In general it shouldn't because you are measuring movement of the femur relative to the pelvis, so pelvic position shouldn't affect your measurement. In theory it is possible if the lateral tilt is large enough that it might affect the resting muscle position/tension for muscles that cross the hip which may impact the overall motion. We hope that is helpful, thanks for watching.

@physicaltherapyeducationso4585 thx ,what about decreased extension causing less glute activation is that caused by tight glutes, tight hamstrings or tight quads?

Grade 2 is done in a gravity neutral position, sidelying. To test hip flexion the clinician must support the weight of the leg so any potential weakness in the hip abductor muscles does not interfere with the ability to flex the hip. If the person can move through full range of motion in the gravity neutral position they are considered a grade 2. Thanks for watching and we hope our response is helpful.

@@physicaltherapyeducationso4585 Thank you 😊 🙏

In this video we chose to describe each movement individually to improve learning of the basic techniques for each movement. If combining them during an actual treatment then you can refer to the diagonals by their D1 and D2 designations with D1 including anterior elevation-posterior depression and D2 including posterior elevation-anterior depression. We hope that helps and thank you for watching our videos.

Thanks for watching our videos. During our range of motion videos we wanted to put the emphasis on learning the specific alignment landmarks and proper technique and thought inclusion of a specific measurement might interfere with someone from remembering the normative ranges for a particular measurement.

@@physicaltherapyeducationso4585 noted, and a great demonstration of the proper use but you could verbally mention the degree ( additionally to the slides at the beginning) to emphasize the range again. A side note do you have a video show casing the different sizes of goniometer

Thank you for your suggestions, and unfortunately we do not have a video related to the various sizes of goniometers.

We are glad you found it helpful and thanks for supporting our channel.

With goniometry, because the two arms are moving relative to each other it doesn't matter which arm goes on which body part as long as the angle can be properly read. It is very important to note the reading before movement starts as well as the reading at the end of motion. The difference is the amount of active range of motion. In an ideal set up, the goniometer reads zero before movement to make the measurement easier to identify. Thanks for watching and we hope this is helpful.

Спасибо за просмотр, дайте нам знать, если есть что-то конкретное, что мы можем помочь прояснить.

Google translate!

@@physicaltherapyeducationso4585 у меня есть нарушения в ходьбе, какой врач мне нужен?

ортопед

We are glad you found it helpful. Thanks for watching our videos.

This is a technique used primarily to document changes for a particular patient during the course of treatment. Motion of the skin may certainly impact the overall measurement, but since you are comparing initial measurements of a particular patient with future measurements of the same patient then the overall impact of the skin should be minimal. If the patient undergoes some significant change in body weight or suffers an injury that impacts superficial fascia and skin mobility then this technique would not be the best option. It would not be recommended to use this technique to compare measurements between different patients due to differences in skin/superficial fascial mobility and body type. We hope that is helpful and thanks for watching our videos.

@@physicaltherapyeducationso4585 really appreciate your brilliant explanation, all the best.

We are glad you found it helpful. Thanks for watching and best wishes with your health challenges.

Thanks for the kind words and for supporting our channel. You are correct, the same pattern for the pelvis and trunk counter-rotation occurs during running.

For cervical range of motion there is only extension, there is no hyperextension. Thanks for watching our videos.

Positive shoulder adduction range of motion wound require a movement of the arm past the midline of the body. Because the trunk gets in the way of the arm moving past the midline of the body, there is no pure adduction range of motion to measure. Basically shoulder adduction in the frontal plane is considered just a return to the anatomical position from and abducted position. For movements across the body, horizontal adduction can be measured. Thanks for watching and we hope that is helpful.

Glad it helped!

Your welcome, glad you found it helpful.

Thanks for the kind words and for supporting our channel, glad it was helpful.

It stands for Modified-modified Schober Test. Thanks for watching.

When assessing a motion like thoracolumbar rotation that involves multiple joints and soft tissue structures we don't document end feel. If motion is limited, then a further assessment of the mobility of individual spinal segments may identify a particular segment or segments that have abnormal mobility with a specific end feel. We hope that is helpful and thanks for watching our videos.

Thanks for your comment, we are glad you found them helpful.

We ae glad you found it helpful, thanks for watching.

There are no normative values for this method of measuring lumbar extension. There are normal values using other methods including goniometry and inclinometers. If you choose this method you would be using your measurement to document changes for a specific patient, but would be unable to compare this patient to others. We hope that is helpful and thanks for watching.

It is impossible to provide any specific guidance without a full evaluation, so we would recommend finding a local PT that has experience treating feet. In general terms it is common if you have a high arch to also have some involvement of the big toe, usually the big toe is not the cause of the arch problem. Good luck.

Thanks for supporting our channel and for the nice complement. We are glad you found it helpful.

Thanks for watching and for the constructive feedback, perhaps we can add a video specific to reading the goniometer dial.

Thanks for watching and glad we could be helpful.

Thanks for the kind words and for supporting our channel.

As a general principle you perform manual muscle testing to identify muscle groups that are impaired. That information must then be used in the context of the overall status of the person and their injury/illness to identify a level of exercise that is appropriate. The manual test results should not be the only factor considered when choosing the proper exercise. Once all information has been gathered then appropriate exercises are identified. We hope that is helpful and thanks for watching our videos.

Thanks for the comment and for supporting our channel.

Sorry to hear about your health challenges. We would recommend finding a licensed and qualified physical therapist near you and make an appointment for assistance with your gait and recovery.

One of the principles of all manual muscle testing requires that the physical therapist watches the person for any substitutions during testing and corrects it. Eliminating compensatory movements helps to ensure the manual muscle testing is as accurate as possible. Thanks for watching.

That is not a documented use for Ultrasound.

This technique can be helpful to loosen congestion, which then must be expelled with a cough. We hope that answers your question. Thanks for watching our videos.

Glad you found it helpful.

Thank you for your kind words and for supporting our channel.

Grade 2 would be only moving through part of the range of motion instead of moving through full range of motion. If the ankle only moved half-way, it would be a grade 2. We hope that is helpful and thank you for watching our videos.

Thank you for the kind words and for supporting our channel.

Thanks for watching and we agree that patient safety and comfort is a priority. Based on the reference text used for goniometry, their protocol is to check passive range of motion prior to measuring active. Different resources may choose to follow different protocols.

Thank you for watching.

Thank you for the kind words and for supporting our channel. Your observation would be correct. At midstance the hip is transitioning from internal rotation to lateral rotation as the opposite side of the pelvis moves past neutral and backwards. As the foot approaches midstance it transitions to a pronated position to unlock and adapt to the ground. As we near terminal stance the foot returns to a supinated position to create a rigid lever to propel with.

That is correct. Thank you for supporting our channel.

Thank you for watching and for your kind words.

Thank you for your questions. We provide the videos for educational purposes, however it is not possible to comment on any specific treatment protocol because each individual person has different circumstances that would affect any clinical decisions.

You're most welcome.