Lab 5 Flashcards
What do we treat first: Hip pain or LBP?
LBP
What sign can help you differentiate cancer from infection?
Cancer will be more likely to have fever
People with hip pain are likely to hold their legs in what position
weight shifted off of affected side, knee and hip flexed
in open packed position: ER, flexed, abducted
Poor SLS balance is anything under
30 seconds
What do we measure first at the hip PROM or AROM
AROM, only measure PROM if there’s a notable lack of AROM
How much hip flexion is needed for tying your shoes ?
What about for sitting?
120
112
How much hip flexion is needed for squatting?
stooping?
115 flexion and 15 ABD and IR
125
how much hip flexion is needed to ascend stairs?
descend stairs?
67
36
how much hip flexion is needed to put foot on opposite thigh?
to put on pants?
120 flex, 20 abd, 20 ER
90 degrees of flexion
Obers test is for…
Lateral hip pain
ITB syndrome
When would you preform the piriformis muscle length test?
Posterior pain
Sciatica
When would you not do joint play?
full pain free AROM is present
what do you ask after doing any technique and the patient feels pain
“is that your pain”
Progressive labral pathology tests
Fitzgerald -> FADIR -> Hip Quadrant -> Hip Scour
Will all impingement patients have a labral tear?
F, but all labral tears will have impingement
What test is best for a hip/femur fracture
patellar/pubic percussion test
how do you preform the fitzgerald test?
passively move patient from FABER to ext + add + IR
postitive test: recreation of symptoms with or without click
The fitzgerald test is for what pathology?
Anterior labral tear
What is the best test for impingement?
Quadrant -> Scour
FADIR tests for what?
Femoral Acetabular Impingement
positive: increased hip and groin pain
The hip scour test is for what pathology?
FAI, Labral tear, Acetabular impingement
How do you preform the hip scour test
Move leg passively from Flexion/add/IR to Flexion/Abd/ER with a compressive force
basically its the quadrant test with compression
What does FABER test for?
Impingement, SIJ dysfunction, capsular tightness
What is the craig test for
tests for femoral anteversion/retroversion
What is a normal craig test?
Greater trochanter is most easily palpatable at 10-15 degrees of IR AKA anteversion
A craigs test of over 15 degrees of IR shows what?
femoral anteversion
a craigs test of under 10 means what
femoral retroversion
how do you preform the patellar-pubic percussion test
tap patella and listen to the pubic symphysis and there will be less sound on the side with a fx compared to the opposite side
What is the iHOT-33, HOOS, HHS?
outcome measure for the hip
IF we want to target the inferior capsule & flexion ROM
what mobilization should we use first
Postero-inferior Mob w/ Belt
IF a patient has a (+) FADIR, quadrant, or scour &
We want to target the lateral capsule and ADduction ROM
what mobilization should we use first
Progressive Lateral Mob w/ Belt
IF a patient has a (+) FADIR, quadrant, or scour &
We want to target the postero-lateral capsule & ADduction ROM
what mobilization should we use first?
AP w/ Lateral Mob
IF we want to target the anterior capsule, rectus femoris, hip ext AROM
what mobilization should we use first
PA Hip Mob w/ Hip Ext/Knee Flexion
What mob should we use with a patient has a positive FABER
PA hip mob w/ abd and ER
in prone
IF we want to target the posterior capsule, IR ROM
what mobilization should we use first
Hip IR Mobilization
How do you progress a lateral hip mobilization
Add more hip flexion, adduction, and IR
How do you progress the PA hip mobilization
Add more hip extension and knee flexion
What is the patient position for the hip mob that helps with abd and er
Prone with affected leg off of table in ER/ABD and knee resting on stool
How do we progress the hip mob for ABD ER
Add more ER and ABD, or bring the patients leg from the stool below the table onto the table (see slide 54)
Where does a therapist apply mobilization pressure to mobilize hip IR
stabilize hip into IR with one hand, mobilize at opposite pelvis
