Goni

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Author:
ljblmt79
ID:
220064
Filename:
Goni
Updated:
2013-05-17 17:01:25
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Goni Information
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UE, LE, Spine Goni Information
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  1. GH Flexion
    Supine

    • Midaxillary line of thorax
    • Lateral aspect of GT
    • Lateral midline of humerus (lat epicondyle)

    • Firm
    • 106

    • Stablize Scapula
    • Pillow under knees
    • Elbow ext to avoid Triceps Pass Insuf
    • Forearm neutral (thumb up)
  2. Shoulder Complex Flexion
    Supine

    • Midaxillary line of thorax
    • Lateral aspect of GT
    • Lateral midline of humerus (lat epicondyle)

    • Firm
    • 180

    • Pillow under knees
    • Forearm neutral (thumb up)
    • Elbow ext to avoid Triceps Pass Insuf
  3. GH Extension
    Prone

    • Midaxillary Line of Thorax
    • Lateral aspect of GT
    • Lateral midline of humerus (lat epicondyle)

    • Firm
    • 20

    • Pt head away from side being tested (no pillow)
    • Forearm in neutral (thumb up)
    • Slight bend in elbow to avoid Biceps Pass Insuf
    • Stablize scapula to prevent tilting/elevation
  4. Shoulder Complex Extension
    Prone

    • Midaxillary Line of Thorax
    • Lateral aspect of GT
    • Lateral midline of humerus (lat epicondyle)

    • Firm
    • 60

    • Pt head away from side being tested (no pillow)
    • Forearm in neutral (thumb up)
    • Slight bend in elbow to avoid Biceps Pass Insuf
  5. GH Abduction
    Supine

    • Parallel to midline of sternum
    • Anterior aspect of acromion process
    • Anterior midline of humerus (med epicondyle)

    • Firm
    • 129

    • GH joint ER'd (anatomical position)
    • Elbow ext to avoid Triceps Pass Insuf
    • Stabilize lateral/axillary border of scap to prevent upward rotation
    • Pillow not required
  6. Shoulder Complex Abduction
    Supine

    • Parallel to midline of sternum
    • Anterior aspect of acromion process
    • Anterior midline of humerus (med epicondyle)

    • Firm
    • 180

    • GH joint ER'd (anatomical position)
    • Elbow ext to avoid Triceps Pass
    • Pillow not required
  7. GH Medial/Internal Rotation
    Supine

    • Perpendicular to floor
    • Olecranon process
    • Ulnar styloid process

    • Firm
    • 49

    • Pillow under knees to flatten lumbar spine
    • Humerus abd at 90 w/elbow flexed at 90
    • Towel roll under distal humerus so olecranon & acromion are level
    • Neutral forearm (palm facing feet at start)
    • Stabilize clavicle, corocoid & acromion to prevent protraction
  8. Shoulder Complex Medial/Internal Rotation
    Supine

    • Perpendicular to floor
    • Olecranon process
    • Ulnar styloid process

    • Firm
    • 70

    • Pillow under knees to flatten lumbar spine
    • Humerus abd at 90 w/elbow flexed at 90Towel roll under distal humerus so olecranon & acromion are level
    • Neutral forearm (palm facing feet at start)
  9. GH Lateral/External Rotation
    Supine

    • Perpendicular to floor
    • Olecranon process
    • Ulnar styloid process

    • Firm
    • 90 

    • Pillow under knees to flatten lumbar spine
    • Humerus abd at 90 w/elbow flexed at 90Towel roll under distal humerus so olecranon & acromion are level
    • Neutral forearm (palm facing feet at start)Stabilize spine of scapula to prevent retraction (stablization from table)
  10. Shoulder Complex Lateral/External Rotation
    Supine

    • Perpendicular to floor
    • Olecranon process
    • Ulnar styloid process

    • Firm
    • 90 

    • Pillow under knees to flatten lumbar spine
    • Humerus abd at 90 w/elbow flexed at 90Towel roll under distal humerus so olecranon & acromion are level
    • Neutral forearm (palm facing feet at start)
  11. Elbow Flexion
    Supine

    • Center of acromion
    • Lateral epicondyle of humerus
    • Radial Styloid Process

