User's Manual

157
Determining the Degree of Ankylosis
When the degree of ankylosis needs to be documented, the steps listed above must be slightly adjusted.
The first reading should be taken against a wall or on a tabletop.
Next, place the client in as close to a neutral position as possible.
Place the two Inclinometers at the appropriate landmarks.
Then take the second reading. This is the degree of ankylosis.
Performing Extremity Range of Motion Evaluations
While ideally the integrated goniometer would be used for the larger extremity joints, the dual or single
Inclinometer method may also be used to assess them.
Below are some examples that may be applied to any of the larger extremity joints.
Shoulder Flexion
With the client in a standing position, manually landmark the lateral upper arm. Using only the Master
sensor, align it in the sagittal plane. Click the button on the Master sensor to take the initial reading. Have
the client maximally flex the shoulder. Click the button on the Master sensor a second time to take the
final reading. ODES will automatically document the final true range. Return the client's shoulder to the
neutral position. Repeat these steps two more times on the same side and then repeat 3 times for the
other side.
The straight leg raise on the tightest side should be within 10 degrees of the total hip
motion (i.e. hip flexion + hip extension).