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Shoulder Complex Flexion
Norm: 165-180
Set UP: Supine, Thumb Up
Center: Greater Tubercle of Humerus
Stationary arm: in line with the Thorax
Moveable arm: Medial Humerus
Shoulder Complex Extension
Norm: 50-60
Set up: Prone, thumb pointed to the ground
Center: Greater Tubercle
Stationary arm: in line with the thorax
Moveable arm: medial humerus
Shoulder Complex Abduction
Norm: 170-180
Set up: Supine
Center: on Acromion
Stationary Arm: Parallel to sternum
Movable Arm: Humerus
Shoulder Complex Medial Rotation
Norm: 70-90
Setup: Supine, Shoulder Abducted, Forearm perpendicular to the ground, Palm will move towards the floor, start with the goniometer apart
Center: Olecranon
Stationary arm: Perpendicular to the floor
Movable arm: In line with the ulna
Shoulder Complex lateral Rotation
Norm: 90-100
Setup: Supine, Elbow off of table, shoulder out perpendicular to body, forearm in air, Hand moves back next to head
Center: Olecranon(Elbow)
Stationary arm: perpendicular to the ground
Movable arm: on Ulna
Shoulder Horizontal Adduction
Norm: 110-120
Setup: Seated, shoulder abducted, elbow parallel to ground, Palm facing the floor
Center: in line with Acromion
Stationary: In line with the other acromion but sticking off of shoulder
Moveable: on Humerus
Shoulder Horizontal Abduction
Norm: 40-45
Set-up: seated, shoulder abducted, forearm parallel to ground, palm down
Center: Acromion
Stationary arm: other Acromion but sticks off of body
Movable arm: Humerus
Elbow Flexion
Norm: 140-150
SetUp: Supine, towel proximal to elbow, Move back of palm towards head
Center: Lateral Epicondyle
Stationary: Humerus
Movable: Radius
Forearm Pronation
Norm: 75-85
Setup: Small Goniometer, thumb up, seated, goniometer on outside of hand
Center: Ulnar styloid process
Stationary: Perpendicular to the floor
Movable: flat against the wrist
Forearm Supination
Norm: 80-90
Setup: Seated, small goniometer, goniometer on outside of hand
Center: Ulnar Styloid Process
Stationary: perpendicular to the floor
Movable: wrist
Wrist Flexion
Norm: 60-80
Setup: seated, prone, hand off of table,
Center: Triquetrum
Stationary: Lateral Ulna
Movable: 5th metacarpal
Wrist Extension
Norm: 60-75
Setup: seated, prone, hand off the table
Center: triquetrum
Stationary arm: Lateral Ulna
Movable: 5th metacarpal
Wrist Radial Deviation
Norm: 20-25
Setup: Seated, hand on table, Prone
Center: Capitate(Middle of wrist joint)
Stationary: Middle of the forearm
Movable: 3rd Metacarpal
Wrist Ulnar Deviation
Norm: 30-40
Setup: Arm on table Prone, seated
Center: Capitate
Stationary: Forearm
Movable: 3rd Metacarpal
Metacarpophalangeal Flexion
Norm: 90-100º
Knuckle, arm resting on table, Neutral Position, goniometer with 1 moving arm and 1/3 of a circle
Center: MCP Joint
Stationary (Proximal) arm: metacarpal of joint being measures
Moveable (Distal) arm: Proximal phalange
Metacrapophalangeal abduction/Adduction
Norm: <25º
palm flat on table, fingers start in neutral then spread to calculate
Center: MCP Joint
Proximal (Stationary arm): metacarpal of joint being measures
Distal (Moveable arm): proximal phalange
Proximal Interphalangeal Flexion
Norm: 100-110º
Neutral, bending the 2nd knuckle as far as you can
Center: PIP joint
Proximal stationary arm: Proximal phalange
Distal Moveable arm: intermediate phalange
Distal Interphalangeal flexion
Neutral, bending top knuckle of finger, PIP is no more than 90º bend so you are able to measure DIP joint
Norm: 70-90º
Proximal stationary arm: Intermediate phalange
Distal moveable arm: Distal phalange
Carpometacarpal flexion
Norm: 15-25º
palm up, neutral, THUMB SQUISHED NEXT TO HAND
Center: CMC joint(Very bottom of thumb)
Proximal stationary arm: Radius
distal moveable arm: metacarpal
*goniometer doesn’t start at 0
Carpometacarpal extension
Norm: 15-35º
Palm up, neutral
Center: CMC joint
Proximal arm: radius
distal arm: metacarpal
*goniometer doesn’t start at 0
Carpometacarpal Abduction
Norm: 40-50º
Neutral, lay goniometer on top of hand in neutral
Center: Radial Styloid Process
Proximal: Metacarpal of digit 2
Distal: Metacarpal of thumb
Metacarpophalangeal Flexion
Norm: 50-60º
Palm up, thumb Out
Center: MCP joint
Proximal: Metacarpal
Distal: Proximal Phalange
Interphalangeal Flexion
Norm: 80º
Center: IP Joint
Proximal: Proximal phlange
Distal: Distal phlange