Flashcards in 03 Hip 2 Deck (43):
frontal plane motions
sagittal plane motions
transverse plane motions
goniometry norms: abduction
goniometry norms: adduction
For the frontal plane motions, where is the gonio?
- axis: ASIS
- stationary arm: across to other ASIS
- moveable arm: toward patella
When measuring abduction and adduction, how do you make sure you don't get compensation?
- toes point toward the ceiling to keep from going into ER
- opposite hip stays down
For the sagittal plane motions, where is the gonio?
- axis: greater trochanter
- stationary arm: axial skeleton midline
- moveable arm: femur
goniometry norms: flexion
goniometry norms: extension
gonio: knee position for flexion
knee is flexed to keep the hamstrings out of the picture
gonio: What compensation do you need to watch out for in flexion?
posterior pelvic tilt compensation
gonio: What compensation do you need to watch out for in extension?
- anterior pelvic tilt
- lifting the leg too high
2 ways to measure ER/IR
What is the most functional way to measure ER/IR?
- most ER and IR occurs with hip in neutral, more transferrable to gait
If you're taking ER/IR measurement in sitting, what do you need to do?
put a towel under their knee to make it level
goniometry norms: IR (females)
goniometry norms: IR (males)
goniometry norms: ER (females)
goniometry norms: ER (males)
What measurement would indicate you have an anteverted hip?
more than 60˚ IR
If you have excessive IR, what will you also likely have?
How would you tell if it's a muscular or capsular problem with decreased ROM?
- joint mobility assessment
- flexibility tests
MMT: patient position for hip flexion test
- hands in a tripod position behind them
- don't need stabilizing hand (already doing it themselves)
- flex hip, down halfway, resist
MMT: hip flexion test
Why do the patient's hands go behind them to stabilize?
makes sure the hamstrings aren't involved
MMT: patient position for sartorius
- heel on opposite shin
- slide up, then down halfway
What motions must you resist when testing sartorius?
- knee flexion
- hip flexion
- top hand
pushes down into extension and adduction
- bottom hand
pushes into IR and knee extension
How would you MMT the sartorius for a lower grade?
same motion in supine
Two ways to test hip extension
knee flexed or straight
MMT: hip extension
- knee straight tests:
- glut max
MMT: hip extension
- knee flexed tests:
glut max only
PT hand position for MMT hip extension
- stabilizing hand above line of glut max
- resistance proximal to knee
For MMT hip extension, how would you take it to a grade 2 or lower?
Which muscles do we test for abduction?
glut med/min and TFL
How to test glut med/min
- roll their hip forward
- hand proximal to glut med, resist above knee
Why do you need to make sure you press the hip forward when testing glut med/min?
need to keep the TFL out of the picture
sidelying, flex hip to 30˚
How would you do lower grades for testing the TFL?
put a wedge under their back
MMT for adduction
- hold their top leg, have them adduct
- resist down
MMT for hip ER/IR
- same positions as for goniometry