goni & MMT - hip Flashcards
flexion goni
moving arm: lateral femoral condyle / midline of the femur
fulcrum: greater trochanter
stationary arm: midline of the trunk
stabilize: pelvis
move the: distal femur
subs: IR/ER of hip, ADD/ABD of hip
flexion ROM
0-120/135
pt position w/ flexion goni
supine
feet on the table
extension goin
moving arm: lateral femoral condyle / midline of the femur
fulcrum: greater trochanter
stationary arm: midline of the trunk
stabilize: pelvis, @ end ROM the pelvis rotates anteriorly
move: distal femur
subs: ABD, anterior pelvic tilt, coming out of the plane
extension ROM
0-10-30
pt position extension goni
prone
ABD goni
moving arm: patella, straight down the femur
fulcrum: ASIS
stationary: opposite ASIS
stabilization: iliac crest, end ROM is when iliac crest starts to rise
move: ankle and heel
subs: ER, hip hiking, trunk side bending
ABD ROM
0-30-50
ABD pt position goni
supine w/ legs extended
move pt all the way to one side of the table
pt can hold the goni
ADD goni
moving arm: patella, straight down the femur
fulcrum: ASIS
stationary: opposite ASIS
stabilization: iliac crest, end ROM is when iliac crest starts to drop
move: ankle and heel
subs: IR, pelvic drop, trunk rotation
ADD ROM
0-10-30
ADD pt position goni
supine w/ legs extended
move pt all the way to one side of the table
pt can hold the goni
ER goni
moving arm: midline of the tib b/x malleoli
fulcrum: patella
stationary: perpendicular to the floor
stabilize: distal femur
move: leg medially holding distal tib
subs: thigh ABD, hip flexion, trunk movement, lateral pelvic tilt
ER ROM
0-45/60
pt position ER goni
seated in neutral
IR goni
moving arm: midline of the tib b/x malleoli
fulcrum: patella
stationary: perpendicular to the floor
stabilize: distal femur
move: leg laterally, holding distal tib
subs: thigh ABD, hip flexion, trunk movement, pelvic tilt
IR ROM
0-30/50
pt position IR goni
seated
MMT flexion muscles
iliopsoas
RF
MMT flexion –> pt position
seated on the edge of the table
hands will be placed on the table next to their pelvis
good posture
MMT flexion test
take through PROM
“can you lift your thigh off the table towards the ceiling?”
ask them to bring it up again
apply resistance at distal femur
MMT flexion gravity min
side lying
cradle their leg (w/ knee flexed) in one hand and stabilize the pelvis with the other
support leg through PROM
support leg through AROM
apply resistance to anterior distal thigh
can get a 2 or 2+
MMT flexion subs
leaning trunk
ABD the thigh
excessive knee flexion
IR/ER
flexion, ABD, ER, w/ knee flexion muscles
Sartorius
flexion, ABD, ER, w/ knee flexion pt position
sitting at the edge of the table
hands placed next to pelvis
good posture
flexion, ABD, ER, w/ knee flexion MMT test
go through PROM
AROM: “ can you bring your leg up towards the ceiling and out”
AROM again
apply resistance at the thigh and try to push back into ADD & ext
other hand applies resistance at the posterior tib/fib to push pt into IR & knee ext
flexion, ABD, ER, w/ knee flexion gravity min
supine
place foot of the leg you’re testing onto the opposite shin
PROM
AROM: “ can you slide your foot up your shin right to your knee?”
guard/ support the lateral side of the leg (stand on testing side)
any motion is a 2
flexion, ABD, ER, w/ knee flexion subs
hip flexion
extension MMT muscles
glutes
hamstrings
extension MMT pt position
prone w/ legs straight
can put pillow under stomach
extension MMT Test
stabilize the pelvis for PROM and lift at distal thigh above patella
AROM: can you repeat that motion
apply resistance right above the ankle
extension MMT –> isolate the glutes
prone w/ knee flexed
stabilize the pelvis and lift the distal thigh
apply resistance @ distal thigh
extension MMT gravity min
side lying
cradle their leg w/ knee extended and stabilize their pelvis
support their leg as they move through hip extension
use supporting forearm to place resistance
can get a 2 or 2+
extension MMT subs
pelvis and trunk rotation
Glute isolated: ABD or hip ER
ABD MMT muscles
glute med
glute min
ABD MMT pt position
side lying with bottom leg bent
ABD MMT test
start w/ hip in a bit of extension
PROM: bring leg towards ceiling
AROM: “can you lift your leg towards the ceiling?”
Apply resistance right above the ankle
ABD gravity min
supine w/ legs straight
ABD the leg
support the weight of the leg
make sure toes dont turn out
slight resistance @ the ankle
can get a 2 or 2+
ABD MMT subs
pelvic rotation
hip flexion
ABD from flexed position muscles
TFL
ABD from flexed position muscles pt position
side lying with the bottom leg bent
hip flexed @ about 45 degrees
ABD from flexed position test
start w/ hip flexed to 45
PROM: bring leg up towards the ceiling, dorsiflexed foot
apply resistance at the distal femur
ABD from flexed position gravity min
long sitting while theyre leaning back (support themselves w/ hands)
PROM
AROM
support the weight of the leg
make sure toes don’t turn out
resistance @ distal femur
can get a 2 or 2+
ADD MMT muscles
adductor magnus
adductor brevis
adductor longus
pectineus
gracilis
ADD MMT pt positon
side lying
testing the bottom leg
ADD MMT test
support the op leg
PROM: lifting the bottom leg off the table
AROM
resistance at end ROM @ the distal femur
ADD MMT gravity min
supine w/ legs extended
move other leg out of the way
start in hip ABD
support the weight of the leg as it moves into ADD
apply slight resistance at distal medial thigh
can get 2 or 2+
ADD MMT subs
pelvic rotation
IR
ADD of top leg
ER MMT muscles
obturator internus/externus
gemelli
piriformis
quadratus femoris
glute max
ER MMT pt position
sitting at the edge of the table in short sittin
hands placed on the table next to pelvis
good posture
ER MMT test
PROM: stabilize at distal thigh and take through motion by lateral ankle
ER is moving the lower leg towards your other leg
apply resistance at end ROM on the medial side of the ankle
counterforce @ distal lateral thigh
ER MMT gravity min
supine w/ legs extended
have pt flex opposite knee to get it out of the way
start in IR
have them turn leg from inwards to outwards
any range is a 2
IR MMT muscles
glute med
glute min
TFL
IR MMT pt position
sitting at the edge of the table in short sittin
hands placed on the table next to pelvis
good posture
IR MMT test
PROM: stabilize at distal thigh and take through motion by medial ankle
IR is moving the lower leg away from your other leg
apply resistance at end ROM on the lateral side of the ankle
counterforce @ distal medial thigh
IR MMT gravity min
supine w/ legs extended
have pt flex opposite knee to get it out of the way
start in ER
have them turn leg from outwards to inwards
any range is a 2