    • Soft
    • 150

    • Sh neutral w/pad under distal hum to allow hyperextension
    • forearm supinated w/palm facing celing at start
    • If Biceps atrophy, possible normal end feels may be soft or hard
    • Assess elbow extension during measurement (normal hard end feel 0)
  12. Radioulnar Pronation
    Sitting

    • Parallel to midline of humerus
    • Lateral and proximal to ulnar styloid process
    • Across dorsal forearm, proximal to styloid

    • Firm/Hard
    • 80

    • Elbow flexed 90 with forearm supported
    • Start w/forearm in neutral position (thumb toward ceiling)
    • Stabilize elbow to prevent GH compensation
    • Visualize humerus for proper goni alignment
    • DO NOT provide resistance across wrist joint
  13. Radioulnar Supination
    Sitting

    • Parallel to midline of humerus
    • Lateral and proximal to ulnar styloid process
    • Across dorsal forearm, proximal to styloid

    • Firm
    • 80

    • Elbow flexed 90 with forearm supported
    • Start w/forearm in neutral position (thumb toward ceiling)
    • Stabilize elbow to prevent GH compensation
    • Visualize humerus for proper goni alignment
    • DO NOT provide resistance across wrist joint
  14. Wrist Flexion
    Sitting

    • Lateral ulna / olecranon process
    • Lateral triquetrum
    • Lateral midline of 5th MC

    • Firm
    • 80

    • Sh abd 90 & elbow flexed 90
    • Palm facing floor (radioulnar joint neutral)
    • Forearm supported, but hand free & fingers relaxed

    Move from 2nd & 3rd MC
  15. Wrist Extension
    Sitting

    • Lateral ulna / olecranon process
    • Lateral triquetrum
    • Lateral midline of 5th MC

    • Firm/Hard
    • 70

    • Sh abd 90 & elbow flexed 90
    • Palm facing floor (radioulnar joint neutral)Forearm supported, but hand free & fingers relaxed

    Move from 2nd & 3rd MC
  16. Wrist Radial Deviation
    Sitting

    • Lateral epicondyle
    • Over capitate
    • Dorsal midline of 3rd MC

    • Hard/Firm
    • 20

    • Sh abd 90 & elbow flexed 90
    • Palm facing floor (radioulnar neutral)
    • Forearm and hand supported on table (flat)
  17. Wrist Ulnar Deviation
    Sitting

    • Lateral epicondyle
    • Over capitate
    • Dorsal midline of 3rd MC

    • Firm
    • 30

    • Sh abd 90 & elbow flexed 90
    • Palm facing floor (radioulnar neutral)Forearm and hand supported on table (flat)
  18. MCP Flexion
    Sitting

    • Dorsal midline of MC
    • Over dorsal aspect of MCP joint
    • Dorsal midline of proximal phalanx

    • Hard/Firm
    • 90

    • Forearm, wrist & hand supported & neutral
    • Stabilize MC
  19. MCP Extension
    Sitting

    • Dorsal midline of MC
    • Over dorsal aspect of MCP joint
    • Dorsal midline of proximal phalanx

    • Firm
    • 45

    • Forearm, wrist & hand supported & neutral
    • Stabilize MC
  20. MCP Abduction
    • Sitting
    • Dorsal midline of MC
    • Over dorsal aspect of MCP joint
    • Dorsal midline of proximal phalanx

    • Firm
    • Not available

    • Forearm, wrist & hand supported & pronated
    • Stabilize MC
  21. PIP Flexion
    Sitting

    • Dorsal midline of prox. phalanx
    • Dorsal aspect of PIP
    • Dorsal midline of mid. phalanx

    • Hard
    • Soft
    • Firm
    • 100

    • Forearm, wrist & hand supported & neutral
    • Stabilize prox phalanx
  22. PIP Extension
    Sitting

    • Dorsal midline of prox. phalanx
    • Dorsal aspect of PIP
    • Dorsal midline of mid. phalanx

    • Firm
    • 0

    • Forearm, wrist & hand supported & neutral
    • Stabilize prox phalanx
  23. DIP Flexion
    Sitting

    • Dorsal midline of middle phalanx
    • Dorsal aspect of DIP
    • Dorsal midline of distal phalanx

    • Firm
    • 90

    • Forearm, wrist & hand supported & neutral
    • Stabilize middle phalanx w/PIP in 70-90 flexion
  24. DIP Extension
    Sitting

