assessment of the hip

Question 1

flexion ROM

Answer 1

0-120 deg

Question 2

extension ROM

Answer 2

0-30 deg

Question 3

abduction ROM

Answer 3

0-45 deg

Question 4

adduction ROM

Answer 4

0-20 deg

Question 5

internal rotation ROM

Answer 5

0-45

Question 6

external rotation ROM

Answer 6

0-45

Question 7

end feel in hip

Answer 7

flexion: soft or firm
everything else: firm

Question 8

loose packed position

Answer 8

30 deg flexion, 30 deg abd, slight external rotation

Question 9

closed packed position

Answer 9

full extension, internal rotation

Question 10

capsular pattern

Answer 10

flexion
abd
internal rotation - can be most limited

Question 11

gluteus minimus

Answer 11

side lying with hip slightly flexed
pt resists abduction
palpate between iliac crest and greater trochanter

Question 12

gluteus medius

Answer 12

side lying with hip extended
pt resists abduction
palpate between iliac crest and greater trochanter

Question 13

gluteus maximus

Answer 13

inferior to PSIS
pt on tummy

Question 14

adductors

Answer 14

medial thigh

Question 15

quadriceps

Answer 15

anterior thigh

Question 16

sartorius

Answer 16

put heel on ankle and slide up
very medial
very thin muscle

Question 17

tensor fascia latae to IT band

Answer 17

side lying with hip flexed and IR 30 deg
resist hip abd

Question 18

flexion/extension ROM

Answer 18

axis: greater trochanter
stationary: midline of pelvis
movement: lateral epicondyle

f: 120 deg
e: 30 deg

Question 19

abduction/adduction ROM

Answer 19

axis: ASIS
stationary: align between both ASIS
movement: patella

b: 45 deg
d: 20 deg

Question 20

internal/external rotation ROM

Answer 20

sitting up
axis: center of patella
stationary: perpendicular to floor
movement: talocrural joint

i: 45 deg
e: 45 deg

Question 21

hip flexion 3-5

Answer 21

seated

Question 22

hip flexion 0-2

Answer 22

side lying with test limb on bottom
PT behind pt and hold top leg

Question 23

hip extension 3-5

Answer 23

prone
push proximal to knee

Question 24

hip extension 0-2

Answer 24

side lying with test limb on bottom
PT in front of pt and hold top leg

Question 25

hip extension (G. max bias 3-5)

Answer 25

flex knee to 90 deg "heel to the ceiling"

Question 26

hip extension (G. max bias 0-2)

Answer 26

side lying knee flexed to 90 deg

Question 27

hip abduction 3-5

Answer 27

side lying PT behind pt non testing limb flexed at hip and knee

Question 28

gluteus medius

Answer 28

side lying underneath leg flexed at hip and knee pelvis slightly forward pressure down and slightly forward

Question 29

hip abduction 0-2

Answer 29

supine standing on side of test limb

Question 30

hip adduction 3-5

Answer 30

side lying PT behind pt hold top leg stable and adduct bottom leg

Question 31

hip adduction 0-2

Answer 31

supine PT on test side move other leg out of the way

Question 32

hip internal rotation 3-5

Answer 32

seated PT on test side stabilize femur "foot out"

Question 33

hip external rotation 3-5

Answer 33

seated PT on test side stabilize femur "foot in"

Question 34

hip internal rotation 0-2

Answer 34

supine PT on test side "foot in"

Question 35

hip external rotation 0-2

Answer 35

supine PT on test side "foot out"

Question 36

distraction

Answer 36

supine PT on test side facing hip hold proximal knee with hip flexed 30 deg lean back

Question 37

anterior glide

Answer 37

prone PT on test side assessing hand below buttocks apply downward force

Question 38

posterior glide

Answer 38

supine PT on test side assessing hand on proximal thigh apply downward force

Question 39

apparent leg length descrepancy

Answer 39

supine and legs at same degree of abd/add measure from umbilicus to medial malleolus

Question 40

ober's test

Answer 40

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

Question 41

hamstring length: passive supine 90/90

Answer 41

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

Question 42

thomas test: iliopsoas

Answer 42

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

Question 43

thomas test: rectus femoris

Answer 43

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