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PHT 1261C Tests and Measurements

Dr. Kane
Definition anthropometry

What is it?

Why is it important?
Edema
Localized swelling
Joint effusion
Muscular changes
Asymmetry of body parts
Effects of surgical procedures
Aids clinician in determining pt.'s
impairments to provide the appropriate
treatment
Provides baseline data information to monitor
progress and outcomes
Provides feedback & motivation for patients
Aids in designing equipment and materials
for special populations
Provides info in design of objects and spaces
used by normal population
Tape Measure
Steel Tape
Volumeter
Anthropometer
Calipers
Perometry infrared laser
Bioimpedence
Measure in cm
Place the tape measure flat on the body
The tape measure should be stretched out
and not slack
If the segment to be measured is irregular or
conical in shape, the proximal part of the
tape should be flat
When measuring circumference, surround the
body part without undue constricting
pressure
Indications
Upper Extremity
Arm
Forearm
Lower Extremity
Thigh/Femur
Leg
Indications
Upper Extremity
Arm
Forearm
Lower Extremity
Thigh
Leg
Other areas
Hands, feet, waist, hips, head
Indications
True (anatomical) vs. Apparent (functional)
A difference of 1.0 to 1.5 cm is still considered
normal but may be symptomatic
Valid & Reliable
Sources of error muscle bulk, clothing, palpation
True Leg Length
ASIS
Medial Malleolus
Lateral Malleolus
Specific location of difference
ASIS to greater trochanter hip valgus/varus
Greater trochanter to lateral joint line femur
Medial joint line of knee to medial malleolus tibia
Interpreting results
Apparent Leg Length
Indications
Landmarks:
Umbilicus
Medial Malleolus
Interpretation
Common etiologies of true leg length
discrepancies:
Idiopathic developmental abnormality
Fracture
Trauma to epiphyseal plate
Legg-Calve Perthes Disease
Malignancies
Infections
Common etiologies of apparent leg length
discrepancies:

Soft tissue shortening


Joint contractures
Ligamentous laxity
Foot mechanics
LBP
Scoliosis
Indirect Method of Measuring Leg
Length

- done through palpation of bony


landmarks such as the ASIS or the
iliac crest
- use of blocks of given thickness

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