hip and thigh - goniometry

Question 1

hip flexion

Answer 1

▪ Testing position: positions patient supine or sidelying, with the knee flexed
▪ Stabilization: pelvis
▪ Axis: greater trochanter of the femur
▪ Stationary arm: lateral midline of the trunk
▪ Moving arm: lateral midline of the femur (lateral epicondyle of femur)

Question 2

hip extension

Answer 2

▪ Testing position: positions patient prone, with the knee fully extended
▪ Stabilization: pelvis
▪ Axis: greater trochanter of the femur
▪ Stationary arm: lateral midline of the trunk
▪ Moving arm: lateral midline of the femur (lateral epicondyle of femur)

Question 3

hip abduction

Answer 3

▪ Testing position: positions patient supine, with the knee fully extended
▪ Stabilization: pelvis and lateral aspect of knee
▪ Axis: anterior superior iliac spine (ASIS)
▪ Stationary arm: opposite anterior superior iliac spine (ASIS)
▪ Moving arm: anterior midline of the femur (center of patella)

Question 4

hip adduction

Answer 4

▪ Testing position: positions patient supine, with the knee fully extended, and the opposite hip fully abducted
▪ Stabilization: pelvis
▪ Axis: anterior superior iliac spine (ASIS)
▪ Stationary arm: opposite anterior superior iliac spine (ASIS)
▪ Moving arm: anterior midline of the femur (center of patella)

Question 5

hip internal (medial) rotation

Answer 5

▪ Testing position: positions patient sitting, with the hip flexed 90 degrees, knee flexed 90 degrees, and a towel under the
distal femur
▪ Stabilization: distal femur
▪ Axis: center of patella
▪ Stationary arm: perpendicular to the floor
▪ Moving arm: anterior midline of the lower leg (midpoint of the malleoli)

Question 6

hip external (lateral) rotation

Answer 6

▪ Testing position: positions patient sitting, with the hip flexed 90 degrees, knee flexed 90 degrees, and a towel under the
distal femur
▪ Axis: center of patella
▪ Stationary arm: perpendicular to the floor
▪ Moving arm: anterior midline of the lower leg (midpoint of the malleoli)