Lower Body Goniometric Assessment
Technique and potential restricting structures
By Brent Brookbush DPT, PT, COMT, MS, PES, CES, CSCS, H/FS
For an introduction to goniometric assessment including definitions of specific terminology, defining a “good assessment,” discussion on what goniometry measures and best use, check out: Introduction to Goniometry
A list of potential restricting structures and links to articles on techniques specific to those structures is included below. The lists were compiled using various texts (1 – 8), clinical outcomes, and predictive models of postural dysfunction in an attempt to consider all of the muscular, articular, fascial and neural structures that may restrict each motion.
Printable PDF - Assessment Templates
Hip Internal Rotation at 90 degrees of Flexion (90/90 Hip IR) (2, 9-17)
Hip Internal Rotation (90/90 Hip IR)
Firm End Feel
40 - 50° PROM
|Fulcrum: Anterior aspect of patella||Movement Arm: Through the center of the patellar tendon||Stability Arm: Parallel to the supporting surface|
|For techniques that may improve hip internal rotation:|
* Structures marked with an asterisk are not "true" restictors of hip internal rotation, but adaptive shortening and over-activity may alter hip arthrokinematics and impede end range rotation.