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Goniometry

Goniometry (TU)

QuestionAnswer
What is goniometry used for? Presence of dysfunction related to muscles, tendons, or joints., Establishing a diagnosis, Developing treatment goals, Evaluating progress or the lack of it, Modify treatment based on the progress, Measurement of ROM
First step in goniometric sequence Place the patient in the recommended position
Second step in the goniometric sequence Palpate relevant bony landmarks
Third step in the goniometric sequence Stabilize the proximal joint segment
Fourth step in goniometric sequence Align the goniometer
Fifth step in the goniometric sequence While keeping the the goniometer on the patient. Move the distal segment through the available range.
6th step in goniometric sequence Determine the ROM value then return distal segment back to starting position.
Normative ROM values stay the same throughout a person's life? False - as a person ages, ROM values will likely decrease due to changes in joint integrity, muscle flexibility/elasticity.
A goniometer is used to measure what types of ROM? Active and Passive
When should ROM measurements not be performed? Joint dislocation, fracture, post-surgical patients when movement would disrupt the healing process, extreme osteoporosis or boney fragility.
What is the measurement error associated with using the goniometer? +/- 5 degrees
Define range of motion (ROM). The physiologic arc of motion occurring at a joint.
What is the difference between ROM and joint mobility? ROM is the physiologic arc of motion occurring at a joint. Joint mobility is the accessory motion of a joint (the two articular surfaces move on each other - concave/convex rule).
What are the 3 types of ROM? 1 - Active, 2- Active-assisted, 3 - Passive
What factors can affect ROM? Muscle length, muscle strength, joint structure/function
Why do you use a standardized procedure for ROM assessment? To improve the reliability of the measurement.
When may you not decide to use the standardized ROM assessment procedures? To account for patient comfort, fear, patient injury, therapist preference.
When assessing ROM of the upper extremity, you should start with which side? Uninvolved side first
What are the two instruments commonly used to measure ROM? Goniometer and Inclinometer
How reliable is the goniometric process? The reliability of the goniometric process depends on the consistency of the performance including instrument used, client position, stabilization and more.
Is using a goniometer a valid assessment? Yes, it is valid because the goniometer is a tool used to measure angles (measures what it is intended to do).
Created by: burnssa
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