Clinical measurement of range of motion is a fundamental evaluation procedure with ubiquitous application in physical therapy. Objective measurements of ROM and correct interpretation of the measurement results can have a substantial impact on the development of the scientific basis of therapeutic interventions. The purpose of this article is to review the related literature on the reliability and validity of goniometric measurements of the extremities. Special emphasis is placed on how the reliability of goniometry is influenced by instrumentation and procedures, differences among joint actions and body regions, passive versus active measurements, intratester versus intertester measurements, and different patient types. Our discussion of validity encourages objective interpretation of the meaning of ROM measurements in light of the purposes and the limitations of goniometry. We conclude that clinicians should adopt standardized methods of testing and should interpret and report goniometric results as ROM measurements only, not as measurements of factors that may affect ROM.

Clinical Measurement of Range of Motion Review of Goniometry Emphasizing Reliability and Validity

Background and Purpose—Chronic upper extremity hemiparesis is a leading cause of functional disability after stroke. We investigated the hypothesis that bilateral arm training with rhythmic auditory cueing (BATRAC) will improve motor function in the hemiparetic arm of stroke patients. Methods—In this single group pilot study we determined the effects of 6 weeks of BATRAC on 14 patients with chronic hemiparetic stroke (median time after stroke, 30 months) immediately after training and at 2 months after training. Four 5-minute periods per session (3 times per week) of BATRAC were performed with the use of a custom-designed arm training machine. Results—The patients showed significant and potentially durable increases in the following: Fugl-Meyer Upper Extremity Motor Performance Test of impairment (P<0.0004), Wolf Motor Function Test (performance time measure, P<0.02), and University of Maryland Arm Questionnaire for Stroke measuring daily use of the hemiparetic arm (P<0.002). Isometric strength improved i...

Repetitive Bilateral Arm Training With Rhythmic Auditory Cueing Improves Motor Function in Chronic Hemiparetic Stroke

BackgroundAlterations in glenohumeral range of motion, including increased posterior shoulder tightness and glenohumeral internal rotation deficit that exceeds the accompanying external rotation gain, are suggested contributors to throwing-related shoulder injuries such as pathologic internal impingement. Yet these contributors have not been identified in throwers with internal impingement.HypothesisThrowers with pathologic internal impingement will exhibit significantly increased posterior shoulder tightness and glenohumeral internal rotation deficit without significantly increased external rotation gain.Study DesignCase control study; Level of evidence, 3.MethodsEleven throwing athletes with pathologic internal impingement diagnosed using both clinical examination and a magnetic resonance arthrogram were demographically matched with 11 control throwers who had no history of upper extremity injury. Passive glenohumeral internal and external rotation were measured bilaterally with standard goniometry at 9...

Glenohumeral Range of Motion Deficits and Posterior Shoulder Tightness in Throwers With Pathologic Internal Impingement

A group of 109 patients with unilateral low back pain for over three months were randomised to receive one of three types of injection treatment: cortisone and local anaesthetic injected into two facet joints (28), the same mixture around two facet joints (39), or physiological saline into two facet joints (42). The effect of the treatment was evaluated in relation to work attendance, pain, disability and movements of the lumbar spine. Patients were examined one hour and two and six weeks after treatment and also completed a questionnaire after three months. A significant improvement was observed in work attendance, pain and disability scores, but this was independent of the treatment given and movements of the lumbar spine were not improved. Of the 70 patients with initial pain relief after injection, 36% reported persisting benefit at the three month follow-up, independent of the mode of treatment given. We conclude that facetjoint injection is a non-specific method of treatment and the good results depend on a tendency to spontaneous regression and to the psychosocial aspects of back pain.

A randomised clinical trial

If you are searching for the book Measurement of Joint Motion : A Guide to Goniometry, 4th Edition by Cynthia C. Norkin;D. Joyce White in pdf form, then you've come to loyal website. We furnish complete option of this book in txt, ePub, DjVu, doc, PDF formats. You can read by Cynthia C. Norkin;D. Joyce White online Measurement of Joint Motion : A Guide to Goniometry, 4th Edition either download. Withal, on our website you can reading the guides and diverse artistic eBooks online, either load theirs. We wish to attract attention that our site not store the eBook itself, but we give reference to website wherever you may download or read online. If you need to load Measurement of Joint Motion : A Guide to Goniometry, 4th Edition pdf by Cynthia C. Norkin;D. Joyce White, in that case you come on to right website. We own Measurement of Joint Motion : A Guide to Goniometry, 4th Edition doc, txt, DjVu, PDF, ePub forms. We will be glad if you return again and again.

Measurement Of Joint Motion : A Guide To Goniometry, 4th Edition By Cynthia C. Norkin;D. Joyce White

Part 1 Introduction to goniometry: basic concepts procedures validity and reliability. Part 2 Upper-extremity testing: the shoulder the elbow and forearm the wrist the hand. Part 3 Lower-extremity testing: the hip the knee the ankle and foot. Part 4 Testing of the spine and temporomandibular joint: the cervical spine the thoracic and lumbar spine the temporomandibular joint. Appendices: average ranges of motion joint measurements by body position sample numerical recording form.

Measurement of Joint Motion: A guide to goniometry

Introduction Goniometry Basic Concepts Procedures Validity and Reliability Upper Extremity Testing The Shoulder The Elbow and Forearm The Wrist The Hand Lower Extremity Testing The Hip The Knee The Ankle and Foot Testing of the Spine and Temporomandibular Joint The Cervical Spine The Thoracic and Lumbar Spine The Temporomandibular Joint Appendices Normative Range of Motion Values Joint Measurements by Body Position Numerical Recording Forms.

D. Joyce White

Papers

Measurement of Joint Motion: A guide to goniometry

Measurement Of Joint Motion : A Guide To Goniometry, 4th Edition By Cynthia C. Norkin;D. Joyce White

Measurement of Joint Motion: A Guide to Goniometry, Third Edition