Thigh and Hip

Question 1

Observation for thigh and hip

Answer 1

• Squat assessment –> looking for valgus or varus

Question 2

AROM/PROM for knee

Answer 2

• KF/KE

Question 3

Hip AROM/PROM

Answer 3

• Hip flexion/extension
• Hip abduction/adduction
• Hip internal rotation
• Hip external rotation

Question 4

Knee Strength

Answer 4

• KE/KF

Question 5

Hip Strength

Answer 5

• HF/HEXT
• HABD/HADD
• HIR/HER

Question 6

Special Tests for thigh and hip

Answer 6

• Ober’s test
• Noble’s compression test
• Straight leg raise
• Quadriceps length test
• Measure circumference of quads

Question 7

Ober’s Test

Answer 7

• Patient laying on side
• Hand underneath knee letting foot rest on arm, other hand on the hip
• Bring into slight knee extension and hip abduction
• Then slowly lower the leg all the way down
• Observe if leg falls down on the table

Question 8

Noble compression test

Answer 8

• 90 degree knee flexion
• Hand on lateral side of knee, other hand on the medial side of the end of leg
• Bring knee into flexion and extension
• Observing if patient has pain

Question 9

Straight leg raise

Answer 9

• One hand stabilizing thigh, other hand under end of leg
• Move leg straight up

Question 10

Quad length test

Answer 10

• Laying on stomach move leg like a hamstring curl

Question 11

Palpation for thigh and hip

Answer 11

• Quad muscles
• Hamstring muscles
• Iliotibial band/lateral femoral epicondyle

Question 12

What are the injuries for the thigh and hip

Answer 12

• Iliotibial band friction syndrome –> chronic
• Hamstring strain –> acute
• Quad strain –> acute
• Quad contusion –> acute

Question 13

History for iliotibial band friction syndrome

Answer 13

• Increasing symptoms with activity
• Pain on lateral side of knee
• Pain worse going down stairs
• Change in training habits

Question 14

Assessment for iliotibial band friction syndrome

Answer 14

• Positive ober’s length test
• Positive noble’s compression test
• Potentially weak hip abductors
• Poor squat mechanics
• Pain over iliotibial band (sometimes)

Question 15

Treatment for iliotibial band friction syndrome

Answer 15

• POLIE
• Correct biomechanics
• Hip strengthening –> glute brides, side-lying leg raises, open and close the gate
• Provide stretches for tight structures
• Rolling on ITB

Question 16

History for hamstring strain

Answer 16

• specific incident
• quick acceleration
• might report poor warm-up
• sharp pain in back of leg

Question 17

Assessment for hamstring strain

Answer 17

• Weak and painful KF
• Decreased length on straight leg raise on injured side
• Pain on hamstring muscles

Question 18

Treatment for hamstring sprain

Answer 18

• POLICE, stretch after 2 weeks
• Strengthening –> standing bodyweight hamstring curls, high kicks aiming to keep leg straight and touch opposite hand, machine or resistance band hamstring curl

Question 19

History for Quad strain

Answer 19

• Specific incident
• Landing from a jump or acceleration
• Athlete reports a sharp pain in front of leg

Question 20

Assessment for Quad strain

Answer 20

• Weak and painful KE
• Limited and painful quad length test
• Might have pain with hip flexion
• Pain over quads

Question 21

Treatment for quad strain

Answer 21

• POLICE, stretching after 2 weeks
• Quad strengthening –> wall sits, walking lunges, slow descent squats

Question 22

History for Quad contusion

Answer 22

• Another player or object impacted into leg
• Loss in ROM
• Quad feeling very swollen

Question 23

Assessment for quad contusion

Answer 23

• Strong but painful KE
• Limited quad stretch test
• Visible bruising or swelling
• Increased quad circumference

Question 24

Treatment for quad contusion

Answer 24

• Remove from activity
• Immediately ice while quad stretched to comfort
• Apply gently compression
• No heat, no deep tissue massage