Measurement of ROM in a rehabilitation unit is traditionally performed with a little instrument called a goniometer.
Goniometers are traditionally plastic, with two arms connected at a central pivot point. At the centre is a flat disc with the angles marked on it and this is contiguous with one of the arms. The other arm is mobile in relation to the central disc.
|Please note that there is no absolute standard for positioning of the patient - some people prefer to measure with the patient lying on their back and some prefer the patient to lie on their stomach. The important thing is to always use the same system with each subsequent measurement.||Photo courtesy of Dodec Medical, UK|
When it comes to taking the measurement, the stationary arm is pointed towards the bony lump right at the side of the hip - the greater trochanter - while the centre of the disc is positioned at a reference point on the side of the knee - the lateral epicondyle. This is the little bony lump on the lower outer side of the femur. Holding the goniometer carefully at these two reference points, the mobile arm is then moved so that it points to the bony bump of the outer ankle - the lateral malleolus. The measurement is recorded.