03 Hip 3 (Flexibility Tests) Flashcards Preview

7232 Ortho > 03 Hip 3 (Flexibility Tests) > Flashcards

Flashcards in 03 Hip 3 (Flexibility Tests) Deck (34):
1

For the flexibility tests, what are you looking for?

- only inflexibility for structures
- not concerned with pain, apprehension, or atrophy

2

flexibility tests: active or passive?

all passive

3

How many times do you do the flexibility tests?

only once

4

The flexibility tests for the hip are also important for

knee pathology

5

Which is the best flexibility test?

Thomas test

6

Must remember to do this when you perform flexibility tests

bilateral comparison

7

When would the Ely's test be positive?

only if the rectus femoris is VERY tight

8

What are the flexibility tests?

- Ober test
- Modified Ober test
- 90/90 SLR
- Thomas test
- Ely's test

9

What does the Ober test assess?

IT band

10

What is lateral snapping?

IT band snaps over the greater trochanter

11

Where does the IT band originate and insert?

- O: TFL and glut max
- I: lateral tibia

12

pt position for OBER test

sidelying, knee bent to 90˚

13

Ober test: where do you stabilize?

proximal insertion of the IT band

14

How do you get to starting position for the Ober test?

move the leg up and over the greater trochanter to get to neutral

15

Why does the patient need to be close to you during the Ober test?

control the motion

16

For the Ober test, what do you tell the patient to do once you're in neutral starting position?

- relax down
- see how far it goes

17

What is a normal Ober test?

below midline

18

What is a positive Ober test?

leg doesn't drop below midline

19

What is the modified Ober test?

same as Ober test, but with a straight leg

20

positive modified Ober test

positive if it doesn't cross midline

21

What does the 90/90 SLR test?

hamstrings

22

90/90 SLR position

- supine
- move testing leg into 90˚ hip flexion and 90˚ knee flexion
- try to passively straighten the leg

23

For the 90/90 SLR, what do you need to tell the patient to do?

keep the leg you're not testing straight (press into the knee)

24

What should the popliteal angle be for the 90/90 SLR?


(note the angle to show progress)

25

What does the Thomas test assess?

- rectus femoris
- iliopsoas

26

Thomas test procedure

- flex and hold knee to chest
- lay down

27

What should a normal result for the Thomas test look like?

- thigh in contact with table
- knee should flex 80˚ or more

28

If the thigh comes off the table but the knee is able to flex to 80˚ or more in the Thomas test, which muscle is likely involved?

iliopsoas

29

If the thigh stay on the table but the knee doesn't flex to 80˚ in the Thomas test, which muscle is likely involved?

rectus femoris

30

If you passively straighten the knee and the thigh goes down in the Thomas test, which muscle is likely tight?

rectus femoris

31

What does Ely's test assess?

rectus femoris only

32

Ely's test position

- prone
- have them flex the knee

33

positive Ely's test

- hip rises
- can't get 90˚ flexion

34

negative Ely's test

hip stays down and can flex beyond 90˚