Gonio LQ

Question 1

Hip Flexion

Answer 1

SUPINE
Norm 0-120
SA- Midline of pelvis/ trunk
Fulcrum- Greater trochanter
MA- lateral femoral condyle
*If back not flat on table, flex other knee
*Keep feel on greater trochanter through ROM

Question 2

Hip abduction

Answer 2

SUPINE
Norm 0-45
SA- Contralateral ASIS
Fulcrum- Ipsilateral ASIS
MA- Midline of patella
*Do not allow hip external rotation!
*Can ask patient to point to ASIS
*Hip adduction is return from abduction

Question 3

Hip extension

Answer 3

PRONE
Norm 0-15
SA- midline of pelvis/ trunk
Fulcrum- Greater trochanter
MA- lateral femoral epicondyle
*Don't allow lumbar spine extension!
*NO pillow under belly

Question 4

Hip external rotation

Answer 4

SITTING [possible but better done in prone; unless person has a hip flexion contracture]
Norm 0-45
SA- Perpendicular to floor
Fulcrum- Midpoint of patella
MA- anterior midline of tibia, along tibial crest
*Females typically have more internal than external rotation

Question 5

Hip internal rotation

Answer 5

SITTING [possible but better done in prone]
Norm 0-45
SA- Perpendicular to floor
Fulcrum- Midpoint of patella
MA- anterior midline of tibia, along tibial crest
*Females typically have more internal than external rotation

Question 6

Hip external rotation

Answer 6

PRONE
Norm 0-45
Place roll under leg to take stress of patella
SA- perpendicular to floor
Fulcrum- Midpoint of patella
MA- Anterior midline of tibia, along tibial crest
*Females typically have more internal than external rotation

Question 7

Hip internal rotation

Answer 7

PRONE
Norm 0-45
Place roll under leg to take stress of patella
SA- perpendicular to floor
Fulcrum- Midpoint of patella
MA- Anterior midline of tibia, along tibial crest
*Females typically have more internal than external rotation

Question 8

Knee flexion

Answer 8

SUPINE
Norm 0-135
Place roll under ankle (to look for presence of hyperextension)
SA- greater trochanter
Fulcrum- lateral epicondyle of femur
MA- Lateral malleolus
*Knee extension is return from flexion
*Hyperextension should be measured if present
*Assess baseline ROM if patient cannot attain 0 degrees aka full extension

Question 9

Plantarflexion

Answer 9

SUPINE
Norm 0-50
Knee flexed - stack pillows under knee!
SA- fibular head, midline of fibula
Fulcrum- adjust so MA and SA are lined up
MA- midline of 5th metatarsal

Question 10

Dorsiflexion

Answer 10

PRONE
Norm 0-10 (15-20)
Knee extended (knee flexed, roll under knee, no gastroc)
SA- Fibular head, midline of fibula
Fulcrum- adjust to line up SA and MA
MA- Midline of 5th metatarsal

Question 11

Total foot inversion

Answer 11

LONG SITTING
Norm 0-35
SA- Anterior midline of tibia
Fulcrum- anterior aspect of talocrural joint midway between medial and lateral malleoli
MA- Midline of second metatarsal
*Small goni

Question 12

Total foot eversion

Answer 12

LONG SITTING
Norm 0-15
SA- Anterior midline of tibia
Fulcrum- anterior aspect of talocrural joint midway between medial and lateral malleoli
MA- Midline of second metatarsal
*Small goni

Question 13

First MTP Extension

Answer 13

LONG SITTING
Norm 0-90
SA- Midline 1st metatarsal
Fulcrum- medial aspect of 1st MTP joint
MA- Midline of proximal phalanx of great toe (hallux)
*Must have at least 50 degrees for walking

Question 14

First MTP Flexion

Answer 14

LONG SITTING
Norm 0-35
SA- Midline 1st metatarsal
Fulcrum- medial aspect of 1st MTP joint
MA- Midline of proximal phalanx of great toe (hallux)

Question 15

Lumbar spine flexion

Answer 15

STANDING
Patient goes into forward bend
Measure distance from floor to finger tips with tape measure

Question 16

Lumbar spine lateral flexion

Answer 16

STANDING
Patient goes into lateral flexion
Measure distance from floor to finger tips
*Do not allow compensation from pelvis