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Goniometry Techniques and Joint Analysis

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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Sajida Bibi Noonari
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124 views9 pages

Goniometry Techniques and Joint Analysis

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.

Uploaded by

Sajida Bibi Noonari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

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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.

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