AROM of the Hip Flashcards

(52 cards)

1
Q

What makes up the hip

A

Coxa

Iliofemoral joint

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2
Q

What are the characteristics of the hip joint

A
Deep acetabulum
Thick capsule
Synovial joint
Ball and Socket
Three degrees of freedom
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3
Q

What are the 3 degrees of freedom at the hip joint?

A

Flexion/Extension
Abduction/Adduction
Internal/External Rotation

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4
Q

What are the points of reference on the anterior side?

A

Iliac Crest: Hands on hips
ASIS: distal and slightly medial; hip bones
Greater Trochanter

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5
Q

What are the points of reference on the posterior side?

A

Iliac Crest: Hands on hips

PSIS: Dimples

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6
Q

What is expected AROM for hip flexion

A

100-120

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7
Q

Position for hip flexion

A

Supine

Start with knee extended and hip at neutral

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8
Q

What is the test motion for hip flexion

A

Bend knee and lift thigh off table toward chest

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9
Q

End feel for hip flexion

A

Soft, with firm tension at end

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10
Q

Axis for hip flexion

A

Lateral aspect of hip joint

Use greater trochanter as landmark

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11
Q

Stationary arm for hip flexion

A

Midline of pelvis or trunk

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12
Q

Movable arm for hip flexion

A

Femur

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13
Q

Substitutions of hip flexion

A

Lumbar extension
Tilting pelvis
Make sure they don’t lift the other leg

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14
Q

Expected AROM for hip extension

A

20-30

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15
Q

Position for hip extension

A

Prone
Start with knees extended
Hips at neutral

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16
Q

Test motion for hip extension

A

Raise leg off table

Maintain knee extension

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17
Q

End feel to hip extension

A

Firm because of the iliofemoral ligament

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18
Q

Axis for hip extension

A

Lateral aspect of the hip joint

Greater trochanter as landmark

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19
Q

Stationary (proximal) arm for hip extension

A

Midline of pelvis or trunk

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20
Q

Movable (distal) arm for hip extension

A

Midline of of femur

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21
Q

Substitutions for hip extension

A

Pelvis lifting off map
Make sure to keep leg straight
Watch for rolling

22
Q

AROM for hip abduction

23
Q

Position for hip abduction

A

Supine

Start with hip in neutral and knee extended

24
Q

Test motion for hip abduction

A

Slide hip to the side
Do not allow lateral rotation or hip flexion
At the end when pelvis tries to laterally tilt or rotate

25
End feel for hip abduction
Firm
26
Axis for hip abduction
ASIS
27
Stationary arm for hip abduction
Imaginary line between the two ASIS
28
Movable arm for hip abduction
Midline of the femur
29
Substitutions for hip abduction
Lateral rotation or hip flexion
30
AROM for hip adduction
20
31
Position for hip adduction
Supine Knees extended Hip being tested is 0 Abduct the contralateral leg
32
Test motion for hip adduction
Slide leg medially Maintain extension of knee End when pelvis begins to tilt or rotate
33
End feel for hip adduction
Firm
34
Axis for hip adduction
ASIS
35
Stationary arm of hip adduction
Imaginary line between the two ASIS
36
Movable arm of hip adduction
Midline of femur
37
Substitutions for hip adduction
Watch for tilting of the pelvis
38
AROM for hip medial rotation (internal)
40-45
39
Test position for hip medial rotation (internal)
Subject seated Knee flexed to 90 Hip at 90
40
Test motion for hip medial rotation (internal)
Swing leg to lateral side
41
End feel for hip medial rotation (internal)
Firm
42
Axis for hip medial rotation (internal)
Anterior patella
43
Stationary arm for hip medial rotation (internal)
Perpendicular to floor | Or parallel to supporting surface
44
Movable arm for hip medial rotation (internal)
Midline of lower leg
45
AROM for hip lateral rotation (external)
45-50 slightly more than internal
46
Test position for hip lateral rotation (external)
Seated Knee at 90 Hip at 90
47
Test motion for hip lateral rotation (external)
Swing leg in
48
End feel for hip lateral rotation (external)
Firm
49
Axis for hip lateral rotation (external)
Anterior patella
50
Stationary arm of hip lateral rotation (external)
Perpendicular to floor | Or parallel to supporting surface
51
Movable arm for hip lateral rotation (external)
Midline of lower leg
52
How would you measure hip rotation (medial/internal or lateral/external) on an amputee?
Mark the stump with a marker