Range of Movement Assessment

Question 1

What type of data does goniometry give?

Answer 1

numeric ratio data (when 0 is absolute)

Question 2

What three things must be done before completing goniometry?

Answer 2

• appropriately undress patient
• position patient to allow full ROM
• assess ROM by EYE

Question 3

when is an inclinometer used?

Answer 3

when goniometry is impossible

Question 4

GONIOMETER POSITION: Elbow Flexion

Answer 4

STATIONARY ARM: Parallel to shaft of humerus
AXIS: Lateral epicondyle of humerus
MOVING ARM: Radial styloid

Question 5

GONIOMETER POSITION: Elbow Extension

Answer 5

STATIONARY ARM: Parallel to shaft of humerus
AXIS: Lateral epicondyle of humerus
MOVING ARM: Radial styloid

Question 6

GONIOMETER POSITION: Wrist Flexion

Answer 6

STATIONARY ARM: Parallel to shaft of ulna
AXIS: ulna styloid
MOVING ARM: 5th metacarpal

Question 7

GONIOMETER POSITION: Wrist Extension

Answer 7

STATIONARY ARM: Parallel to shaft of ulna
AXIS: ulna styloid
MOVING ARM: 5th metacarpal

Question 8

GONIOMETER POSITION: Radial Deviation

Answer 8

STATIONARY ARM: Lateral epicondyle of humerus/shaft of forearm
AXIS: capitate bone
MOVING ARM: 3rd metacarpal

Question 9

GONIOMETER POSITION: Ulna Deviation

Answer 9

STATIONARY ARM: Lateral epicondyle of humerus/shaft of forearm
AXIS: capitate bone
MOVING ARM: 3rd metacarpal

Question 10

GONIOMETER POSITION: Hip Flexion

Answer 10

STATIONARY ARM: Mid-axillary line of trunk
AXIS: greater trochanter
MOVING ARM: lateral epicondyle of femur

Question 11

GONIOMETER POSITION: Hip Extension

Answer 11

STATIONARY ARM: Mid-axillary line of trunk
AXIS: greater trochanter
MOVING ARM: lateral epicondyle of femur

Question 12

GONIOMETER POSITION: Hip abduction

Answer 12

STATIONARY ARM: ASIS on opposite side
AXIS: ASIS on test side
MOVING ARM: centre of patella

Question 13

GONIOMETER POSITION: Hip adduction

Answer 13

STATIONARY ARM: ASIS on opposite side
AXIS: ASIS on test side
MOVING ARM: centre of patella

Question 14

GONIOMETER POSITION: Knee Flexion

Answer 14

STATIONARY ARM: Parallel to shaft of femur – towards greater trochanter
AXIS: lateral epicondyle of femur
MOVING ARM: axis of fibula – pointing to lateral malleolus

Question 15

GONIOMETER POSITION: Knee extension

Answer 15

STATIONARY ARM: Parallel to shaft of femur – towards greater trochanter
AXIS: lateral epicondyle of femur
MOVING ARM: axis of fibula – pointing to lateral malleolus

Question 16

GONIOMETER POSITION: Dorsiflexion

Answer 16

STATIONARY ARM: shaft of fibula – towards head of fibula
AXIS: 1.5cm below lateral malleolus
MOVING ARM: shaft of 5th metatarsal

Question 17

GONIOMETER POSITION: Plantarflexion

Answer 17

STATIONARY ARM: shaft of fibula – towards head of fibula
AXIS: 1.5cm below lateral malleolus
MOVING ARM: shaft of 5th metatarsal

Question 18

Patient positioning: ELBOW FLEXION

Answer 18

Seated with arm hanging freely by side

Question 19

Patient positioning: ELBOW EXTENSION

Answer 19

Seated with arm hanging freely by side

Question 20

Patient positioning: WRIST FLEXION

Answer 20

Patient sitting with wrist over edge of table - palm down

Question 21

Patient positioning: WRIST EXTENSION

Answer 21

Patient sitting with wrist over edge of table - palm down

Question 22

Patient positioning: RADIAL DEVIATION

Answer 22

Patient sitting with wrist over edge of table - palm down

Question 23

Patient positioning: ULNAR DEVIATION

Answer 23

Patient sitting with wrist over edge of table - palm down

Question 24

Patient positioning: HIP FLEXION

Answer 24

Supine

Question 25

Patient positioning: HIP EXTENSION

Answer 25

Prone lying with knee extended - feet over the edge of the plinth

Question 26

Patient positioning: HIP ABDUCTION

Answer 26

Supine - non-test side off edge supported on stool

Question 27

Patient positioning: HIP ADDUCTION

Answer 27

Supine - non-test side off edge supported on stool

Question 28

Patient positioning: KNEE FLEXION

Answer 28

Supine

Question 29

Patient positioning: KNEE EXTENSION

Answer 29

Supine

Question 30

Patient positioning: DORSIFLEXION

Answer 30

Half lying - pillow under knees to allow slight flexion. Measure from plantar-grade - 0 degrees.

Question 31

Patient positioning: PLANTARFLEXION

Answer 31

Half lying - pillow under knees to allow slight flexion. Measure from plantar-grade - 0 degrees.

Question 32

How to calculate shoulder flexion/extension?

Answer 32

Attempt by EYE first. attach inclinometer on deltoid line - set to 0. Stand side on to the patient. Ask the patient to complete the movement. At the end of range take the measurement. repeat twice.

Question 33

How to calculate shoulder abduction?

Answer 33

Attempt by EYE first. Attach inclinometer to front of biceps. Set to 0. Stand infront of patient. Ask the patient to complete the movement. Stop before flexion obscures the movement. Take the measurement at the end of range. Repeat twice.

Question 34

How to calculate neck flexion/extension?

Answer 34

Inclinometer laterally just above ears. From nuetral - look up towards the ceiling or bring chin down to chest.

Question 35

how to calculate lumbar flexion?

Answer 35

patient standing with feeding 15cm apart. Palpate PSIS - half way between the two - 10cm above and 5cm below - mark on patient. Patient to place hands on thighs and slide down as far as they can. Remeasure the distance between the marks.

Question 36

How to calculate lumbar extension?

Answer 36

Patient standing with feet 15cm apart. Slide hands on back of thighs down as far as can. Record ROM by EYE first. Measure from tip of 3rd finger to floor with tape measure - record ROM. Repeat 2 times.

Question 37

How to calculate lumbar lateral flexion?

Answer 37

Patient standing with feet 15cm apart. Slide hands on side of thigh down as far as can. Record ROM by EYE first. Measure from tip of 3rd finger to floor with tape measure - record ROM. Repeat 2 times.