Edmund M. Kosmahl, PT, EdD

 GONIOMETRY WEB SITE


THORACO-LUMBAR SPINE SIDEBENDING

NOTE: There are several methods for measuring the range of motion of the lumbar and thoracic spines. Each method has its own advantages and disadvantages (no method is completely valid or reliable, and normal values are not well established for any method). The method illustrated here is a good compromise.

thoraco-lumbar sidebending
 
 
Test Position
  • Subject standing
  • Stabilize pelvis
  • Sidebend thoracic and lumbar spines
Normal Range (unilateral)
  • RIGHT
    • 20 - 29 yrs 37.6o + or - 5.8o
    • 30 - 39 yrs 35.3o + or - 6.5o
    • 40 - 49 yrs 27.1o + or - 6.5o
    • 50 - 59 yrs 25.3o + or - 6.2o
    • 60 - 69 yrs 20.2o + or - 4.8o
    • 70 - 79 yrs 18.0o + or - 4.7o
    • (Fitzgerald, Wynveen, Rheault et al)
  • LEFT: 
    • 20 - 29 yrs 38.7o + or - 5.7o
    • 30 - 39 yrs 36.5o + or - 6.0o
    • 40 - 49 yrs 28.5o + or - 5.2o
    • 50 - 59 yrs 26.8o + or - 6.4o
    • 60 - 69 yrs 20.3o + or - 5.3o
    • 70 - 79 yrs 18.9o + or - 6.0o
    • (Fitzgerald, Wynveen, Rheault et al)
  • 25o (American Medical Association)
Goniometer Alignment
  • Axis - S1 spinous process
  • Stationary arm - vertical
  • Moving arm - C7 spinous process
Normal End Feel
  • Capsular or ligamentous

copyright 1999 E. Kosmahl