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MSK LQ > Hip Lab > Flashcards

Hip Lab Flashcards

1
Q

signs of hip joint issue

A

+ Trendelenburg
+ pain with or decreased ability to squat
+ sign of buttock test

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2
Q

functional tests for hip exam

A

double limb squat
SLS
single limb squat
demo lift, bend, or twist

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3
Q

when is PROM assessed?

A

only when AROM is limited

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4
Q

normal hip ROM flexion

A

110-120

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5
Q

normal hip ROM extension

A

10-15

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6
Q

normal hip ROM abduction

A

30-50

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7
Q

normal hip ROM adduction

A

25-30

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8
Q

normal hip ROM IR

A

30-40

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9
Q

normal hip ROM ER

A

40-60

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10
Q

hip ROM needed for shoe tying

A

120 flex

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11
Q

hip ROM needed for sitting

A

112 flex

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12
Q

hip ROM needed for stooping

A

125 flex

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13
Q

hip ROM needed for squatting

A

115 flex
20 abduction
20 IR

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14
Q

hip ROM needed for ascending stairs

A

67 flex

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15
Q

hip ROM needed for descending stairs

A

36 flex

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16
Q

hip ROM needed for putting foot on opposite thigh

A

120 flex
20 abduction
20 ER

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17
Q

hip ROM needed for putting on pants

A

90 flex

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18
Q

what other motions/joint should be MMT with hip exam?

A

knee flex and extend

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19
Q

flexibility tests for hip exam

A

Ober’s
modified Thomas
Prone rectus femoris (Ely’s)
piriformis
hamstring

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20
Q

what position in hip joint play done in?

A

open pack: 30 deg flex, 30 deg abduction, slight ER

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21
Q

what motions does the long axis distraction (hip) manipulation and mob improve?

A

ALL

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22
Q

what motions does the lateral traction (hip) mob improve?

A

ALL

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23
Q

what direction does the PT pull for lateral traction hip mob?

A

lateral AND inferior

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24
Q

what motion does the posterior-inferior glide mob (hip) improve?

A

flexion

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25
Q

what motion does the anterior glide mob (hip) improve?

A

extension

26
Q

patient position for anterior glide mob (hip)

A

prone

27
Q

hip special tests for labral pathology?

A

impingement
hip quadrant
hip scour
Fitzgerald
FABER/Patrick

28
Q

hip special tests for glute med tear/weakness

A

Trendelenburg
specific MMT for glute med/PGM

29
Q

hip special tests for OA

A

> 2 planes of passive motion loss
Altman’s criteria
CPR for presence of hip OA

30
Q

hip special tests for anteversion/retroversion

A

Craig’s test

31
Q

hip special tests for fracture

A

patellar-pubic percussion test

32
Q

which hip special test has the best psychometrics?**

A

patellar-pubic percussion test
(Sen=0.91, spec=0.86)

33
Q

hip special tests for capsular tightness

A

FABER

34
Q

hip special tests for hip dysplasia

A

passive hip abduction
(Sen=0.69, spec=0.54-0.90)

35
Q

what is the progression of hip impingement testing?

A

FADIR –> quadrant –> scour

36
Q

if a pt has a positive on any impingement test, do you continue to progress through the other impingement tests?

A

no

37
Q

T/F: impingement tests must be done on both sides

A

F

38
Q

position of pt’s LE for hip quadrant test

A

FADIR –> FABER

39
Q

position of pt’s LE in Fitzgerald test

A

FABER –> ExAddIR

40
Q

what does Fitzgerald test assess?

A

anterior labral tear

41
Q

what does FABER test assess?

A

posterior impingement
anterior capsule tightness
SIJ dysfunction

42
Q

which structure is palpated and lined up with the table in the Craig’s test?

A

greater troch

43
Q

normal measurement for Craig’s test

A

10-15 deg IR (anteversion)

44
Q

anteversion measurement for Craig’s test

A

> 15 deg IR

45
Q

retroversion measurement for Craig’s test

A

<10 deg IR

46
Q

what is a positive patellar-pubic percussion test?

A

diminished sound on involved side

47
Q

Altman’s criteria for hip OA

A

hip pain
IR <15 deg
pain with IR
morning stiffness </= 60 mins
>50 yo

48
Q

Sutlive criteria for OA

A

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

49
Q

how many thrusts should be done for long axis distraction manipulation of hip?

A

5-10

50
Q

which hip mob improves flexion? extension? adduction?

A

flexion - inferior
extension - anterior
adduction - lateral

51
Q

which hip mob targets the inferior capsule and flexion ROM?

A

postero-inferior mob

52
Q

which positive tests indicate a lateral mob (with a belt) should be done?

A

+ FADIR, quadrant, or scour

53
Q

what is a progression from lateral glide hip mob with a belt?

A

AP with lateral mob

54
Q

position of patient for AP with lateral glide hip mob

A

crossover stretch - adduction and IR

55
Q

what are the target tissues for PA hip mob with hip extension and knee flexion?

A

anterior capsule
RF
hip extension ROM

56
Q

what is being worked on: Pt positioned prone w/ slight ER/Abd of hip, PT mobilizes PA at proximal femur

A

abduction and ER

57
Q

target tissue for hip IR mob

A

posterior capsule
IR ROM

58
Q

what is mobilized and what is stabilized with hip IR mob?

A

mobilize opposite pelvis
stabilize IR at hip

59
Q

oscillation mob to improve anterior hip capsule?

A

modified prone RF stretch or figure 4 stretch

60
Q

oscillation mob to improve lateral/posterior hip capsule?

A

crossover stretch

61
Q

oscillation mob to improve inferior hip capsule?

A

knee to chest

MSK LQ (18 decks)

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