Flashcards in 03 Hip 3 (Flexibility Tests) Deck (34):
For the flexibility tests, what are you looking for?
- only inflexibility for structures
- not concerned with pain, apprehension, or atrophy
flexibility tests: active or passive?
How many times do you do the flexibility tests?
The flexibility tests for the hip are also important for
Which is the best flexibility test?
Must remember to do this when you perform flexibility tests
When would the Ely's test be positive?
only if the rectus femoris is VERY tight
What are the flexibility tests?
- Ober test
- Modified Ober test
- 90/90 SLR
- Thomas test
- Ely's test
What does the Ober test assess?
What is lateral snapping?
IT band snaps over the greater trochanter
Where does the IT band originate and insert?
- O: TFL and glut max
- I: lateral tibia
pt position for OBER test
sidelying, knee bent to 90˚
Ober test: where do you stabilize?
proximal insertion of the IT band
How do you get to starting position for the Ober test?
move the leg up and over the greater trochanter to get to neutral
Why does the patient need to be close to you during the Ober test?
control the motion
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
What is a normal Ober test?
What is a positive Ober test?
leg doesn't drop below midline
What is the modified Ober test?
same as Ober test, but with a straight leg
positive modified Ober test
positive if it doesn't cross midline
What does the 90/90 SLR test?
90/90 SLR position
- move testing leg into 90˚ hip flexion and 90˚ knee flexion
- try to passively straighten the leg
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)
What should the popliteal angle be for the 90/90 SLR?
(note the angle to show progress)
What does the Thomas test assess?
- rectus femoris
Thomas test procedure
- flex and hold knee to chest
- lay down
What should a normal result for the Thomas test look like?
- thigh in contact with table
- knee should flex 80˚ or more
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?
If the thigh stay on the table but the knee doesn't flex to 80˚ in the Thomas test, which muscle is likely involved?
If you passively straighten the knee and the thigh goes down in the Thomas test, which muscle is likely tight?
What does Ely's test assess?
rectus femoris only
Ely's test position
- have them flex the knee
positive Ely's test
- hip rises
- can't get 90˚ flexion