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Tests and Measurements

Tests and Measurements. Goniometry, Circumference, Joint Laxity, Muscle Strength . Goniometric Measurements. Anatomical position Reading the caliper Degrees of motion = amount the limb can move throughout the whole ROM The athlete should be in a stable position.

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Tests and Measurements

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  1. Tests and Measurements Goniometry, Circumference, Joint Laxity, Muscle Strength

  2. Goniometric Measurements • Anatomical position • Reading the caliper • Degrees of motion = amount the limb can move throughout the whole ROM • The athlete should be in a stable position

  3. WorksheetMotion Motion

  4. Area should be relaxed Proper anatomical placements Proper placement of tape measure Don’t pull too tight Used for fitting braces or checking muscle atrophy Measure the following: 6” below patella= Midpatella = 6” above patella= Mid biceps = 3” below medial epicondyle= Circumference

  5. Proper relaxed position Check bilateral Proper hand placements Feel for endpoints Joint laxity is measured by 1st, 2nd, and 3rd degree Check the following laxities Valgus left/right= Varus left/right= Lachmann left/rt= Joint Laxity

  6. Strength guide • Grade/% Value Strength • 5/100 normal Full ROM against gravity with full resistance • 4/75 good Full ROM against gravity with some resistance • 3/50 Fair Full ROM against gravity with no resistance • 2/25 poor Full ROM without gravity • 1/10 trace slight contraction without motion • 0/0 zero no muscle contraction

  7. Muscle Strength for Nerve involvement

  8. Manual muscle testing worksheet

  9. Anterior Drawer Anterior talo fibular ligament Talor tilt Calcaneal fibular ligament and deltoid ligament Compression test Fibula fracture Other evaluation tests Posterior tibial pulse Behind medial malleolus Dorsalis pedis pulse Between extensor hallicus longus and externsor digitorum longus Achilles reflex S1 Goniometric measurements Inversion/eversion Plantar/dorsi flexion Forefoot abd/adduction Ankle stress tests & special tests

  10. ACL Lachmann Anterior Drawer MCL Valgus 0 and 30 degrees LCL Varus 0 and 30 degrees Meniscus Applies Grind McMurray click MRI Swelling Ballotment Wipeout Patella Apprehension Chondromalacia Goniometric measurements Flexion/extension Knee tests

  11. Knee terms • Valgus/varus • Genu varum, genu valgum, genu recurvatum • Popliteal fossa • Intra articular • Pes Anserine Bursa

  12. Hip and Pelvis • Terms • Acetabularfemoral jt=hip joint • Sacroiliac jt • Pubic symphysis • Greater Trochanter • Special tests • ROM- flexion extension, lateral bending, rotation

  13. Hip and Pelvis • Special tests continued • Straight leg raise • Wells straight leg raise • Kernig test- stretches spinal cord • Milgram test- intrathecal pressure- disc • Valsalva maneuver • Patrick/FABER (flexion abduction, external rotation) test- sacroiliac jt. • FADIR- flexion, adduction, internal rotation

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