Hip Mobilizations

Question 1

What are mobilizations for?

Answer 1

The joint capsule

Question 2

Why do a distraction?

Answer 2

For pain, impingement, relaxation

Good fro OA and backpain

Question 3

How to do hip distraction

Answer 3

Long axis: place leg in slight flexion, abduction and ER

Distraction with hip and knee flexed: knee draped over your shoulder. towel in groin for modesty
maintaining some adduction and medial rotation and pull caudally

Question 4

How long do you hold distractions?

Answer 4

30-60 seconds, 3-5x

Question 5

How to do a Long axis- Manipulation

Answer 5

Hip is flexed, abducted and laterally rotated

take up slack and then manipulate

Question 6

What is an Inferior Glide good for?

Answer 6

ABduction, Flexion, and IR when hip is at 90 degrees

Question 7

How to do an inferior glide

Answer 7

1. Same as distraction but line of force is more caudal

2. hip and knee flexed to 90. using a belt or hands in prox thigh. then same as distraction but more caudal

Question 8

What is a posterior glide of the hip good for?

Answer 8

Flexion, IR, and Adduction when the hip is at 90 degrees

Question 9

How to do a posterior glide

Answer 9

1. With towel under sacrum
   put leg into flexion, abduction and ER
   Then with hand in the inguinal line put force in a posterior lateral direction
2. Towel under sacrum with hip and knee flexed to 90 degrees
   pressure applied at knee in a posterior, lateral direction
   This is more vigorous than the first technique

The towel is used to allow hip motion

Question 10

What is an Anterior glide used for?

Answer 10

Extension, ER, and ABduction when hip is at 90 degrees

Question 11

How to do an anterior glid

Answer 11

1. Prone: with patient over several pillows (2-3) leg then in flexion and slight ER. Knee can be flexed
   Then apply in an anterior medial force
2. Pt standing bent over a table. have the leg NWB. and apply force anterior/ medial
3. S/L with pillows between knees. One hand stabilizes the pelvis and the other hand on Greater trochanter . Apply force anterior

Question 12

What is a lateral glide used for?

Answer 12

IR, adduction and generalized hip pain

Question 13

How to do a lateral glide

Answer 13

Pt is supine and leg is flex up to 90 degrees.
belt is placed around groin
and force is pure laterally

belt should be around buttock not hips so not to injure my back. I will be stabilizing leg and pelvis

Question 14

Loose Body Manipulation

Answer 14

Pt will present with sharp pain in joint that is not consistent

Pt is supine with ankle off end of table. therapist then grasps ankle (one hand more caudal than the other) and lifts leg to 60 degrees flexion and slight aBduction.
Assistant can stabilize the pelvis
I brace my thigh against table
Then starting from Full IR go into distraction and ER
Doing 3x- each time going more into extension

Question 15

Labral reposition manipulation

Answer 15

Pt will present with sharp pain but more consisent such as with hip flexion or IR

Pt is supine with leg on therapist leg ( leg is up on table)
Assistant stabilizes ASIS
One hand on thigh and one on ankle- distract the leg
increase knee flexion and go into ER in 3 scooping motions

Question 16

Curved Glide with Extension

Answer 16

Good for femoral anterior glide syndrome

Pt is prone with 2 pillows under stomach- preventing lumbar extension- leg can be bent or straight
Then standing on opp side of hip
One hand on G- Trochanter other on thigh lifting into extension end range and slight Adduction

Force is then applied at greater trochanter
; Anterior, Lateral and Inferior
This is performed rhythmically

Question 17

Curved glide for IR

Answer 17

Good for Femoral Arthrosis

Pt is pone and knee flex to 90 degrees.
Therapist on same side as treating
Palpate PIIS ( distal and lateral to PSIS)
Bring the leg then into Femoral IR ( outward) till pelvis begins to lift
Force is then caudal, dorsal and medial - forearm should be pointed towards the ceiling with elbow lower than wrist

Question 18

Curved glide for ER

Answer 18

Good for Femoral Arthrosis

Pt is prone with kneed flexed to 90
Therapist is on opp side of side treating
Bringing leg into ER ( brining leg inward)
Palpate PSIS
Force is Cranial, ventral and lateral