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fall B 2024 > assessment of the hip > Flashcards

assessment of the hip Flashcards

1
Q

flexion ROM

A

0-120 deg

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2
Q

extension ROM

A

0-30 deg

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3
Q

abduction ROM

A

0-45 deg

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4
Q

adduction ROM

A

0-20 deg

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5
Q

internal rotation ROM

A

0-45

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6
Q

external rotation ROM

A

0-45

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7
Q

end feel in hip

A

flexion: soft or firm
everything else: firm

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8
Q

loose packed position

A

30 deg flexion, 30 deg abd, slight external rotation

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9
Q

closed packed position

A

full extension, internal rotation

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10
Q

capsular pattern

A

flexion
abd
internal rotation - can be most limited

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11
Q

gluteus minimus

A

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

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12
Q

gluteus medius

A

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

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13
Q

gluteus maximus

A

inferior to PSIS
pt on tummy

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14
Q

adductors

A

medial thigh

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15
Q

quadriceps

A

anterior thigh

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16
Q

sartorius

A

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

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17
Q

tensor fascia latae to IT band

A

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

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18
Q

flexion/extension ROM

A

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

f: 120 deg
e: 30 deg

19
Q

abduction/adduction ROM

A

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

b: 45 deg
d: 20 deg

20
Q

internal/external rotation ROM

A

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

i: 45 deg
e: 45 deg

21
Q

hip flexion 3-5

A

seated

22
Q

hip flexion 0-2

A

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

23
Q

hip extension 3-5

A

prone
push proximal to knee

24
Q

hip extension 0-2

A

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

25
Q

hip extension (G. max bias 3-5)

A

flex knee to 90 deg
“heel to the ceiling”

26
Q

hip extension (G. max bias 0-2)

A

side lying
knee flexed to 90 deg

27
Q

hip abduction 3-5

A

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

28
Q

gluteus medius

A

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

29
Q

hip abduction 0-2

A

supine
standing on side of test limb

30
Q

hip adduction 3-5

A

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

31
Q

hip adduction 0-2

A

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

32
Q

hip internal rotation 3-5

A

seated
PT on test side
stabilize femur
“foot out”

33
Q

hip external rotation 3-5

A

seated
PT on test side
stabilize femur
“foot in”

34
Q

hip internal rotation 0-2

A

supine
PT on test side
“foot in”

35
Q

hip external rotation 0-2

A

supine
PT on test side
“foot out”

36
Q

distraction

A

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

37
Q

anterior glide

A

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

38
Q

posterior glide

A

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

39
Q

apparent leg length descrepancy

A

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

40
Q

ober’s test

A

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

41
Q

hamstring length: passive supine 90/90

A

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

42
Q

thomas test: iliopsoas

A

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

43
Q

thomas test: rectus femoris

A

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

fall B 2024 (12 decks)

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