MEASUREMENT SITES

GIRTHS.                  

Subject position:The subject assumes a relaxed seated or standing position with the arms hanging by the sides and the head in the Frankfort plane.                

METHOD

The girth of the head is obtained in the Frankfort plane at the level immediately above the Glabella with the tape  perpendicular to the long axis of the head.The table needs to be pulled tight to compress the hair.Use of the middle fingers at the sides of the head is often necessary to prevent the tape from slipping over the head.Do not include the ears and ensure that there are no hair pins,clips or similar items in the hair during the measurement.

NECK.                                       

Subject position:The subject assumes a relaxed seated or standing position with the arms hanging by the sides and the head in the Frankfort plane.                   

METHOD-

The girth around the neck is measured immediately Superior to the thyroid cartilage (Adam's apple).The subject should maintain the head in the Frankfort plane.it is important not to pull the tape tight in this region since the tissues are compressible.The tape is held perpendicular to the long axis of the neck which may not necessarily be in the horizontal plane.

ARM RELAXED.                  

Subject position:The subject assumes a relaxed standing position with the arms hanging by the sides.The subject's right arm is abducted slightly to allow the tape to be passed around the arm.                                  

METHOD:

The girth of the arm is measured at the marked level of the Mid-acromiale-radiale.The tape should be position ed perpendicular to the long axis of the arm.

ARM FLEXED AND TENSED.                               

Subject position:The subject assumes a relaxed standing position with the left arm hanging by the side.The subject's right arm is raised anteriorly to the horizontal with the forearm supinated and flexed at about 45-90 degree to the arm.              

METHOD:

The flexed and tensed arm girth is measured at the level of the peak of the contracted biceps.The measurer stands to the side of the subject and with the tape loosely in position.The subject is asked to partially tense the elbow flexors to identify the probable peak of the contracted muscles.The subject is encouraged to contract the arm muscles as strongly as possible and hold it while the measurement is made at the peak of the biceps.If there is no obvious peak of the biceps this girth should be measured at the level of the Mid-acromiale-radiale landmark.

FOREARM.                          

Subject position: The subject assumes a relaxed standing position with the left arm hanging by the sides.The subject's right arm is slightly flexed at the shoulder and the elbow is extended.                  

METHOD:

The measurement is taken at the maximum girth of the forearm distal to the humeral epicondyles.

The subject holds the Palm up(i.e forearm supinated) while relaxing the muscles of the forearm.Using the cross-hand technique, move the tape measure up and down the forearm and make serial measurements in order to correctly locate the level of the maximum girth.It usually occurs just distal to the elbow.