Hip Flashcards
Hip Flexion
0-120
Position supine | End field: soft
Keep flexion to dec. tension of the hamstring
Stabilize pelvis
Hip Extension
0-20
Position- prone; knee extended / End feel: Firm
Stabilize pelvis
Goniometer- Hip flexion
Fulcrum/ Axis: lateral aspect of the hip; greater trochanter for reference.
Proximal Arm: lateral midline of the pelvis
Distal Arm: lateral midline of the femur – lateral epicondyle for reference.
Goniometer- Hip Extension
Norkin and White shows how to do this with only one therapist stabilizing at the lateral pelvis, either is fine to perform. It is really dependent on the strength of the therapist and size of the patient
Same as for hip flexion; stabilization of the pelvis to prevent anterior tilt
Hip Abduction
0-45
Position: Supine/End Feel: Firm
• knee extended
• stabilize to prevent lateral hip rotation (both hands on LE)
[NOTE: book shows stabilizing pelvis]
Goniometer-Hip Abduction
Fulcrum/ Axis: anterior superior iliac spine (ASIS)
Proximal Arm: imaginary horizontal line from one ASIS to the other
Distal Arm: anterior midline of the femur using patella for reference
Hip Internal Rotation
Medial (Internal) Rotation (0 – 45)
Patient Position:To measure – use therapist thigh to support distal tib/fib
• sitting with hip flexed 90degrees, 0 degrees abd/add
• knees flexed over edge of supporting surface
• towel roll under distal femur to maintain femur in horizontal plane
• stabilize distal femur to prevent abd/add
• Normal End Feel: Firm
Goniometer- Hip Internal/External Rotation
- Fulcrum/ Axis: Centered over anterior aspect of the patella
- Proximal Arm: perpendicular to the floor
- Distal Arm: anterior midline of the lower leg; using crest of the tibia and point midway between malleoli for reference.
Hip External Rotation
- Patient Position: Normal End Feel: Firm
- same as for medial/ internal rotation
- may need to flex contra lateral knee to allow full motion
- Goniometer Alignment:
- Same as for medial/ internal rotation
