This worksheet contains a summary of how we assess the movements of the elbow joint through goniometry. There are pictures and a brief description of how the process is carried out in a simple manner.
Elbow joint assessment
Goniometry – supination
Elbow at 90 degrees fixed into the side of the body.
Starting position – Central point of 3rd metacarpal
Stationary arm – Perpendicular down to floor
Movable arm – in line with pen
Turn pen away from you.
Normal range – 80-90 degrees
Trick movements – altering grip of pen, extra movement of
shoulder or elbow.
Goniometry – pronation.
Elbow at 90 degrees fixed into the side of the
body.
Starting position – Central point of 3rd
metacarpal
Stationary arm – Perpendicular down to floor
Movable arm – in line with pen
Turn pen towards you
Normal range – 80-90 degrees
Goniometry – flexion
Px is lying in supine, folded towel is placed underneath
shoulder, arm is extended.
Starting position – from lateral epicondyle
Stationary arm – coming up towards acromion process
Movable arm – coming down to radial styloid
With palm facing up to ceiling, bend elbow up as much as
possible
Normal range – up to 150 degrees
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