Tuesday, September 21, 2010

Goniometry


Goniometry definition: the measurement of range of motion in a joint.  It is used in diagnosis and rehabilitation of joint injuries.  Both active range of motion AROM and passive range of motion PROM can be measured.

A goniometer is a tool used for measuring the joint.
There are several different types of goniometers including shape and size; some are designed for easier use at the different joints of the body.




Parts of a goniometer:
  • protractor: the round aspect of the tool with the numbers used for measurement of degrees in joint.
  • fulcrum: axis of rotation in the center of the protractor.
  • stationary arm: is the arm that is a part of the protractor and is used for stabilization on proximal body part; it usually has a line drawn in the middle of it.
  • movement arm: is the arm that is free moving around the fulcrum and is place on the distal body part that moves during joint movement; the arm usually has measurements on it.
When measuring a joint:
  1. Position the joint being measured in the neutral position.
  2. Locate the axis of the joint; this is where the fulcrum with be aligned
  3. Find the distal and proximal bony landmarks; this is where the stationary and movement arms will be aligned respectively. 
  4. Measure the neutral position; that measurement will be equal to zero. Although some joints require a specific position to be recorded as neutral.
  5. Keeping the arms in the same spots you can record the measurements of flexion and extension; record these measurements and compare them to the neutral position measurement.
  6. You can continue this process bilaterally to compare the results of the injured to the uninjured structure.


1 comment:

  1. I actually have a goniometer in my backpack right now haha. I like that your taking everything that we learn in class, researching, and writing in depth about it. Its a nice little out of class review reading your blog. I haven't actually used a goniometer or seen any of the athletic trainers use it at my site, but if they do I am ready to jump in and measure some joints!

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