assessment

Question 1

initial

Answer 1

I would normally screen the joints above and below so the knee and lower back however for the osce I’m just going to mention I would do that due to the exam being timed

Question 2

second

Answer 2

I would first test the non affected side to establish normal for the individual and then have a baseline to compare to – for the sake of the timed exam I will just be stating I would do that

Question 3

Active ROM

Answer 3

• tests the inert (capsule, ligaments, cartilage) and contractile structures (muscles)
  Stabilise pelvis in abb/abd

Question 4

Passive ROM-

Answer 4

tests the inert structures (capsule, ligaments, cartilage)
Stabilise pelvis in abb/abd

Question 5

Isometric muscle test-

Answer 5

contractile structures (muscles)

Question 6

Quadrant

Answer 6

• Tests inert structures like the labrum or any irregularity’s to the femoral head surface
• Looking for clunking or reproduction of patients pain
• Arthritis, acetabular labrum defect, avascular necrosis of the femoral head or tight joint capsule

Question 7

FABERS test - hip abduction / external rotation in 80 flexion

Answer 7

• stresses the inert structures of the femoral-acetabular joint and produces pain, if irritated
• Tests for impingement
• sensitivity of 50% and a specificity of 56%. This means, that this test has only weak clinical value in practice.

Question 8

Thomas

Answer 8

Patient stands at the end of the plinth, one knee to chest, roll back into supine on end of plinth.

• iliopsoas (normal = thigh approximately horiz)
• rectus femoris (normal = knee approx 900 flexion with thigh horiz)
• iliotibial band (normal = approx to mid line with thigh horiz) if tight would go out laterally
• adductors (normal = approx to mid line with thigh horiz) would go in medially
  approx + 100 to each of the above tests on over pressure.

Question 9

Hamstring popliteal angle

Answer 9

test for herniated disc and nerve root irritation. Hamstring tightness

Question 10

Quads

Answer 10

heel to bottom

Question 12

Obers test

Answer 12

• stabilise the pelvis- ensure the hip doesn’t internally rotate or flex
• tests for tight TFL and IT band positive if the leg doesn’t reach the plinth and stays in an abducted position