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
Ober Test
sidelying with bottom knee bent
stabilize pelvis
avoid hip flexion and internal rotation
Positive test: thigh does not go past horizontal
would indicate tight TFL and IT band
Modified ober test
propesed to be easier to handle
less tension on patella
takes rectus femoris out of the test
leg is STRAIGHT
passive SLR test
hamstring muscle
supine with LE extended
axis: greater trochanter
stationary: lateral midline of trunk
moving: lateral epicondyle of femur
STOP when contralateral LE flexes or pain felt
avoid dorsiflexion, should get about 75-95°
Ely test
rectus femoris
prone, passively flex knee until hip begins to flex
measure with goni
axis: lateral epicondyle of femur
stationary: lateral femur towards greater trochanter
moving: lateral lower leg towards lateral malleolus
looking for symmetry
