The document discusses different types of goniometers used to measure range of motion and recommends testing positions to place joints in a starting position of 0 degrees and allow for complete range of motion. It provides instructions for properly using a universal goniometer to measure range of motion at various joints, including positioning the fulcrum over the joint axis and moving the distal segment to measure range. Factors that can affect range of motion measurements and osteokinematics of the shoulder joint are also outlined.
The document discusses different types of goniometers used to measure range of motion and recommends testing positions to place joints in a starting position of 0 degrees and allow for complete range of motion. It provides instructions for properly using a universal goniometer to measure range of motion at various joints, including positioning the fulcrum over the joint axis and moving the distal segment to measure range. Factors that can affect range of motion measurements and osteokinematics of the shoulder joint are also outlined.
The document discusses different types of goniometers used to measure range of motion and recommends testing positions to place joints in a starting position of 0 degrees and allow for complete range of motion. It provides instructions for properly using a universal goniometer to measure range of motion at various joints, including positioning the fulcrum over the joint axis and moving the distal segment to measure range. Factors that can affect range of motion measurements and osteokinematics of the shoulder joint are also outlined.
The document discusses different types of goniometers used to measure range of motion and recommends testing positions to place joints in a starting position of 0 degrees and allow for complete range of motion. It provides instructions for properly using a universal goniometer to measure range of motion at various joints, including positioning the fulcrum over the joint axis and moving the distal segment to measure range. Factors that can affect range of motion measurements and osteokinematics of the shoulder joint are also outlined.
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CYNTHIA C.NORKIN D.JOYCE WHITE
1. Universal goniometer (most common) 2. Gravity dependent goniometer of fluid goniometer 3. Pendulum goniometer 4. Electrogoniometer Fulcrum Stable arm Movable arm - Testing positions refer to the positions of the body that we recommend for obtaining goniometric measurements. - The testing positions are designed to do the following - A. place the joint in a starting position of 0 degrees - B. permit a complete ROM - Testing positions involve position like supine, prone, sitting and standing. Total procedure should b explain to the patient. Therapist has to stand near to the patient and facing the joint, which has to be measured. Fulcrum or axis of the goniometer is placed over the axis of the joint to be measured. Movable arm is fixed with the distal segment of the joint. Stable arm is fixed the proximal segment of the joint. Therapist has to move the distal segment of the joint with the movable arm of the goniometer to measure the joint ROM. Soft tissue tightness Adhesion formation Injuries or inflammation around the joint Muscle bulk Gender Age Nervous system Synovial ball and socket joint Ball is the convex head of the humerus Socket is the concave glenoid fossa of the scapula Osteokinematics 3 degree of freedom Humeral, scapular, and clavicular motion at the Glenohumeral, sternoclavicular acromoioclavicular and scapulothoracic joints Flexion-extension and abduction-adduction occurs as a rolling and sliding of the head of the humerus on glenoid fossa. Direction of sliding is opposite to the movements of the shaft. Slides posteriorly and inferiorly in flexion, anteriorly and superiorly in extension, inferiorly in abduction and superiorly in adduction. In lateral rotation, head slides anteriorly and in medial rotation, head slides posteriorly on the glenoid fossa. Lateral rotation, followed by abduction, with less limitation in medial rotation. End feel is firm in shoulder joint.