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goniometry
joint action | normal range | position | axis | stationary arm | moving arm |
---|---|---|---|---|---|
shoulder flexion | 0-180 | supine or seated | greater tubercle/acromion process/axilla | thorax | lat epicondyle of humerus or olecranon process |
shoulder extension | 0-60 | prone | greater tubercle/acromion process/axilla | thorax | olecranon process |
Shoulder abduction | 0-180 | supine or seated | greater tubercle/armpit | thorax | olecranon process |
shoulder horizontal abduction | 0-30 | seated 90/90 | anterior to acromion | humerus | lateral epicondyle of humerus |
shoulder horizontal adduction | 0-120 | seated 90/90 | anterior to acromion | humerus | lateral epicondyle of humerus |
shoulder internal rotation | 0-70 | supine 90/90, towel supporting humerus alignment | olecranon process | perp to floor | ulnar styloid process |
shoulder external rotation | 0-90 | supine 90/90, towel supporting humerus alignment | olecranon process | perp to floor | ulnar styloid process |
elbow flexion | 0-150 | supine, towel supporting humerus to allow hyperextension | lateral epicondyle of humerus | humerus | styloid process of radius |
elbow extension | 0 | supine, towel supporting humerus to allow hyperextension | lateral epicondyle of humerus | humerus | styloid process of radius |
forearm supination | 0-80 | holding a pen in fist, arm supported by towel | 3rd phalanx | perp to floor | pen OR line between radial and ulnar styloid processes |
forearm pronation | 0-80 | holding a pen in fist, arm supported by towel | 3rd phalanx | perp to floor | pen OR line between radial and ulnar styloid processes |
wrist flexion | 0-80 | seated, forearm on table and towel, wrist off table | ulnar styloid process | parallel to ulna | 5th metacarpal |
wrist extension | 0-70 | seated, forearm on table and towel, wrist off table | ulnar styloid process | parallel to ulna | 5th metacarpal |
radial deviation | 0-20 | seated, forearm on table and towel, wrist off table | capitate (center of wrist) | parallel to ulna | 3rd metacarpal |
ulnar deviation | 0-30 | seated, forearm on table and towel, wrist off table | capitate (center of wrist) | parallel to ulna | 3rd metacarpal |
hip flexion | 0-120 | supine, allow passive knee flexion | greater trochanter | midline of pelvis | lateral epicondyle or midline of femur |
hip extension | 0-30 | prone; sidelying if prone not possible | greater trochanter | midline of pelvis | lateral epicondyle or midline of femur |
hip abduction | 0-45 | supine | ASIS | line between ASIS and ASIS | anterior midline of femur/patella |
hip adduction | 0-30 | suoine, contralateral LE adducted | ASIS | line between ASIS and ASIS | anterior midline of femur/patella |
hip internal rotation | 0-45 | short sitting, towel under femur for alignment; alternatively prone | anterior aspect of patella | perp to floor | midline of lower leg |
hip external rotation | 0-45 | short sitting, towel under femur for alignment; alternatively prone | anterior aspect of patella | perp to floor | midline of lower leg |
knee flexion | 0-135 | supine | lateral epicondyle of femur | midline of femur | midline of fibula/lateral malleolus |
knee extension | 0 | supine with towel under ankle to allow hyperextension | lateral epicondyle of femur | midline of femur | midline of fibula/lateral malleolus |
dorsiflexion | 0-20 | long-sitting, ankle off table | lateral malleolus | midline of fibula | parallel to 5th metatarsal |
plantar flexion | 0-50 | long-sitting, ankle off table | lateral malleolus | midline of fibula | parallel to 5th metatarsal |
inversion | 0-35 | long-sitting, ankle off table | anterior ankle midway between malleoli | midline of lower leg | midline of 2nd metatarsal |
eversion | 0-15 | long-sitting, ankle off table | anterior ankle midway between malleoli | midline of lower leg | midline of 2nd metatarsal |
cervical flexion | 0-45 | seated | external auditory meatus | perp to floor | base of nose |
cervical extension | 0-45 | seated | external auditory meatus | perp to floor | base of nose |
cervical rotation | 0-60 | seated; prone for inclinometer | center of head | parallel to floor, anterior/posterior for therapist | nose |
cervical lateral bending | 0-45 | standing | C7 | thoracic vertebrae | center of occipital bone |