04-07: Principles of Goniometry Flashcards
1
Q
Goniometry - Definition
A
Measurement of ROM (AROM, AAROM, PROM)
2
Q
Purpose of Goniometry (4)
A
- Develop baseline for pt function
- Identify hypermobility or hypomobility
- Plan treatment program (POC) related to function
- Show progress during treatment
- Indicate whether treatment needs to be modified
3
Q
Baseline for pt function
A
- Identify pt’s existing ROM available for comparison to norm
- Identify norms for that pt vs. standard norms for joint
- Identify pt impairment via Objective measure
4
Q
Reliability
A
- Get the same result every time
- Interrater (between individuals)
- Intrarater
5
Q
Validity
A
Measures what it is supposed to measure
6
Q
Parts of goniometer (4)
A
- Axis
- Stationary Arm
- Moving Arm
- Scale of degrees
7
Q
Documenting ROM
A
- Based on 0-180˚
- Has starting point and ending point
- True measurements by comparing both sides
8
Q
Documentation of “Hyper-“
A
- Do not use negative numbers
- If moves through zero document “ 5˚-0˚-100˚
9
Q
Documenting Lack of ROM
A
“Lacking 20 degrees of knee extension”
10
Q
Starting point of goniometry
A
- Anatomical position - minimizes soft tissue restrictions
- Generally 0˚
- Exception: Shoulder IR/ER, Hip IR/ER, Forearm pronation/supination
11
Q
General principles
A
- Pt position - comfortable, eliminate guarding
- Clear any restrictive clothing
- Follow standardized procedures for joint to be measured
- Estimate ROM before measuring
12
Q
Goniometric Alignment
A
- Axis aligned with axis of joint motion
- Moving arm align with moving body part
- Stationary arm align with stable body part
13
Q
Sagittal Movement
A
Goniometer positioned laterally
14
Q
Frontal Movement
A
Goniometer positioned anteriorly or posteriorly
15
Q
Axis
A
- Intersection of 2 arms
- May shift with motion, so shift goni accordingly
