Hip ROM, muscle length

Question 0

Iliopsoas muscle length: prone hip extension test

Answer 0

Goniometer alignment

• SA: lateral midline of trunk
• A: greater trochanter of femur
• MA: lateral epicondyle of femur

-prone, need an assistant to help, knee flexed, and extend hip, stabilize at top of hip

Question 1

Iliopsoas muscle length- Thomas test

Answer 1

Goniometer alignment

• SA: lateral midline of trunk
• A: greater trochanter of femur
• MA: lateral epicondyle of femur

-supine, knee hanging off table, pull opposite leg toward chest

Question 2

Rectus femoris muscle length: Thomas test

Answer 2

Goniometer alignment

• SA: greater trochanter of femur
• A: lateral epicondyle of femur
• MA: lateral malleolus
• supine, knee hanging off end of table, pull opposit leg to the chest

Question 3

Rectus femoris muscle length: prone technique

Answer 3

Goniometer alignment

• SA: greater trochanter of femur
• A: lateral epicondyle of femur
• MA: lateral malleolus

-prone, bend leg being tested until end ROM

Question 4

Hamstring muscle length: straight leg raise test

Answer 4

Goniometer alignment

• SA: lateral midline of trunk
• A: greater trochanter of femur
• MA: lateral epicondyle of femur

-supine, bring straight leg up as far as possible, need an assistant for this test

Question 5

Hamstring muscle length: knee extension test

Answer 5

Goniometer alignment

• SA: greater trochanter of femur
• A: lateral epicondyle of femur
• MA: lateral malleolus

-supine, bend leg to 90 degrees and while maintaining the leg at 90 degrees, extend the leg until end of ROM, need an assistant to properly perform

Question 6

Iliotibial band and tensor fasciae latae Muscle length: ober test and modified ober test

Answer 6

Lying on side, band bottom leg to 90 degrees for stability and raise the top leg straight up 20-30 degrees, extend the hip and while holding hip in extension, let top leg slowly fall to the table

(-) test if leg drops below horizontal
(+) test if leg does not drop below horizontal

Question 7

Iliotibial band and tensor fasciae latae muscle length: ober test and modified ober test- inclinometer

Answer 7

Lying on side, band bottom leg to 90 degrees for stability and raise the top leg straight up 20-30 degrees, extend the hip and while holding hip in extension, let top leg slowly fall to the table and measure the angle it drops with an inclinometer

If leg remains at horizontal, record 0 degrees, if leg falls below horizontal record a positive number, if leg remains above horizontal a negative number is recorded

Question 8

Iliotibial band and tensor fasciae latae muscle length: prone technique

Answer 8

Goniometer alignment

• SA: contralateral posterior superior iliac spine (PSIS)
• A: ipsilateral PSIS
• MA: posterior midline of ipsilateral femur

Prone, have knee flexed to 90 degrees, abduct hip and then while stabilizing hip adduct the hip until end ROM –> end ROM is the point at which initial pelvic movement is detected