03 Hip 2 Flashcards Preview

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Flashcards in 03 Hip 2 Deck (43):
1

frontal plane motions

abduction
adduction

2

sagittal plane motions

flexion
extension

3

transverse plane motions

IR
ER

4

goniometry norms: abduction

45˚

5

goniometry norms: adduction

20˚

6

For the frontal plane motions, where is the gonio?

- axis: ASIS
- stationary arm: across to other ASIS
- moveable arm: toward patella

7

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

8

For the sagittal plane motions, where is the gonio?

- axis: greater trochanter
- stationary arm: axial skeleton midline
- moveable arm: femur

9

goniometry norms: flexion

120˚

10

goniometry norms: extension

20˚

11

gonio: knee position for flexion

knee is flexed to keep the hamstrings out of the picture

12

gonio: What compensation do you need to watch out for in flexion?

posterior pelvic tilt compensation

13

gonio: What compensation do you need to watch out for in extension?

- anterior pelvic tilt
- lifting the leg too high

14

2 ways to measure ER/IR

- sitting
- prone

15

What is the most functional way to measure ER/IR?
Why?

- prone
- most ER and IR occurs with hip in neutral, more transferrable to gait

16

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

17

goniometry norms: IR (females)

45˚

18

goniometry norms: IR (males)

35˚

19

goniometry norms: ER (females)

45˚

20

goniometry norms: ER (males)

45˚

21

What measurement would indicate you have an anteverted hip?

more than 60˚ IR

22

If you have excessive IR, what will you also likely have?

less ER

23

How would you tell if it's a muscular or capsular problem with decreased ROM?

- joint mobility assessment
- flexibility tests

24

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

25

MMT: hip flexion test

Why do the patient's hands go behind them to stabilize?

makes sure the hamstrings aren't involved

26

MMT: patient position for sartorius

- heel on opposite shin
- slide up, then down halfway

27

What motions must you resist when testing sartorius?

- ER
- knee flexion
- hip flexion
- abduction

28

MMT: sartorius
- top hand

pushes down into extension and adduction

29

MMT: sartorius
- bottom hand

pushes into IR and knee extension

30

How would you MMT the sartorius for a lower grade?

same motion in supine

31

Two ways to test hip extension

knee flexed or straight

32

MMT: hip extension
- knee straight tests:

- hamstrings
- glut max

33

MMT: hip extension
- knee flexed tests:

glut max only

34

PT hand position for MMT hip extension

- stabilizing hand above line of glut max
- resistance proximal to knee

35

For MMT hip extension, how would you take it to a grade 2 or lower?

sidelying

36

Which muscles do we test for abduction?

glut med/min and TFL

37

How to test glut med/min

- sidelying
- roll their hip forward
- hand proximal to glut med, resist above knee

38

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

39

MMT: TFL

sidelying, flex hip to 30˚

40

How would you do lower grades for testing the TFL?

put a wedge under their back

41

MMT for adduction

- sidelying
- hold their top leg, have them adduct
- resist down

42

MMT for hip ER/IR

- same positions as for goniometry
- sitting

43

How do you do lower grades for ER/IR MMT?

- supine
- similar to a log roll