lab 5: hip joint examination and interventions

Question 1

what ROM should u check for the hip

Answer 1

flex/ext
ABD/ADD
IR/ER

do AROM first and add some over pressure but only do passive if AROM is limited

Question 2

what is normal hip flexion/ ext

Answer 2

Flexion: 110-120°
Extension: 10-15°

Question 3

what is normal hip abd/add

Answer 3

abd: 30-50°
ADD: 25-30°

Question 4

what is normal hip IR/ER

Answer 4

IR: 30-40°
ER: 40-60°

Question 5

how much hip flexion is needed for shoe tying . sitting and stooping

Answer 5

Shoe tying 120º flex
Sitting 112º flex
Stooping 125º flex

Question 6

what much hip ROM is needed for squatting

Answer 6

115º flex, 20º abd, 20º IR

Question 7

how much hip ORM is needed for going up and down stairs

Answer 7

Ascending stairs 67º flex
Descending stairs 36º flex

Question 8

how much hip ORM is needed for putting foot on opposite thigh and putting on pants

Answer 8

Putting foot on opposite thigh 120º flex, 20º abd, 20º ER
Putting on pants 90º flex

Question 9

what flexibility test can u do for the hip

Answer 9

Ober’s test: IT band

Modified Thomas Test: RF and psoas tightness

elys test: RF

prifimrois

hamstring (do for limited lumbar flexion, HF or knee extension)

Question 10

what are the 4 joint play assessments that can be done at the hip

Answer 10

• Long Axis Distraction
• Lateral Traction
• Postero-inferior Glide
• Anterior Glide

Question 11

when do u do the long axis distraction

Answer 11

just to see if the overall capsule is hypomobile or not

starts in OPP (30° flex, 30° abd , slight ER

Question 12

what do u do to check the lateral capsule of the hip , also if someone has limited ADD of hip

Answer 12

lateral traction

start in OPP

Question 13

what kind of joint play/ traction do u do to increased flexion ROM

Answer 13

posterior /inferior glide

pts leg is resting on ur shoulder and u are pullling down and out

Question 14

how do u asses the anterior joint capsule for joint play for the hip

Answer 14

pt is prone and knee is in flexion anf some extesnion at hip and PT is providing a PA mob thru the prox femur

Question 15

what kind of join mob would u perform if the pt has decreased hip extesnion

Answer 15

anterior glide joint mob (bc of decreased extension)

Question 16

what special test aer for gluteus medius tear/weajkness

Answer 16

• Trendelenburg Sign
• Specific MMT for glut med/PGM (side lying hip abduction w sligth ext)

Question 17

what test cna be used for the labral pathology of the hip

Answer 17

• Impingement Test
• Hip quadrant
• Hip scour
• Fitzgerald Test
• FABER/Patrick Test

Question 18

if you think your pateints has anterior/lateral capsular tightness what special test can u do

Answer 18

patrick test/FABER/ figure 4

Question 19

what is the test progression from hip impingement testing

Answer 19

quadrant
scour

Question 20

what is the FADIR test testing

Answer 20

FAI

passively take pt into flexion ADD and IR going past midline

(+) w incrreased hip/groin pain

if the pt has pain w hip flexion u dont have to do add and IR

Question 21

what is the hip quadrant test for and how do u do it

Answer 21

for FAI

take pt passively thru FADIR to FABER

(+) if ROS at hip joint and/or clicking

Question 22

what is hip scour test for and how do u do it

Answer 22

for : FAI , labral teat , acetabular dysfucntion

passively move pt thru FADIR to FABER WHILE adding a compressive force

dont do this if FADIR and quadrant test are positive

(+) if ROS and/or clicking

Question 23

if u think ur pt has a anterior labral tear what test would u do and how

Answer 23

fitzgerald test

passively move pt hip form full FABER to extension adduction and IR

(+) w ROS w/ w/o a click

only do this w anterior hip pain

Question 24

what can do u the FABER/ patrick test for

Answer 24

impingement , SIJ dysfunction or capsular tightness

• pain usual in front of

passively put pt into FABER

(+) w ROS in anterior hip (tight anteriorly) or pain in posteiror (posterior hip impingement)

Question 25

if u think ur pt has a tear or weakness of glute med what test can u do

Answer 25

trendelenburg sign

have pt stand on one leg

(+) w asymmetric contralateral hip drop

Question 26

what special test can u use fro femoral anteversion/retroversion

Answer 26

craig’s test

palpate GT
passively rotate pt hip medially and laterally until FT is parallel

normal is 10-15° of IR (anteversion)
>15 is excessively ante
<8 is retroveted

Question 27

what manual therapy techquie would u do to target the overall capsule of the hip

Answer 27

long axis manipulation

Question 28

if you are trying to target the inferior capsule and increase flexion ROM of the hip what mob would u do

Answer 28

postero inferior mob w the belt

Question 29

what mob do u used if (+) FADIR , quadrant or scours

Answer 29

progressive lateral mob w belt
u can add more hip flexion/add and leg crossover add/IR

targets lateral capsule and increased add ROM

Question 30

what else could u used when (+) FADIR , quadrant or scours but only if the patient doesn’t feel a pinch in anterior groin w cross over and u are trying to target the posterio lateral capsule and increases ADD ROM

Answer 30

AP / lateral mob

have to cross leg over and PT is applying posterior pressure they femur

Question 31

what mob can u do for the hip if u want to increase hip extension ROM and what capsule are u working

Answer 31

PA hip mob w hip ext/knee flexion

targeting anterior capsule

apply PA mob on proximal femur

Question 32

what mob can u do if you want to increase ER and ABD ROM

Answer 32

PA hip mobility w abd and ER

targets anterior capsule

use when FABER is (+)

pt is prone w leg in abd and ER (foot in) and slight knee flexion

PT apply a PA mob thru proximal femur

Question 33

what self join mobs can pt do if they want to target the anterior capsule

Answer 33

modified prone “RF stretch” or figure 4

Question 34

what self join mobs can pt do if they want to target the lateral/post capsule

Answer 34

cross over stretch

Question 35

what self join mobs can pt do if they want to target the inferior capsule

Answer 35

knee to chest