Hip & Trunk Flashcards
Flexion
110-130
Extension
10-15
Abduction
30-40
Adduction
30
Medial rotation
30-40
Lateral rotation
40-60
Hip flexor
Psoas major Illiacus Tfl Satorius Rectus femoris Glute med(Ant Fiber) Glute min Adductors ( all assist) Pectineus ( assist)
Hip extensor
Glute max ( all fibers) Bicep femoris ( long head) Semitendinosus Semimembranosus Adductor magnus( post fiber) Gluteus med( posterior fiber)
Internal Rotation ( medial rotation)
Glute med( ant fiber) Glute mininus Tfl Adductor magnus, longus , brevis Pectineus Gracillis Semiten ( assist) Sememem( assist)
External rotation ( lateral rotation)
Glutes max ( all fibers) Piriformis Quadratus femoris All deep 6 Glutes med ( posterior ) Psoas major Illiacus Satorius Bicep femoris ( assist , long head)
Hip Abductor
Glutes Max ( all fiber) Glute med ( all fiber) Glutes min Tfl Satorious Piriformis when hp is flex
Hip adductor
Adductor magnus , longus, brevis
Pectineus
Gracillis
Glute max ( lower fiber)
Vocal fremitus test
Asses : brochial congestion , due to Emphysema or chronic bronchitis
Clt:
1: prone
2: place both hands symmetrically on thorax and move over various aspect of thorax
3: At he same time, ask clt to repeat nasal sounds
Such as Ninety - Nine
Asses: the area over lungs and bronchi for presence Of vocal froramitus or vibration of the different lobes
+ Positive = if Vibration are decreased over lungs and bronchii positive for congestion due to infected mucus
Repeat test with client lying supine
Mediate Percussion test
Asses : lung density , specifically for the presence of mucus congestion in specific lobe as in bronchitis , or hyperinflation as in
emphysema
Clt:
1: prone then Supine
2: place middle finger on Non- dominant hand flat on the thorax along an intercostal space
3: tips of non - dominant hand , tap firmly on finger positioned on thorax
4: Repeat the tapping over various aspect of thorax . Tapping produces a sound that varies with density of underlying tissue
+ Positive = the sound is Duller over area of Congestion , and more resonant over hyperinflated lungs
The sound is also duller over solid area such as heart or abdomen
Spine , AF rom
Asses AF Rom of the spine
Clt :
1: Standing position
2: posterior view, examine entire spine , instruct clt to move slowly through available range
+ = positive , hypomobile segment = move as one unit . Hypermobile segment which move more than the segment above or below them
Trunk and hip Flexion , Af rom
Asses lenth of gastrocs, hamstrings , lower and upper back extensor
Clt:
1: Instruct clt to touch toes with both knees extend to bend forward from the ps to touch the toes
2: observe clt in Lateral View
Normal touch toes with fingertips neutral position , ankle neither dorsiflex nor plantar flexed , the contour of lower and upper back is smooth curve .
Shortness: unable touch toes due to plantar flex
Shortness: hams inability to touch toes along with posterior pelvic tilt
Excessive length : ham when reach past the toes and exhibits more Ant pelvic tilt
Shortness : lower back remain vertical
Excessive length in Lower back: increase lumbar area
Excessive length in upper back : increase curve in thoracic spine
Functional or Structural scoliosis test
To determine whether spinal curves are functional or structural in nature;
Clt
1: standing position
2: stand or sit behind the standing client and observe the spinous process for any visible curve
3: instruct clt to Lateral bending to both sides and in Flexion
Lateral bending is Positive for Functional scoliosis if te curve corrects or reverse as client bends towards convex side . If the curve does not correct is positive for Structural scoliosis and
Flexion is Positive for functional scoliosis if curve rib humping correct or reverse as client slowly bends forward . If no correction , test is positive for structural scoliosis
Forwardbending test
Combination of these two test
Clt
1: bend forward , allow arm to hang , then laterally bend the torso to both sides
Positive= curve or rib humping correct or reverse for functional ,
Scoliosis small Hemipelvis test
Asses small hemipelvis that may contribute to a functional scoliosis
Clt:
