A Review of Goniometry Use Within Current Hand Therapy Practice

Abstract

Assessment of hand joint range-of-movement using goniometry has become a more common practice among hand therapists. Available Literature discusses the reliability of goniometry in assessing the hand joints, but Little is known about how therapists use goniometry within their clinical practice. This paper presents the results of a review of clinical practice within the British Isles. A self-completed questionnaire was distributed to members of the British Association of Hand Therapists (BAHT) to establish current practice of goniometry. The response rate was high (56%). Only 41% of respondents reported implementation of a protocol that standardised their measurement techniques to improve reliability; 73.5% reported working within a team. Over 19 styles and makes of goniometers were identified as being in use and the results highlighted differences in application and reading. The paper concludes that more clinically based research in the use of hand goniometry is required to standardise techniques.