Hip Lab Flashcards
signs of hip joint issue
+ Trendelenburg
+ pain with or decreased ability to squat
+ sign of buttock test
functional tests for hip exam
double limb squat
SLS
single limb squat
demo lift, bend, or twist
when is PROM assessed?
only when AROM is limited
normal hip ROM flexion
110-120
normal hip ROM extension
10-15
normal hip ROM abduction
30-50
normal hip ROM adduction
25-30
normal hip ROM IR
30-40
normal hip ROM ER
40-60
hip ROM needed for shoe tying
120 flex
hip ROM needed for sitting
112 flex
hip ROM needed for stooping
125 flex
hip ROM needed for squatting
115 flex
20 abduction
20 IR
hip ROM needed for ascending stairs
67 flex
hip ROM needed for descending stairs
36 flex
hip ROM needed for putting foot on opposite thigh
120 flex
20 abduction
20 ER
hip ROM needed for putting on pants
90 flex
what other motions/joint should be MMT with hip exam?
knee flex and extend
flexibility tests for hip exam
Ober’s
modified Thomas
Prone rectus femoris (Ely’s)
piriformis
hamstring
what position in hip joint play done in?
open pack: 30 deg flex, 30 deg abduction, slight ER
what motions does the long axis distraction (hip) manipulation and mob improve?
ALL
what motions does the lateral traction (hip) mob improve?
ALL
what direction does the PT pull for lateral traction hip mob?
lateral AND inferior
what motion does the posterior-inferior glide mob (hip) improve?
flexion
what motion does the anterior glide mob (hip) improve?
extension
patient position for anterior glide mob (hip)
prone
hip special tests for labral pathology?
impingement
hip quadrant
hip scour
Fitzgerald
FABER/Patrick
hip special tests for glute med tear/weakness
Trendelenburg
specific MMT for glute med/PGM
hip special tests for OA
> 2 planes of passive motion loss
Altman’s criteria
CPR for presence of hip OA
hip special tests for anteversion/retroversion
Craig’s test
hip special tests for fracture
patellar-pubic percussion test
which hip special test has the best psychometrics?**
patellar-pubic percussion test
(Sen=0.91, spec=0.86)
hip special tests for capsular tightness
FABER
hip special tests for hip dysplasia
passive hip abduction
(Sen=0.69, spec=0.54-0.90)
what is the progression of hip impingement testing?
FADIR –> quadrant –> scour
if a pt has a positive on any impingement test, do you continue to progress through the other impingement tests?
no
T/F: impingement tests must be done on both sides
F
position of pt’s LE for hip quadrant test
FADIR –> FABER
position of pt’s LE in Fitzgerald test
FABER –> ExAddIR
what does Fitzgerald test assess?
anterior labral tear
what does FABER test assess?
posterior impingement
anterior capsule tightness
SIJ dysfunction
which structure is palpated and lined up with the table in the Craig’s test?
greater troch
normal measurement for Craig’s test
10-15 deg IR (anteversion)
anteversion measurement for Craig’s test
> 15 deg IR
retroversion measurement for Craig’s test
<10 deg IR
what is a positive patellar-pubic percussion test?
diminished sound on involved side
Altman’s criteria for hip OA
hip pain
IR <15 deg
pain with IR
morning stiffness </= 60 mins
>50 yo
Sutlive criteria for OA
self-reported squatting aggravates
scour test w/ adduction - groin or lateral hip pain
active hip flexion - lateral hip pain
active hip extension - hip pain
passive hip IR </= 25 deg
how many thrusts should be done for long axis distraction manipulation of hip?
5-10
which hip mob improves flexion? extension? adduction?
flexion - inferior
extension - anterior
adduction - lateral
which hip mob targets the inferior capsule and flexion ROM?
postero-inferior mob
which positive tests indicate a lateral mob (with a belt) should be done?
+ FADIR, quadrant, or scour
what is a progression from lateral glide hip mob with a belt?
AP with lateral mob
position of patient for AP with lateral glide hip mob
crossover stretch - adduction and IR
what are the target tissues for PA hip mob with hip extension and knee flexion?
anterior capsule
RF
hip extension ROM
what is being worked on: Pt positioned prone w/ slight ER/Abd of hip, PT mobilizes PA at proximal femur
abduction and ER
target tissue for hip IR mob
posterior capsule
IR ROM
what is mobilized and what is stabilized with hip IR mob?
mobilize opposite pelvis
stabilize IR at hip
oscillation mob to improve anterior hip capsule?
modified prone RF stretch or figure 4 stretch
oscillation mob to improve lateral/posterior hip capsule?
crossover stretch
oscillation mob to improve inferior hip capsule?
knee to chest
