SUMMARY OF MUSCLE LENGTH TESTING INSTRUCTION: Complete the summary table for ALL motions of the UE and LE based

on Cynthia Norlkin and Joyce White 4th edition of Mesurement of Joint Motion : A guide to Goniometery book (2009) ELBOW AND FOREARM MUSCLE: BICEPS BRACHI TESTING STABILIZATION POSITION Supine at the Stabilize humerus. edge of the examining table. Elbow flexed. Shoulder full extension and 00 abduction, adduction, and rotation MUSCLE: TRICEPS BRACHI TESTING STABILIZATION POSITION Supine close at Stabilize humerus the edge of the table. Extend elbow. Shoulder full extension and 00 abduction, adduction, and rotation Supinate (N) ENDFEEL Firm FULCRUM Over lateral epicondyle of the humerus PROXIMAL ARM Align c lateral midline of the humerus(ref: center of acromion) DISTAL ARM Align c lateral midline of ulna(ref: ulnar styloid)

(N) ENDFEEL Firm

FULCRUM Over lateral epicondyle of the humerus

PROXIMAL ARM Over lateral midline of the humerus(ref: center of acromion)

DISTAL ARM Align c lateral midline of radius(ref: radial styloid)

forearm. *add more rows as needed WRIST MUSCLE:FLEXOR DIGITORUM PROFUNDUS and FLEXOR DIGITORUM SUPERFICIALIS TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM POSITION Sitting next to a Stabilize forearm. Firm Lateral aspect of Lateral midline of supporting the wrist over the ulna(ref: surface c UE triquetrium olecranon and resting on the ulnar styloid) surface. Elbow, MCP, PIP, DIP joint in extension. Pronate forearm, wrist in neutral. MUSCLE:EXTENSOR DIGITORUM, EXTENSOR INDICIS and EXTENSOR DIGITI MINIMI TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM POSITION Sitting nxt to a Stabilize forearm Firm Lateral aspect of Lateral midline of supporting the wrist over the ulna(ref: surface. The triquetrium olecranon and hand should be ulnar styloid) free to move into flexion. Elbow extended and MCP, DIP and PIP joints in full flexion. Forearm DISTAL ARM Lateral midline of 5th metacarpals.

DISTAL ARM Lateral midline of 5th metacarpals.

pronated, wrist neutral. *add more rows as needed

FINGERS MUSCLE:LUMBRICALS, PALMAR and DORSAL INTEROSSEI TESTING STABILIZATION (N) ENDFEEL FULCRUM POSITION Sitting, forearm Stabilized Firm Over dorsal and hand metacarpals and the aspect of MCP resting on a carpal bones. joint supporting surface. Forearm in midway between pronation and supination. Wrist in neutral. Flex MCP, PIP, AND DIP joints. *add more rows as needed PROXIMAL ARM Over dorsal midline of metacarpal DISTAL ARM Over dorsal midline of proximal phalanx.

HIP MUSCLE: HIP FLEXORS: THOMAS TEST TESTING STABILIZATION (N) ENDFEEL POSITION Sitting position Hold hip that is not Firm at the end of the being examined in examining table. flexion. Assist Pt. Into supine position by supporting Pt.s back and flexing hips and knees. Then flex knees towards the chest to flatten low back area.. FULCRUM Over lateral aspect of hip joint,(ref: greater trochanter.) PROXIMAL ARM Align c lateral midline of pelvis. DISTAL ARM Align c lateral midline of femur(ref: lateral epicondyle).

MUSCLE: HAMSTRING: SEMINTENDINOSUS, SEMIMEMBRANOSUS and BICEPS FEMORIS TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM POSITION Supine position, Hold the knees of Firm owing to Center the Align proximal with both knees the lower back tension in the fulcrum of the arm with the extended and extremities being semimembranos goniometer over lateral midline of hips in 0 tested in fulll us, the lateral aspect the pelvis. degrees of extension. Keep the semitendinosus of the hip joint, flexion, other lower and biceps using the greater extension, extremity flat on the femoris muscle. trochanter of the abduction, examining table to femur for adduction and stabilize the pelvic reference. rotation. If tilt and lumbar possible remove flexion. Usally, the clothing weight if the lower covering the extremity provides

DISTAL ARM Align distal arm with the lateral midline of the femur, using lateral epicondyle for reference.

ilium and low back so the pelvis and lumbar spine can be observed during the test

adequate stabilization, but a strap securing the thigh to the examining table can be added if necessary. (N) ENDFEEL Firm owing to tension in the tensor fascia lata. FULCRUM Center the fulcrum of the goniometer over the ASIS of the extremity being mesured. PROXIMAL ARM Align proximal arm with imaginary line extending from one ASIS to the other. DISTAL ARM Align distal arm with the anterior midline of the femur, using the midline of the patella for reference.

MUSCLE: TENSOR FASCIAE LATAE TESTING STABILIZATION POSITION Side-lying Place one hand in position, with iliac crest to the hip being stabilizethe pelvis. tested Firm pressure is uppermost. usually required to Position the prevent the pelvis subject near the from laterally tilting edge if the during the testing examining table, motion. Having the so that the patient flexthe examiner can buttom hip and knee stand directly can also hel to behind the stabilize trunk and subject. Initially, pelvis. extend the upppermost knee and place the hip in 0 degrees of flexion, extension, adduction, abduction and rotation. The patient flexes

the buttom hip and knee to stabilize the trunk, flatten the lumbar curve, and keep the pelvis in slight posterior tilt. *add more rows as needed

KNEE MUSCLE: RECTUS FEMORIS: ELYS TEST TESTING STABILIZATION (N) ENDFEEL POSITION Prone, c both Stabilize hip . Do not -feet off the end allow to flex. of the examining table. Extend knees and position hips in neutral. FULCRUM Over lateral epicondyle of femur. PROXIMAL ARM Align c lateral midline of the femur,(ref: greater trochanter.) DISTAL ARM Align c lateral midline of the fibula,(ref: lateral malleolus and fibular head.)

MUSCLE:HAMSTRINGS MUSCLES: SEMITENDINOSUS, SEMIMEMBRANOSUS and BICEPS FEMORIS: DISTAL HAMSTRING LENGTH TEST TESTING STABILIZATION (N) ENDFEEL FULCRUM PROXIMAL ARM DISTAL ARM POSITION Supine c hip on Stabilize femur. Firm Over lateral Align c lateral Align c lateral the side to be epicondyle of midline of the midline of the tested in 900 femur. femur,(ref: fibula,(ref: flexion and 00 greater lateral

abduction, adduction and rotation. Initially, knee to be tested must be relax in flexion. The other LE that is not to be tested should be resting on the examining bed. *add more rows as needed

trochanter.)

malleolus and fibular head.)

ANKLE AND FOOT MUSCLE: GASTROCNEMIUS TESTING STABILIZATION POSITION Supine, c knee Hold knee in full extended and extension. 0 foot in 0 inversion and eversion *add more rows as needed

(N) ENDFEEL Firm

FULCRUM Over lateral aspect of of lateral malleolus.

PROXIMAL ARM Align c lateral midline of fibula, (ref: head of fibula)

DISTAL ARM Parallel to lateral aspect of the 5th metatarsal.