Hip Lab

Question 1

signs of hip joint issue

Answer 1

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

Question 2

functional tests for hip exam

Answer 2

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

Question 3

when is PROM assessed?

Answer 3

only when AROM is limited

Question 4

normal hip ROM flexion

Answer 4

110-120

Question 5

normal hip ROM extension

Answer 5

10-15

Question 6

normal hip ROM abduction

Answer 6

30-50

Question 7

normal hip ROM adduction

Answer 7

25-30

Question 8

normal hip ROM IR

Answer 8

30-40

Question 9

normal hip ROM ER

Answer 9

40-60

Question 10

hip ROM needed for shoe tying

Answer 10

120 flex

Question 11

hip ROM needed for sitting

Answer 11

112 flex

Question 12

hip ROM needed for stooping

Answer 12

125 flex

Question 13

hip ROM needed for squatting

Answer 13

115 flex
20 abduction
20 IR

Question 14

hip ROM needed for ascending stairs

Answer 14

67 flex

Question 15

hip ROM needed for descending stairs

Answer 15

36 flex

Question 16

hip ROM needed for putting foot on opposite thigh

Answer 16

120 flex
20 abduction
20 ER

Question 17

hip ROM needed for putting on pants

Answer 17

90 flex

Question 18

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

Answer 18

knee flex and extend

Question 19

flexibility tests for hip exam

Answer 19

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

Question 20

what position in hip joint play done in?

Answer 20

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

Question 21

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

Answer 21

ALL

Question 22

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

Answer 22

ALL

Question 23

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

Answer 23

lateral AND inferior

Question 24

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

Answer 24

flexion

Question 25

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

Answer 25

extension

Question 26

patient position for anterior glide mob (hip)

Answer 26

prone

Question 27

hip special tests for labral pathology?

Answer 27

impingement hip quadrant hip scour Fitzgerald FABER/Patrick

Question 28

hip special tests for glute med tear/weakness

Answer 28

Trendelenburg specific MMT for glute med/PGM

Question 29

hip special tests for OA

Answer 29

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

Question 30

hip special tests for anteversion/retroversion

Answer 30

Craig's test

Question 31

hip special tests for fracture

Answer 31

patellar-pubic percussion test

Question 32

which hip special test has the best psychometrics?****

Answer 32

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

Question 33

hip special tests for capsular tightness

Answer 33

FABER

Question 34

hip special tests for hip dysplasia

Answer 34

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

Question 35

what is the progression of hip impingement testing?

Answer 35

FADIR --> quadrant --> scour

Question 36

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

Answer 36

no

Question 37

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

Answer 37

F

Question 38

position of pt's LE for hip quadrant test

Answer 38

FADIR --> FABER

Question 39

position of pt's LE in Fitzgerald test

Answer 39

FABER --> ExAddIR

Question 40

what does Fitzgerald test assess?

Answer 40

anterior labral tear

Question 41

what does FABER test assess?

Answer 41

posterior impingement anterior capsule tightness SIJ dysfunction

Question 42

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

Answer 42

greater troch

Question 43

normal measurement for Craig's test

Answer 43

10-15 deg IR (anteversion)

Question 44

anteversion measurement for Craig's test

Answer 44

>15 deg IR

Question 45

retroversion measurement for Craig's test

Answer 45

<10 deg IR

Question 46

what is a positive patellar-pubic percussion test?

Answer 46

diminished sound on involved side

Question 47

Altman's criteria for hip OA

Answer 47

hip pain IR <15 deg pain with IR morning stiffness 50 yo

Question 48

Sutlive criteria for OA

Answer 48

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

Question 49

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

Answer 49

5-10

Question 50

which hip mob improves flexion? extension? adduction?

Answer 50

flexion - inferior extension - anterior adduction - lateral

Question 51

which hip mob targets the inferior capsule and flexion ROM?

Answer 51

postero-inferior mob

Question 52

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

Answer 52

+ FADIR, quadrant, or scour

Question 53

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

Answer 53

AP with lateral mob

Question 54

position of patient for AP with lateral glide hip mob

Answer 54

crossover stretch - adduction and IR

Question 55

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

Answer 55

anterior capsule RF hip extension ROM

Question 56

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

Answer 56

abduction and ER

Question 57

target tissue for hip IR mob

Answer 57

posterior capsule IR ROM

Question 58

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

Answer 58

mobilize opposite pelvis stabilize IR at hip

Question 59

oscillation mob to improve anterior hip capsule?

Answer 59

modified prone RF stretch or figure 4 stretch

Question 60

oscillation mob to improve lateral/posterior hip capsule?

Answer 60

crossover stretch

Question 61

oscillation mob to improve inferior hip capsule?

Answer 61

knee to chest