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Therapeutic Measurements > AROM of the Hip > Flashcards

AROM of the Hip Flashcards

1
Q

What makes up the hip

A

Coxa

Iliofemoral joint

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2
Q

What are the characteristics of the hip joint

A 
Deep acetabulum
Thick capsule
Synovial joint
Ball and Socket
Three degrees of freedom
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3
Q

What are the 3 degrees of freedom at the hip joint?

A

Flexion/Extension
Abduction/Adduction
Internal/External Rotation

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4
Q

What are the points of reference on the anterior side?

A

Iliac Crest: Hands on hips
ASIS: distal and slightly medial; hip bones
Greater Trochanter

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5
Q

What are the points of reference on the posterior side?

A

Iliac Crest: Hands on hips

PSIS: Dimples

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6
Q

What is expected AROM for hip flexion

A

100-120

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7
Q

Position for hip flexion

A

Supine

Start with knee extended and hip at neutral

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8
Q

What is the test motion for hip flexion

A

Bend knee and lift thigh off table toward chest

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9
Q

End feel for hip flexion

A

Soft, with firm tension at end

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10
Q

Axis for hip flexion

A

Lateral aspect of hip joint

Use greater trochanter as landmark

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11
Q

Stationary arm for hip flexion

A

Midline of pelvis or trunk

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12
Q

Movable arm for hip flexion

A

Femur

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13
Q

Substitutions of hip flexion

A

Lumbar extension
Tilting pelvis
Make sure they don’t lift the other leg

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14
Q

Expected AROM for hip extension

A

20-30

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15
Q

Position for hip extension

A

Prone
Start with knees extended
Hips at neutral

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16
Q

Test motion for hip extension

A

Raise leg off table

Maintain knee extension

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17
Q

End feel to hip extension

A

Firm because of the iliofemoral ligament

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18
Q

Axis for hip extension

A

Lateral aspect of the hip joint

Greater trochanter as landmark

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19
Q

Stationary (proximal) arm for hip extension

A

Midline of pelvis or trunk

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20
Q

Movable (distal) arm for hip extension

A

Midline of of femur

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21
Q

Substitutions for hip extension

A

Pelvis lifting off map
Make sure to keep leg straight
Watch for rolling

22
Q

AROM for hip abduction

A

40

23
Q

Position for hip abduction

A

Supine

Start with hip in neutral and knee extended

24
Q

Test motion for hip abduction

A

Slide hip to the side
Do not allow lateral rotation or hip flexion
At the end when pelvis tries to laterally tilt or rotate

25
Q

End feel for hip abduction

A

Firm

26
Q

Axis for hip abduction

A

ASIS

27
Q

Stationary arm for hip abduction

A

Imaginary line between the two ASIS

28
Q

Movable arm for hip abduction

A

Midline of the femur

29
Q

Substitutions for hip abduction

A

Lateral rotation or hip flexion

30
Q

AROM for hip adduction

A

20

31
Q

Position for hip adduction

A

Supine
Knees extended
Hip being tested is 0
Abduct the contralateral leg

32
Q

Test motion for hip adduction

A

Slide leg medially
Maintain extension of knee
End when pelvis begins to tilt or rotate

33
Q

End feel for hip adduction

A

Firm

34
Q

Axis for hip adduction

A

ASIS

35
Q

Stationary arm of hip adduction

A

Imaginary line between the two ASIS

36
Q

Movable arm of hip adduction

A

Midline of femur

37
Q

Substitutions for hip adduction

A

Watch for tilting of the pelvis

38
Q

AROM for hip medial rotation (internal)

A

40-45

39
Q

Test position for hip medial rotation (internal)

A

Subject seated
Knee flexed to 90
Hip at 90

40
Q

Test motion for hip medial rotation (internal)

A

Swing leg to lateral side

41
Q

End feel for hip medial rotation (internal)

A

Firm

42
Q

Axis for hip medial rotation (internal)

A

Anterior patella

43
Q

Stationary arm for hip medial rotation (internal)

A

Perpendicular to floor

Or parallel to supporting surface

44
Q

Movable arm for hip medial rotation (internal)

A

Midline of lower leg

45
Q

AROM for hip lateral rotation (external)

A

45-50 slightly more than internal

46
Q

Test position for hip lateral rotation (external)

A

Seated
Knee at 90
Hip at 90

47
Q

Test motion for hip lateral rotation (external)

A

Swing leg in

48
Q

End feel for hip lateral rotation (external)

A

Firm

49
Q

Axis for hip lateral rotation (external)

A

Anterior patella

50
Q

Stationary arm of hip lateral rotation (external)

A

Perpendicular to floor

Or parallel to supporting surface

51
Q

Movable arm for hip lateral rotation (external)

A

Midline of lower leg

52
Q

How would you measure hip rotation (medial/internal or lateral/external) on an amputee?

A

Mark the stump with a marker

Therapeutic Measurements (8 decks)

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