Goniometry- AROM

Hip
Flexion-soft 120* Supine Fulcrum-greater troch Stationary-midline trunk Moveable-lateral epi Extension-firm 20* Prone Fulcrum-greater troch Stationary-midline trunk Moveable-lateral epi Medial/Lateral Rotation-firm 45* Sitting- towel under distal thigh No lifting of pelvis Fulcrum-patella Stationary-btw med/lat maleollus Moveable-btw med/lat maleollus Adduction-firm 20* Supine-angle stationary extremity Foot neutral toe up Fulcrum-ASIS Stationary-ASIS Moveable-Patella Abduction-firm 40* Supine Foot neutral toe up Fulcrum-ASIS Stationary-ASIS Moveable-patella Thomas Test Hip flexors flexibility test Prone/legs off table Ishial Tuberosity on end of table Flex both legs at knees Have patient hold one leg flexed Straighten opposite leg Pelvis stays flat Hip flexion should be 0* Plus ? Hamstring Flexibility Test

PROM
Supine One leg flexed then straightens Measure at hip or knee Over Test-less than 90* Usually done with 2 PTAs Sidelying Extend proximal leg to at least 0* hip extension and then let it relax Measure hip flexion Knee Flexion- soft 130-142 Supine-other positions must be documented Fulcrum-lateral epicondyle Stationary-lat femor greater troch Moveable-tibia lateral maleoli Extension-firm 0* Prone-other positions must be documented Towel under knee Fulcrum-lateral epicondyle Stationary-lat femor greater troch Moveable-tibia lateral maleoli Ely Test If knee flexion is poor Testing for short rectus femoris Prone position foot off the table Hips in neutral-0* flexion Flex knee at least 90* the rectus femoris is normal. Foot/Ankle Dorsi flexion-firm 20* Seated Fulcrum-lat maleoli Stationary-mid fibula(head) Moveable-parallel to 5th metatarsal Plantar flexion-firm 40-50*
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Goniometry- AROM
Seated Fulcrum-lat maleoli Stationary-mid fibula(head) Moveable-parallel to 5th metatarsal Inversion-firm 35* Seated Neutral foot Fulcrum-mid maleoli Stationary-tibial tuberosity Moveable-2nd metatarsal Eversion-firm 35* Seated Neutral foot Fulcrum-mid maleoli Stationary-tibial tuberosity Moveable-2nd metatarsal Sub tarsal inversion-firm 5* PROM is more accurate Fulcrum-mid btw medial and lateral maleolus Stationary- mid line leg Moveable-mid calcaneous Sub tarsal eversion-firm 5* PROM is more accurate Fulcrum-mid btw medial and lateral maleolus Stationary- mid line leg Moveable-mid calcaneous

PROM