elbow Extension | AAOS 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 |
| Glenohumeral Flexion | AAOS 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 |
| Glenohumeral Extension | AAOS 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 |
| Glenohumeral Abduction | AAOS 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 |
| Glenohumeral Internal Rotation | AAOS 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 |
| Glenohumeral External Rotation | AAOS 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 |
| Forearm Pronation | AAOS 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 |
| Forearm Supination | AAOS 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 |
| Wrist Extension | AAOS 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. |
| Wrist Flexion | AAOS 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 |
| Wrist Ulnar Deviation | AAOS 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 |
| Wrist Radial Deviation | AAOS 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 |
| MCP Flexion | AAOS 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 |
| MCP Extension | AAOS 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 |
| PIP Flexion | AAOS 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 |
| DIP Flexion | AAOS 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 |
| Thumb Palmar Abduction | AAOS 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 |
| Thumb Radial Abduction | AAOS 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 |
| Hip Flexion | AAOS 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. |
| Hip Extension | AAOS 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. |
| Hip External Rotation | AAOS 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 |
| Hip Internal Rotation | AAOS 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 |
| Hip Abduction | AAOS 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 |
| Hip Adduction | AAOS 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 |
| Talocrural Dorsiflexion | AAOS 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 |
| Talocrural Plantarflexion | AAOS 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 |
| Subtalar Inversion | AAOS 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 |
| Subtalar Eversion | AAOS 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 |
| Midtarsal Inversion | AAOS 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 |
| Midtarsal Eversion | AAOS 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 |
| MTP Extension | AAOS 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 |
| MTP Flexion | AAOS 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 |
| Cervical Rotation - Goniometer | AAOS 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 |
| Cervical Rotation - Inclinometer | Norm: 60 Inclinometer Position: Middle of forehead Patient Position: Supine |
| Cervical Side Bending - Goniometer | AAOS Value: 45 Position: Seated; neutral spine Axis: C7 Spinous Process S Arm: Line of gravity upward M Arm: Inion Limiting: Scalenes |
| Cervical Side Bending - Inclinometer | AAOS Value: 45 Inclinometer Position: Crown of Head in Frontal Plane Patient Position: Seated; neutral spine |
| Cervical Flexion - Goniometer | AAOS 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 |
| Cervical Flexion - Inclinometer | Norm: 45 Inclinometer Position: Crown of Head in Sagittal Plane Patient Position: Seated; neutral spine |
| Cervical Extension - Goniometer | AAOS 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 |
| Cervical Extension - Inclinometer | Norm: 45 Inclinometer Position: Crown of Head in the Sagittal Plane Patient Position: Seated; neutral spine |
| Thoracolumbar Side Bending - Goniometer | AAOS 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 |
| Thoracolumbar Side Bending - Inclinometer | Norm: 35 Inclinometer Position: S1 and T1 Spinous Process in the Frontal Plane (find the difference) Patient Position: Standing |
| Thoracic Side Bending - Goniometer | AAOS 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 |
| Thoracic Side Bending - Inclinometer | Norm: None Inclinometer Position: L1 and T1 Spinous Process in Frontal Plane (find the difference) Patient Position: Standing |
| Lumbar Side Bending - Goniometer | AAOS 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 |
| Lumbar Side Bending - Inclinometer | Norm: None Inclinometer Position: S1 and L1 Spinous Process in the Frontal Plane (find the difference) Patient Position: Standing |
| Thoracolumbar Rotation | AAOS 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 |
| Thoracolumbar Flexion - Modified Schober | Norm: 7 cm Position: Standing Tape Measure Position: S1 to T1 Spinous Process |
| Thoracolumbar Flexion - Inclinometer | AAOS Value: 80 Inclinometer Position: S1 and T1 Spinous Process in Sagittal Plane (find the difference) Patient Position: Standing |
| Lumbar Flexion - Modified Schober | Norm: None Position: Standing Tape Measure Position: S1 to L1 Spinous Process |
| Lumbar Flexion - Inclinometer | AAOS Value: 30 Inclinometer Position: S1 and L1 Spinous Process in Sagittal Plane (find the difference) Patient Position: Standing |
| Thoracic Flexion - Modified Schober | Norm: None Position: Standing Tape Measure Position: L1 to T1 Spinous Process |
| Thoracic Flexion - Inclinometer | AAOS: 50 Inclinometer Position: L1 and T1 Spinous Process in the Sagittal Plane (find the difference) Patient Position: Standing |
| TMJ Protraction | Norm: 5-7 mm Position: Seated |
| TMJ Lateral Deviation | Position: Seated Norm: 9mm |
| TMJ Opening | Norm: 40-50 mm Position: Seated |
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