Goniometry of the Hip

Cervical Spine Fingers (MCP, PIP, & DIP Joints) Knee
Glenohumeral Joint Thumb (CMC, MCP, & IP Joints) Talocrural
Elbow & Radioulnar Joints Lumbar & Thoracic Spine Transverse Tarsal & Subtalar Joints
Wrist Hip Toes (MCP, PIP, & DIP Joints)

Motion

Recommended Testing Position

Stabilization

Center

Proximal Arm

Distal Arm

Start

End

Flexion

 Supine, hip in 00 of abd, add, & rot. Initially knee is extended, but flexion should be allowed as hip flexion continues Stabilize pelvis to prevent rotation or posterior tilting Lateral aspect of hip referencing greater trochanter Lateral midline of pelvis Lateral midline of femur referencing femoral lateral epicondyle

Extension

 Prone, hip in 00 of abd, add, & rot. Knee extended Stabilize pelvis to prevent rotation or anterior tilting Lateral aspect of hip referencing greater trochanter Lateral midline of pelvis Lateral midline of femur referencing femoral lateral epicondyle  

Abduction

 Supine, hip in 00 of flex, ext, & rot. Knee is extended. Stabilize pelvis to prevent rotation or lateral tilting Over anterior superior iliac spine Imaginary horizontal line extending from one ASIS to other ASIS Anterior midline of femur referencing patella midline

Adduction

 Supine, hip in 00 of flex, ext, & rot. Knee is extended. Contralateral hip is abd to allow full ROM Stabilize pelvis to prevent rotation or lateral tilting Over anterior superior iliac spine Imaginary horizontal line extending from one ASIS to other ASIS Anterior midline of femur referencing patella midline

Internal rotation

 Sitting, knee flexed 900. Hip in 00 abd - add & 900 flexion. Roll towel under distal femur Stabilize distal femur to prevent add or further hip flex. Avoid rotation & lateral tilting of pelvis Over anterior aspect of patella Perpendicular to floor or parallel to supporting surface Anterior midline of lower leg, referencing tibial crest & point midway between malleoli

External rotation

 Sitting, knee flexed 900. Hip in 00 abd - add & 900 flexion. Roll towel under distal femur. Contralateral knee may need to be flexed to allow full ROM Stabilize distal femur to prevent abd or further hip flex. Avoid rotation & lateral tilting of pelvis Over anterior aspect of patella Perpendicular to floor or parallel to supporting surface Anterior midline of lower leg, referencing tibial crest & point midway between malleoli

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