    • Dorsal midline of middle phalanx
    • Dorsal aspect of DIP
    • Dorsal midline of distal phalanx

    • Firm
    • 0

    • Forearm, wrist & hand supported & neutral
    • Stabilize middle phalanx w/PIP in 70-90 flexion
  25. Hip Flexion
    Supine

    • Lateral midline of pelvis/trunk
    • GT of femur
    • Lateral epicondyle of femur

    • Soft
    • 120

    • Allow knee to flex as hip flexes to avoid HS passive insufficieny
    • Stabilize pelvis to avoid posterior rotation
    • Maintain hip in neutral rotation and abd
  26. Hip Extension
    Prone

    • Lateral midline of pelvis/trunk
    • GT of femur
    • Lateral epicondyle of femur

    • Firm
    • 20

    • Pillow may be placed under abd PRN, but not under head
    • Stabilize ipsilateral pelvis to prevent anterior rotation
    • Maintain knee in extension to avoid RF passive insuf

    Test is over if pelvic rotation or lumbar extension noted
  27. Hip Abduction
    Supine

    • Imaginary line between ASISs
    • ASIS of ipsilateral side
    • Anterior midline of femur / midline of patella

    • Firm
    • 40

    • Stabilize pelvis to prevent lateral tilting or lateral trunk flexion
    • Keep toes and patella pointed toward ceiling to avoid rotation
    • Starting goni position will not be 0 (starts at 90)
  28. Hip Adduction
    Supine

    • Imaginary line between ASISs
    • ASIS of ipsilateral side
    • Anterior midline of femur / midline of patella

    • Firm
    • 20

    • Abduct contralateral LE to allow for full adduction ROM of test side
    • Stabilize pelvis to prevent lateral tilting or lateral trunk flexion
    • Keep toes and patella pointed toward ceiling to avoid rotation
    • Starting goni position will not be 0 (starts at 90)
  29. Hip Medial/Internal Rotation
    Sitting

    • Perpendicular to floor
    • Centered over anterior patella
    • Anterior midline of LE / between malleoli

    • Firm
    • 45

    • Knees flexed to 90 througout test
    • Place towel roll under distal femur to maintain horizontal orientation
    • Stabilize distal femur to prevent hip & pelvic motions

    Focus on knee
  30. Hip Lateral/External Rotation
    Sitting

    • Perpendicular to floor
    • Centered over anterior patella
    • Anterior midline of LE / between malleoli

    • Firm
    • 45

    • Ipsilateral knees flexed to 90 througout test
    • Contralateral knee fully flexed to avoid test interference
    • Place towel roll under distal femur to maintain horizontal orientation
    • Stabilize distal femur to prevent hip & pelvic motions

    Focus on knee
  31. Knee Flexion
    Supine

    • GT
    • Lateral epicondyle of femur
    • Lateral malleolus of fibula

    • Soft
    • 150

    • In start position, place towel roll under ankle to allow full extension (test for hyperextension)
    • Test will concurrently flex pt's hip to ~90

    Knee extension normal firm end feel 0
  32. Talocrual Dorsiflexion
    Sitting

    • Head of fibula
    • Lateral aspect of lateral malleolus
    • Parallel to lateral aspect of 5th MT (superior)

    • Firm
    • 20

    • Keep knee flexed to avoid gastroc pass insuf
    • Avoid subtalar inversion/eversion & pressure on lateral foot
    • Stabilize distal tibia / fibula
    • Starting position is 90 on goni
    • May also be measured in WB
  33. Talocrual Plantarflexion
    Sitting

    • Head of fibula
    • Lateral aspect of lateral malleolus
    • Parallel to lateral aspect of 5th MT (superior)

    • Firm
    • 45

    • Keep knee flexed
    • Avoid subtalar inversion/eversion & pressure on lateral foot
    • Stabilize distal tibia / fibula
    • Starting position is 90 on goni
  34. Subtalar Inversion
    Prone

    • Posterior midline of LE
    • Posterior ankle midline b/t malleoli
    • Posterior midline of calcaneous

    • Firm
    • 5

    • Position pt prone with foot and ankle over edge of table
    • Stabilize tibia / fibula

    Bring ankle to neutral before measuring
  35. Subtalar Eversion
    Prone

    • Posterior midline of LE
    • Posterior ankle midline b/t malleoli
    • Posterior midline of calcaneous

