User's Manual

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stationary arm in alignment with the dorsal midline of the middle phalanx and the movable arm in
alignment with the distal phalanx. Instruct the client to extend, or straighten the DIP joint as far as
possible. Record the maximum DIP extension angle.
Reference: American Medical Association Guides to the Evaluation of Permanent Impairment, Fifth
Edition
Digit Ankylosis:
If there is joint ankylosis, which will require documentation, follow these steps:
The first reading should be taken with the goniometer interlocked and placed against a wall or on a
tabletop. Next place the client's joint in as close to a neutral position as possible. Place the goniometer
appropriately. Then take the second reading. This is the degree of ankylosis.
This value is then entered under flexion contracture. Delete the information for that trial and start a range
of motion test.