A guide to goniometry chapter 2

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Questions and Answers

What is the primary role of a universal goniometer in assessing joint range of motion?

To diagnose joint injuries

To measure the angle of joint movement (correct)

To provide therapeutic heat to the joint

To strengthen muscles around the joint

During goniometric testing, why is it important to stabilize the distal end of the humerus?

To avoid wrist pronation

To enhance muscle contraction

To align the forearm with the ground

To prevent shoulder flexion (correct)

Which of the following best describes the term 'end-feel' in goniometric measurement?

The temperature of the joint during measurement

The muscle tightness around the joint

The sound produced by the joint during movement

The sensation felt at the limit of joint motion (correct)

What must an individual do to assist in the goniometric testing procedure?

Communicate any discomfort during the motion Signup and view all the answers

Which anatomical landmarks are essential to palpate before performing elbow flexion measurement?

Lateral epicondyle and radial styloid process Signup and view all the answers

What is the purpose of removing clothing during the goniometric testing procedure?

To ensure visibility of the joint and landmarks Signup and view all the answers

Which position is recommended for a subject when measuring elbow flexion with a goniometer?

Supine position with arm at the side Signup and view all the answers

What is the initial step to take when beginning a goniometric assessment with an individual?

Explain the purpose of the testing and demonstrate Signup and view all the answers

What is the primary purpose of a goniometer in a clinical setting?

To assess joint motion and muscle length Signup and view all the answers

Which component of the goniometer is aligned with the proximal segment of the joint during measurement?

Proximal arm Signup and view all the answers

Which scale feature should be checked to distinguish between moving and stationary arms of a goniometer?

Whether it has a pointer or cut-out portion Signup and view all the answers

During the measurement of elbow flexion, which alignment is correct for the proximal arm and distal arm?

Proximal arm with the humerus, distal arm with the forearm Signup and view all the answers

Which type of goniometer is typically more expensive and less cost-effective for measuring joint motion?

Specific design goniometer Signup and view all the answers

What key action must be performed to read the scale on a goniometer after aligning it?

Watch the moving arm shift while keeping the stationary arm fixed Signup and view all the answers

What is the significance of identifying the scale intervals on a goniometer?

To accurately measure the degree of motion Signup and view all the answers

Which of the following statements about full-circle and half-circle goniometers is true?

They differ in shape but serve the same measurement purpose. Signup and view all the answers

What is the first step an examiner should take before beginning joint range of motion testing?

Determine contraindications or precautions Signup and view all the answers

Which of the following sequences is correct for measuring elbow flexion range of motion using a goniometer?

Start at an angle of 0° and measure up to the maximum flexion Signup and view all the answers

During a goniometric assessment, why is it important to demonstrate anatomical landmarks?

To ensure accurate placement of the goniometer Signup and view all the answers

What should an examiner do to prepare the individual for a goniometric testing procedure?

Confirm the individual's understanding and willingness Signup and view all the answers

Which of these options correctly states a reason why positioning is important in ROM testing?

It ensures a clear view of the anatomical landmarks. Signup and view all the answers

What equipment is essential for conducting a goniometric assessment?

Goniometers or inclinometers, towel rolls, and recording forms Signup and view all the answers

In the context of ROM testing, what does the term 'Start (0)' indicate in the recording method?

The neutral position of the joint being measured Signup and view all the answers

What is an essential aspect of the examiner's role during a goniometric testing procedure?

Clearly explain and demonstrate the procedure to the individual Signup and view all the answers

Study Notes

Goniometric Testing Procedure

Introductions and explanations are crucial for the subject to understand the testing procedure.
Demonstrations are vital for better comprehension and confidence in the procedure.
Goniometer functions: Demonstrate how to locate bony landmarks. Palpate and mark landmarks using a skin pencil. Clothing removal may be required.
Goniometer measurements: Explain the significance of positioning and its impact on measurements.
Subject's role: Clearly communicate the subject's role in the procedure, including active participation and conveying discomfort during the motion.
Examiner's role: Explain and demonstrate how to stabilize the joint, align the goniometer, and read measurements.
Confirm understanding and agreement from the subject before proceeding with the examination.

Testing Elbow Flexion ROM

The subject is positioned supine with the arm to be tested close to the body, allowing full elbow extension.
Stabilize the distal end of the humerus to prevent shoulder flexion.
Move the forearm to the zero starting position, noting any extension beyond zero.
Move to the end of the passive range of flexion, evaluating the end-feel.
Return the forearm to the starting position and palpate bony landmarks (acromion process, lateral epicondyle of the humerus, radial head, and radial styloid process).
Mark the landmarks with a skin pencil, aligning the goniometer arms with the humerus and forearm.

Goniometer Use: General Information

It is important to determine which joints and motions require testing and organize the testing sequence according to body position.
The examiner should gather necessary equipment, such as goniometers, inclinometers, towel rolls, and recording forms.
The examiner must explain the procedure to the subject using clear language and avoid medical jargon.
Common goniometers range in price from 20.00to20.00 to 20.00to100.00.
Universal goniometers are cost-effective and versatile for measuring joint motion and muscle length.

Universal Goniometer: Structure and Use

Identify the type of goniometer (full-circle or half-circle) based on the shape of the body.
Distinguish between the stationary and moving arms, noting any cut-out portions or pointers.
Locate the 0-degree position on the scale when the goniometer arms are aligned.
Practice shifting the moving arm while reading the scale accurately.
Compare visual estimates of movement angles with the actual measurements from the goniometer.

Goniometer Terminology

The term "proximal arm" refers to the arm aligned with the proximal segment of the joint being examined.
The term "distal arm" refers to the arm aligned with the distal segment of the joint being examined.
During elbow flexion measurement, the proximal arm is aligned with the humerus, and the distal arm is aligned with the forearm.

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Description

Test your knowledge on goniometric testing procedures, focusing on elbow flexion range of motion (ROM). This quiz covers key concepts such as the roles of the examiner and subject, measurement significance, and demonstration techniques. Ensure you understand the essential steps for accurately conducting these tests.