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
 


  1. Cynthia C. Norkin, D. Joyce White. Measurement of Joint Motion: A Guide to Goniometry 3rd Edition. Copyright (C) 2003 by F.A. Davis Company

">goniometric assessment including definitions of specific terminology, defining a “good assessment,” discussion on what
 

  1. Cynthia C. Norkin, D. Joyce White. Measurement of Joint Motion: A Guide to Goniometry 3rd Edition. Copyright (C) 2003 by F.A. Davis Company

">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 patellaMovement Arm: Through the center of the patellar tendonStability Arm:  Parallel to the supporting surface

Restrictions

Muscle JointFasciaNerve

  • Posterior Capsule
  • Inferior Capsule

  • Lateral Fascia Lata
  • Posterior Hip (Gluteal Fascia)

  • Sciatic Nerve
  • (Impingement of Posterior Femoral Cutaneous Nerve?)

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