ROM The Hip

Question 0

Hip extension

Answer 0

0-20 degrees
Test position: prone with knees extended
End feel: firm
Alignment:
Axis- lateral aspect of hip joint using greater trochanter of femur as reference
Proximal arm- lateral midline of pelvis
Distal arm- lateral midline of femur using lateral epicondyle as reference
***keep an eye on pt. to make sure they don’t rotate

Question 1

Hip flexion

Answer 1

0-120 degrees
Test position: supine with knees extended; then flex the knee during test
End feel: soft
Alignment:
Axis- lateral aspect of the hip joint using greater trochanter of femur as reference
Proximal arm- lateral midline of pelvis
Distal arm- lateral midline of femur using lateral epicondyle as reference

Question 2

Hip abduction

Answer 2

0-45 degrees
Test position: supine with knees extended
End feel: firm
Alignment:
Axis- ASIS of extremity being measured
Proximal arm- imaginary horizontal line from one ASIS to the other
Distal arm- anterior midline of femur using midline of patella for reference
*** keep toes pointed up to the ceiling

Question 3

Hip adduction

Answer 3

0-15 to 20 degrees
Test position: supine with knees extended
End feel: firm
Alignment:
Axis- ASIS of extremity being measured
Proximal arm- imaginary horizontal line from one ASIS to the other
Distal arm- anterior midline of femur using midline of patella for reference
***move other leg out of the way of the one being tested

Question 4

Hip internal and external rotation

Answer 4

0-45 degrees
Test position: sitting
End feel: firm
Alignment: 
Axis- anterior aspect of patella
Proximal arm- perpendicular to floor/ parallel to supporting surface
Distal arm- anterior midline of lower leg, using crest of tibia and point midway between two malleoli for reference 
***towel under knee