Lecture 9 Flashcards
Most joint congruency in hip
90° flexion, ER, and abduction
ex: sumo squat
Closed pack in hip
most capsular and ligamentous tension due to soft tissue tension
extension, internal rotation, abduction
Normal end feel of hip
firm/tissue stretch for all directions except…
hip flexion with knee flexed (soft tissue approx)
Walking functional AROM
35° of flexion
Ascending from chair functional AROM
100-110° of flexion
Tying shoes with foot on floor functional AROM
115-130° of flexion
Sitting crossed-legged functional AROM
90° of flexion
35° of abduction
40° of external rotation
Hip flexion test
Axis: greater trochanter
Stationary: lateral midline of pelvis/trunk
Moving: lateral femur towards lateral femoral epicondyle
Hip extension test
Axis: greater trochanter
Stationary: lateral midline of pelvis/trunk
Moving: lateral femur towards lateral femoral epicondyle
monitor for anterior rotation of the pelvis @ PSIS
Sitting Hip Rotation Test
Axis: midpoint of the patella
Stationary: perpendicular to floor
Moving: anterior midline of tibia along tibial crest
watch for pelvic/trunk compensation
Prone Hip Rotation Test
Knee flexed at 90°
Lateral fibula proximal to lateral malleolus for ER
medial tibial proximal to medial malleolus for IR
Hip abduction test
Supine
Axis: ipsilateral ASIS
Stationary: in line with contralateral ASIS
moving: anterior midline of femur in line with patella
Hip adduction test
Supine with LE extended, move contralateral limb to abducted position
Axis: ipsilateral ASIS
Stationary: in line with contralateral ASIS
Moving: anterior midline of femur in line with patella
Factors that affect muscle length
age
gender
SAID principle
Modified Thomas Test
Starting: patient standing with buttocks on edge of table and holding one knee to chest. Assist them in back to supine
Thigh off table–tight hip flexor/illiopsoas
Knee not passively resting in 90°–tight rectus femoris
Thigh abducted–tight TFL
