assessment of the hip Flashcards
flexion ROM
0-120 deg
extension ROM
0-30 deg
abduction ROM
0-45 deg
adduction ROM
0-20 deg
internal rotation ROM
0-45
external rotation ROM
0-45
end feel in hip
flexion: soft or firm
everything else: firm
loose packed position
30 deg flexion, 30 deg abd, slight external rotation
closed packed position
full extension, internal rotation
capsular pattern
flexion
abd
internal rotation - can be most limited
gluteus minimus
side lying with hip slightly flexed
pt resists abduction
palpate between iliac crest and greater trochanter
gluteus medius
side lying with hip extended
pt resists abduction
palpate between iliac crest and greater trochanter
gluteus maximus
inferior to PSIS
pt on tummy
adductors
medial thigh
quadriceps
anterior thigh
sartorius
put heel on ankle and slide up
very medial
very thin muscle
tensor fascia latae to IT band
side lying with hip flexed and IR 30 deg
resist hip abd
flexion/extension ROM
axis: greater trochanter
stationary: midline of pelvis
movement: lateral epicondyle
f: 120 deg
e: 30 deg
abduction/adduction ROM
axis: ASIS
stationary: align between both ASIS
movement: patella
b: 45 deg
d: 20 deg
internal/external rotation ROM
sitting up
axis: center of patella
stationary: perpendicular to floor
movement: talocrural joint
i: 45 deg
e: 45 deg
hip flexion 3-5
seated
hip flexion 0-2
side lying with test limb on bottom
PT behind pt and hold top leg
hip extension 3-5
prone
push proximal to knee
hip extension 0-2
side lying with test limb on bottom
PT in front of pt and hold top leg
hip extension (G. max bias 3-5)
flex knee to 90 deg
“heel to the ceiling”
hip extension (G. max bias 0-2)
side lying
knee flexed to 90 deg
hip abduction 3-5
side lying
PT behind pt
non testing limb flexed at hip and knee
gluteus medius
side lying
underneath leg flexed at hip and knee
pelvis slightly forward
pressure down and slightly forward
hip abduction 0-2
supine
standing on side of test limb
hip adduction 3-5
side lying
PT behind pt
hold top leg stable and adduct bottom leg
hip adduction 0-2
supine
PT on test side
move other leg out of the way
hip internal rotation 3-5
seated
PT on test side
stabilize femur
“foot out”
hip external rotation 3-5
seated
PT on test side
stabilize femur
“foot in”
hip internal rotation 0-2
supine
PT on test side
“foot in”
hip external rotation 0-2
supine
PT on test side
“foot out”
distraction
supine
PT on test side facing hip
hold proximal knee with hip flexed 30 deg
lean back
anterior glide
prone
PT on test side
assessing hand below buttocks
apply downward force
posterior glide
supine
PT on test side
assessing hand on proximal thigh
apply downward force
apparent leg length descrepancy
supine and legs at same degree of abd/add
measure from umbilicus to medial malleolus
ober’s test
side lying with test leg on top and bottom knee bent
PT behind the pt stabilizing pelvis and under knee
extend hip then slowly lower leg maintaining pelvis
normative is 10 deg below horizontal
hamstring length: passive supine 90/90
supine with hip flexed to 90 deg
PT on test side
stationary arm: lateral midline of femur
fulcrum: lateral epicondyle of knee
moving arm: lateral malleolus
normative value: 75 deg mean across sexes
thomas test: iliopsoas
lower pt into supine with extremities off table
lower extremity of non test side
end feel: firm
stationary arm: lateral midline of pelvis
fulcrum: greater trochanter
movement arm: lateral midline of femur
normal = 0 deg hip extension
thomas test: rectus femoris
ower pt into supine with extremities off table
lower extremity of non test side
end feel: firm
stationary arm: greater trochanter
fulcrum: lateral femoral condyle
movement arm: lateral malleolus
normal = 80 knee flexion
