11 terms

Goniometry of shoulder and Elbow

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Shoulder Flexion
0-170
client: Seated or standing. palm facing medially
axis: center of humeral head, distal to acromion process
stationary bar: parallel to lateral midline of trunk
Moveable bar: parallel to longitudinal axis of humerus
Extension
0-60
client: Seated or standing. palm facing medially
axis: center of humeral head, distal to acromion process stationary bar: parallel to lateral midline of trunk
Moveable bar: parallel to longitudinal axis of humerus
Abduction
0-170
client: seated or standing with arm at side and palm facing forward
axis: posterior surface of shoulder on inferior and lateral to the coracoid process
stationary bar: parallel to the trunk (spine)
Moveable: parallel to humerus
Internal rotation
0-60
client: humerus abducted to 90 and elbow flexed to 90, forearm in pronation
axis: olecranon process
stationary: perpendicular to the ground
moveable: parallel to forearm/ ulna
External rotation
0-80
client: humerus abducted to 90 and elbow flexed to 90, forearm in pronation
axis: olecranon process
stationary: perpendicular to the ground
moveable: parallel to forearm/ ulna
Horizontal Adduction
0-30
client: seated or standing with humerus flexed to 90
axis: superior aspect of acromion process
stationary: parallel to humerus
moveable: parallel to humerus
Horizontal Abduction
0-100
client: seated or standing with humerus flexed to 90
axis: superior aspect of acromion process
stationary: parallel to humerus
moveable: parallel to humerus
Elbow Flexion
0-150
client: Standing or sitting with humerus adducted and externally rotated with forearm in supination
axis: Lateral epicondyle of humerus at end of the elbow crease
Stationary: parallel to midline (longitudinal axis) of humerus
moveable: parallel to longitudinal axis radius
Extension
0
axis: lateral epicondyle
stationary: parallel to the longitudinal axis of the humerus
moveable: parallel to the longitudinal axis of the humerus
Supination
80-90
position: standing or sitting with humerus adducted, elbow at 90 and forearm in neutral
axis: ulnar border of the volar aspect of wrist (just proximal to ulnar styloid)
stationary: perpendicular to the floor
moveable: rest squarely across the center of the distal forearm.
Pronation
80-90
position: standing or sitting with humerus adducted, elbow at 90 and forearm in neutral
axis: ulnar border of the dorsal aspect of wrist (just proximal to ulnar styloid)
stationary: perpendicular to the floor
moveable: resting against the dorsal aspect of the wrist (dorsum and distal forearm)
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