Lab 5: Hip Exam and Intervention

Question 1

if you move your back and your hip hurts

if you move your hip and your back hurts

Answer 1

back issue

hip issue

Question 2

if LBP is related to the hip pain

Answer 2

treat the LBP first (treat PROXIMALLY)

Question 3

When you were a child…

Answer 3

do you remember if you were ever braced? had any surgeries? any dysplasia?

Question 4

hip questions to ask

Answer 4

any clicking/popping/locking that’s painful?
(older) any morning stiffness? does it get better or worse as you move?
any recent surgery?

Question 5

after pt performs a double limb squat and it’s positive (compensatory patterns, etc.), PT will:

Answer 5

confrim hip joint dysfunction by measuring ROM (goni)

Question 6

functional tests

Answer 6

double limb squat
SLS
SL SQUAT
Trendelenberg (CL hip drop)
have pt demo any additional activities that typcially increas SX

Question 7

hip flexion and extension AROM

Answer 7

F: 110-120

E: 10-15

Question 8

hip Ab and ADD

Answer 8

ABD: 30-50

ADD: 25-30

Question 9

hip IR and ER

Answer 9

IR: 30-40
ER: 40-60

Question 10

Hip ROM needed for functional task
SLIDE 22 MEMORIZE!!

Question 11

MMT of the hip:

Answer 11

start in supine with neutral pelvis. progress to sidelying or prone as needed.

do overpressure for WNL AROM, do PROM when AROM is not WNL.

Question 12

joint play assessment

Answer 12

1. long axis distraction
2. lateral traction
3. postero-inferior glide
4. anterior glide

Question 13

long axis distraction target tissue

Answer 13

overall capsule

assess 3x for hypomobility / pain

Question 14

posterior inferior glide target tissue

Answer 14

inferior/posterior capsule

“down and out” force

Question 15

anterior glide

Answer 15

modified prone (for lumbar pain) or prone

target anterior capsule

hand right below isch tubs

Question 16

position of the hip in joint play assessment

Answer 16

open pack!

30 flexion
30 abd
slight ER

Question 17

labral pathology tests (progressive)

Answer 17

• impingement
• hip quadrant
• hip scour
• fitzgeral test
• FABER / Patrick

Question 18

GM tear/weakness tests

Answer 18

trendelenberg
MMT for glut med / PGM

Question 19

which test is testing for FAI?

Answer 19

impingement test: FADIR

(PROM; + with increased hip / groin pain)

Question 20

what is the hip quadrant test

Answer 20

“FADIR to FABER”
also tests for a FAI

+ test: ROS at hip with groin or clicking sensation

Question 21

hip scour test tests for:

Answer 21

FAI, Labral tear, Acetabular dysfunction

Question 22

describe the hip scour test

Answer 22

PT moves leg from combination of

flexion/add/IR
to
flexion/abd/ER

WITH A COMPRESSIVE FORCE
(+) test if sx occur

Question 23

fitzgeral test is for

Answer 23

anterior labral tear

Question 24

describe the fitzgerald test

Answer 24

PT passively moves hip from
full FABER
to
adduction, IR, and extension (below table)

(+) test is pain with or without clicking sound

Question 25

this tests for impingement, SIJ dysfunction, or capsular tightness

Answer 25

FABER/Patrick

Question 26

T/F: anterior pain during FABER/Patrick test indicates SIJ dysfunction

Answer 26

FALSE (SIJ will only be posterior pelvis/buttock pain)

hip will most likely be anterior hip pain, but can still be posterior.

Question 28

recap: list the progressive hip impingement exams in order

Answer 28

• impingement (FADIR)
• hip quadrant (FADIR –> FABER)
• Scour (forceful)
• Fitzgerald (ant labral tear –> FABER to add, ir, and extension)
• FABER/Patrick

Question 28

which test is looking for femoral anteversion/retroversion?

Answer 28

Craig’s Test

Question 29

when do you measure ROM during the Craig’s test?

Answer 29

when the greater trochanter is parallel to the examining table

Question 30

what is normal (aka anteversion)?
what is excessive anteversion?
what is retroversion?

Answer 30

normal: 10-15
anteversion: >15
retroversion: <10

Question 31

if you suspect a hip or femur fracture

Answer 31

perform patellar-pubic percussion test
(+) test = diminished sound on involved side

Question 32

ALTMAN’S criteria for Hip OA

Answer 32

1. hip pain
2. morning stiffness up to 60 min
3. > 50 y/o
4. painful IR
5. IR <15 degrees