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Tests and Measurements Goniometry, Circumference, Joint Laxity, Muscle Strength.

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Presentation on theme: "Tests and Measurements Goniometry, Circumference, Joint Laxity, Muscle Strength."— Presentation transcript:


2 Tests and Measurements Goniometry, Circumference, Joint Laxity, Muscle Strength

3 Goniometric Measurements Anatomical position Reading the caliper Degrees of motion = amount the limb can move throughout the whole ROM The athlete should be in a stable position

4 Worksheet Motion Motion Elbow flexion Wrist extension Hip extension Shoulder extension Ankle plantarflexion Hip flexion Knee flexion Neck lateral flexion

5 Circumference Area should be relaxed Proper anatomical placements Proper placement of tape measure Don’t pull too tight Used for fitting braces or checking muscle atrophy Measure the following: 6” below patella= Midpatella = 6” above patella= Mid biceps = 3” below medial epicondyle=

6 Joint Laxity Proper relaxed position Check bilateral Proper hand placements Feel for endpoints Joint laxity is measured by 1 st, 2 nd, and 3 rd degree Check the following laxities Valgus left/right= Varus left/right= Lachmann left/rt=

7 Strength guide Grade/%ValueStrength 5/100normalFull ROM against gravity with full resistance 4/75good Full ROM against gravity with some resistance 3/50Fair Full ROM against gravity with no resistance 2/25poorFull ROM without gravity 1/10traceslight contraction without motion 0/0zerono muscle contraction

8 Muscle Strength for Nerve involvement C5- deltoid/biceps T1-finger abduction/add L4 C6-biceps, wrist extensors L1-L5 C7-triceps, finger ext., wrist flexors L2S1 C8-finger flexors L3

9 Manual muscle testing worksheet Peroneal longus Tibialis anterior Latissimus dorsi Supraspinatus Triceps Flexor pollicis longus Extensor carpi radialis Rectus femoris Biceps femoris Pectoralis major Extensor Hallicis longus Rhomboid major Adductor magnus Tensor fascia latae Gluteus maximus DeltoidInfraspinatusVastus medialis Gastrocnemius Sartorius Rectus abdominis External oblique Brachial radialis Trapeziussternocleido mastoid

10 Ankle stress tests & special tests Anterior Drawer Anterior talo fibular ligament Talor tilt Calcaneal fibular ligament and deltoid ligament Compression test Fibula fracture Other evaluation tests Posterior tibial pulse Behind medial malleolus Dorsalis pedis pulse Between extensor hallicus longus and externsor digitorum longus Achilles reflex S1 Goniometric measurements Inversion/eversion Plantar/dorsi flexion Forefoot abd/adduction

11 Knee tests ACL Lachmann Anterior Drawer MCL Valgus 0 and 30 degrees LCL Varus 0 and 30 degrees Meniscus Applies Grind McMurray click MRI Swelling Ballotment Wipeout Patella Apprehension Chondromalacia Goniometric measurements Flexion/extension

12 Knee terms Valgus/varus Genu varum, genu valgum, genu recurvatum Popliteal fossa Intra articular Pes Anserine Bursa

13 Hip and Pelvis Terms Acetabularfemoral jt=hip joint Sacroiliac jt Pubic symphysis Greater Trochanter Special tests ROM- flexion extension, lateral bending, rotation

14 Hip and Pelvis Special tests continued Straight leg raise Wells straight leg raise Kernig test- stretches spinal cord Milgram test- intrathecal pressure- disc Valsalva maneuver Patrick/FABER (flexion abduction, external rotation) test- sacroiliac jt. FADIR- flexion, adduction, internal rotation

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