hello guys...
do u people know about goniometric measurment of flexion of lumbo sacral joint?i mean where to keep inclinometer?
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hello guys...
do u people know about goniometric measurment of flexion of lumbo sacral joint?i mean where to keep inclinometer?
I would personally have to say that the goniometer is virtually useless in this situation. Possibly more effective means of measuing lumbar flexion is using a standardized position, and have the individual bring their arms down parallel to a wall (standardized for subsequent measures), and use a tape measure to measure how far off the ground the tip of their hands are. Additionally, if this is not possible use a string along the persons back and measure the change in movement observed from specific spinous processes.
However, if you choose to use the goniometer, best bet is to find the ASIS, follow one edge down along the femur, and use the other as the free edge.
yeah...your technique is perfectly fine..but thats true that we can use inclinometer not goniometer to measure spinal flexion..but i dont have idea how to measure it...
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stephani,
For forward flexion and extension, while standing laterally to the patient, you may place an inclinometer on the shoulder, aligned with the plane of rotation to be measured. The nominal placement of the inclinometer can adjusted to read "zero" and flexion and extension can be measured from that point.
Measurement of lateral flexion can be achieved by placing the inclinometer on the shoulder while facing the patient or centered while at the patients back, depending on the shape of the inclinometer. While these positions may not center at "zero" a bit of simple math may be required for the final angle dimension.
The fact that gravity based inclinometers are always self-calibrated relative to gravity, means that no matter your positioning, you will receive an accurate relative measurement. Of course, your placement must be such that it effectively isolates the joint or joints being measured and should be reasonably aligned with the plane of rotation.
I hope this gives some ideas as to possible measurement
Best wishes,
Doug Montgomery
Independent Design Solutions
We will be offering a new ROM inclinometer for sale in December of 2009.
ROMinclinometer dot com