Hip Mobilizations Flashcards
how do we perform hip distraction?
put the hip in OPP
grip around the malleoli and pull back with your body weight
can use the gait belt around your waist to help with grade 4-5
what is the point of hip distraction?
to create separation of the joint surfaces
what is the OPP of the hip?
30 degrees abduction
30 degrees flexion
slight ER
what movement does an inferior glide improve?
hip flexion
what glides can improve hip flexion?
inferior glide
posterior glide
t/f: inferior glide is an effective way to reduce groin pain and improve hip flexion
true
how do we perform inferior glides?
with the treatment leg knee bent and opposite leg straight
grip the proximal anterior thigh and rest their knee on your shoulder
pull straight back towards you
can also “scoop” up and back with ulnar part of hands along the inguinal ligament
can use the belt around your waist and their thigh
what does anterior glide help improve?
ER and hip extension
how do we perform anterior glides?
prone
bend and ER the treatment leg over the opposite leg (essential FAbER)
put force through the posterior proximal femur at the gluteal fold in the plane of the acetabulum (pressure down and out)
OR been the knee and lift them into extension while applying a force straight down just below the gluteal fold
can use one or two hands
can put a pillow under the leg and/or tummy
what does a medial glide help improve?
hip abduction and ER
how do we perform medial glides?
supine
support the pts flexed knee
stabilize just below the greater trochanter (lateral proximal femur) and apply a force inward
can also turn them into ER while applying this force
OR
sidelying
hold the limb in neutral and support the knee medially
apply a force slightly above the greater trochanter and push straight down
what does a posterior glide help improve?
hip flexion and IR
how do we perform posterior glides?
supine
cross the treatment leg onto the opposite knee
block the pelvis at the ischium
put force through the long axis of the femur (posterior and lateral directed force)
can add more flexion and adduction
what does a lateral glide help improve?
hip adduction and IR
how do we perform lateral glides?
supine
treatment leg bent over you, other leg straight
easier with belt around you and their thigh
place mobilizing hand on the medial thigh and pull straight out to the side
belt around your glutes and in line with their pelvis, lean your body weight back to get a mechanical advantage
OR using the lateral force, flex the hip more with one hand just above the greater trochanter to stabilize and the other hand on the medial thigh
