Hip OSCE

Question 1

What does the thomas test test for

Answer 1

Dysfunctional hip flexors (iliopsoas)

Question 2

Define how to perform a Hip flexor SD MET

Answer 2

Patient is LR with affected side up

Patient’s leg is lifted and is instructed to push anteriorly against doc’s hand to move into ease of motion

Question 3

Define how to do a hamstring hypertonicity SD

Answer 3

Used for an extension SD

Doc stabilizes contralateral ASIS and moves affected leg upwards while patient presses downwards into ease of motion

Question 4

Define how to do a MET gluteus hypertonicity

Answer 4

Patient is LR with affected side up

Doc stabilizes ipsilateral PSIS while patient pushes foot downward against physician’s thigh

Question 5

Define how to do a Hip external Rotation SD MET

Answer 5

Patient supine with hip and knee flexed to 90 degrees

Patient is instructed to externally rotate hip against physician’s counterforce

Question 6

Define how to perform a Hip internal rotation SD MET

Answer 6

Same as external rotation SD, just have patient internally rotate hip against doc’s counter force