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    4.goniometry Lower Limb

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    4.goniometry Lower Limb

    Uploaded by

    pz2xbbbysc
    38 views9 pages

    Original Title

    4.Goniometry Lower Limb

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    Copyright:

    © All Rights Reserved
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    38 views9 pages

    4.goniometry Lower Limb

    Uploaded by

    pz2xbbbysc

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 9

    Goniometry

    Lower limb ROM


    Dr. Peteti Sairam
    MPT(Neuro)
    Asst.Professor

    PROCEDURE
     Position the patient in a relaxed manner and the joint to be measured
    should be free from obstructions like pillows, couch.
     Patient has to wear loose clothes, to allow smoot movement of the
    measuring joint.
     Measuring joint has to be in neural position or it has to be at 0⁰ position.
     Total procedure has to explain to the patient.
     Therapist has to stand near to the patient and facing the joint, which has to
    be measured.
     Axis or the fulcrum of the goniometer is placed over the axis of the joint
    to be measured.
     Stable arm is fixed to the proximal segment of the joint.
     Movable arm is fixed with the distal 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 range.
    SELECTION OF THE GONIOMETER
     An important factor for measuring ROM.
     Size of the joint

    -Bigger the joint = Size of goniometer is big, movable arm and stable arm
    bigger in length.
    -Smaller the joint = Size of goniometer is small, movable arm and stable arm
    smaller in length.
     An inclinometer also can be used for the measuring the joint ROM, specifically
    used for measuring pelvic movements

    MOVEMENTS OF LOWER LIMB

    HIP KNEE ANKLE


    1. FLEXION 1. FLEXION 1. DORSIFLEXION
    2. EXTENSION 2. EXTENSION 2. PLANTAR FLEXION
    3. ABDUCTION
    4. ADDUCTION SUBTALAR JOINT
    5. MEDIAL ROTATION 1. INVERSION
    6. LATEAL ROTATION 2. EVERSION
    HIP MOVEMENTS
    FLEXION
     Position of patient: Supine lying

     Axis: Greater trochanter of femur

     Movable arm: Mid line of lateral aspect of thigh

     Stable arm: Mid line of lateral aspect of lower trunk

     Normal ROM: 0 to 120 ⁰

    HIP MOVEMENTS
    EXTENSION
     Position of patient: Prone lying

     Axis: Greater trochanter of femur

     Movable arm: Mid line of lateral aspect of thigh

     Stable arm: Mid line of lateral aspect of lower


    trunk
     Normal ROM: 0 to 30 ⁰
    HIP MOVEMENTS

    ABDUCTION
     Position of patient: Supine lying

     Axis: 2 inch below the ASIS

     Movable arm: Mid line of anterior aspect of thigh

     Stable arm: Placed 90 ⁰ to the movable arm

     Normal ROM: 0 to 45 ⁰

    HIP MOVEMENTS
    ADDUCTION
     Position of patient: Supine lying

     Axis: 2 inch below the ASIS

     Movable arm: Mid line of anterior aspect of


    thigh
     Stable arm: Placed 90 ⁰ to the movable arm

     Normal ROM: 0 to 30 ⁰
    HIP MOVEMENTS
    MEDIAL ROTATION
     Position of patient: High sitting at the end of couch with
    legs kept hanging
     Axis: Mid point of patella

     Movable arm: midline of anterior aspect of leg

     Stable arm: straight line to the movable arm

     Normal ROM: 0 to 45 ⁰

    HIP MOVEMENTS
    LATERAL ROTATION
     Position of patient: High sitting at the end of couch
    with legs kept hanging
     Axis: Mid point of patella

     Movable arm: midline of anterior aspect of leg

     Stable arm: straight line to the movable arm

     Normal ROM: 0 to 45 ⁰
    KNEE MOVEMENTS

    FLEXION
     Position of patient: Prone lying

     Axis: Lateral epicondyle of femur

     Movable arm: Lateral aspect of midline of leg

     Stable arm: Lateral aspect of midline of thigh

     Normal ROM: 0 to 135 ⁰

    KNEE MOVEMENTS
    EXTENSION
     Position of patient: Prone lying

     Axis: Lateral epicondyle of femur

     Movable arm: Lateral aspect of midline of leg

     Stable arm: Lateral aspect of midline of thigh

     Normal ROM: 0 ⁰
    ANKLE MOVEMENTS

    PLANTAR FLEXION
     Position of patient: High sitting at the end of couch
    with legs kept hanging
     Axis: Tip of medial malleolus

     Movable arm: Lateral aspect of foot

     Stable arm: Mid line of lateral aspect of leg

     Normal ROM: 0 to 50 ⁰

    ANKLE MOVEMENTS

    DORSI FLEXION
     Position of patient: High sitting at the end of couch
    with legs kept hanging
     Axis: Tip of medial malleolus

     Movable arm: Lateral aspect of foot

     Stable arm: Mid line of lateral aspect of leg

     Normal ROM: 0 to 20 ⁰
    OTHER METHODS FOR PLANTAR AND DORSI FLEXION

    PRONE LYING WITH KNEE 90 ⁰ SUPINE LYING


    FLEXION

    SUB TALAR JOINT MOVEMENTS


    INVERSION
     Position of patient: High sitting, with legs kept
    hanging.
     Axis: Between two malleoli

     Movable arm: Over the mid line of foot

     Stable arm: Placed at the mid line of leg

     Normal ROM: 0 to 35 ⁰
    SUB TALAR JOINT MOVEMENTS
    EVERSION
     Position of patient: Prone lying, with foot kept
    hanging.
     Axis: Between two malleoli

     Movable arm: Over the mid line of calcaneum

     Stable arm: Aligned to the mid line of leg

     Normal ROM: 0 to 15 ⁰

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