    • Firm
    • 5

    • Position pt prone with foot and ankle over edge of table
    • Stabilize tibia / fibula

    Bring ankle to neutral before measuring
  36. Combined Cervical & Capital Flexion
    Sitting

    • Perpendicular to ground
    • External auditory meatus
    • Base of nose

    • Firm
    • 40

    • Stabilize shoulder girdle / chest strap
    • Have pt place hands on knees
    • You may also text ext with this technique (norm = 50)
  37. Combined Cervical & Capital Sidebending / Lateral Flexion
    Sitting

    • Spinous process of T-spine
    • Over spinous process of C7
    • Occipital protuberance

    • Firm
    • 22

    • Stabilize sh girdle & chest opp side bending
    • Keep both eyes forward to prevent rotation
  38. Combined Cervical & Capital Rotation
    Sitting

    • Parallel to acromial process line
    • Center of cranial aspect of head
    • Tip of nose (may hold tongue depressor in front teeth)

    • Firm
    • 50

    • Stabilize sh girdle / chest strap
    • Clinician may need to stand on stool to look down at landmarks
  39. Thoracolumbar Flexion
    Standing

    • Mark C7 & S2 vertebrae (PSIS)
    • Record distance on tape measure
    • Allow tape to unwind as pt flexes
    • Record distance on tape measure

    • Firm
    • 10 cm / 4 in

    • End of motion if pelvis begins to tilt anteriorly
    • Cue pt to squeeze his / her glutes to prevent ant pelvic tilt
    • You may also text ext with this technique
  40. Thoracolumbar Sidebending / Lateral Flexion
    Standing

    • Perperdicular to ground
    • Post aspect of S2 (PSIS)
    • Post aspect of C7

    • Firm
    • 35

    Stabilize the pelvis to prevent lateral tilting
  41. Thoracolumbar Sidebending 2
    Standing

    • Stand with back to wall
    • Mark thigh where tip of middle finger rests
    • Have pt sidebend while keeping back to wall
    • Mark distance & record different with tape measure

    22 cm
  42. Thoracolumbar Rotation
    Sitting

    • Parallel to iliac crest prominence
    • Center of cranial aspect of head
    • Parallel to acromial process line

    • Firm
    • 45

    • Sitting in backless chair preferred or sitting backwards in chair
    • Stabilize pelvis to prevent rotation
    • Clinician may need to stand on stool to look down at landmarks
  43. Thumb CMC Flexion
    Sitting

    • Anterior radius (styloid - head)
    • Palmar aspect of thumb CMC
    • Anterior midline of first MC

    • Soft/Firm
    • 15

    • Forearm, wrist & hand supported with forearm fully supinated
    • CMC of thumb in 0 of abd
    • Stabilize carpals, radius & ulna
    • Starting goni position will not be 0 (however it rests comfortable)

    Record starting position, do test and record the difference in measurements
  44. CMC Thumb Extension
    Sitting

    • Anterior radius (styloid - head)
    • Palmar aspect of thumb CMC
    • Anterior midline of first MC

    • Firm
    • 20-80

    • Forearm, wrist & hand supported with forearm fully supinated
    • CMC of thumb in 0 of abd
    • Stabilize carpals, radius & ulna
    • Starting goni position will not be 0 (however it rests comfortable)

    Record starting position, do test and record the difference in measurements
  45. Thumb CMC Abduction
    Sitting

    • Lateral midline of 2nd MC
    • Lateral radial styloid process
    • Lateral 1st MC / center of MCP

    • Firm
    • 70

    • Forearm, wrist & hand supported & position in neutral
    • Stabilize 2nd MC
    • Starting goni position will not be 0 (where it rest comfortable)

    Record starting position, do test and record the difference in measurements
  46. Thumb MCP Flexion
    Sitting

    • Dorsal midline of MC
    • Dorsal aspect of MCP
    • Dorsal midline of prox phalanx

    • Hard/Firm
    • 50

    • Forearm, wrist & hand supported with forearm fully supinated
    • Stabilize first MC
  47. Thumb MCP Extension
    Sitting

    • Dorsal midline of MC
    • Dorsal aspect of MCP
    • Dorsal midline of prox phalanx

    • Firm
    • 0

    • Forearm, wrist & hand supported with forearm fully supinated
    • Stabilize first MC

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