Hip

Question 1

Subjective questions for the hip

Answer 1

Ages/eases = squatting, walking, side lying
Locking/catchimg
Crepitus = grating, cracking, clicking (roughening of cartilage)
Neurological symptoms
Lumbar symptoms

Question 2

General Red flag questions for the hip

Answer 2

Cancer = weight loss, unremitting pain, night pain, history
Infection = fever, redness, heat, swelling
Stress fractures = underweight, eating disorders
DVT
trauma fractures

Question 3

Hip specific red flag questions

Answer 3

Lumps/bumps in groin
Testicular swelling

Question 4

Routine objective assessment

Answer 4

Observation
AROM
PROM
muscle tests = strength & length
Palpating
Accessory movement
Special tests
Functional tests

Question 5

What 6 with are you observing about the hip

Answer 5

Posture = asymmetry & even weight bearing
Muscle bulk = atrophy or hypertrophy
Swelling
Colour
Gait
Maladaptive patterns

Question 6

What are you looking for in AROM

Answer 6

Rang = normal? Compare to other side
Quality = willingness to move
Pain response = when & where. Better or worse after repeating movement
Occurrence of muscle spasm

Question 7

What 2 categories does AROM test

Answer 7

Mechanical/structural = contractile tissues (muscles & tendons), inert tissues (joints, ligament & capsule), stretches & pulls, load transfer/acceptance

BioPsychoSocial = willingness to move, pain behaviour, avoidance, reluctance & fear

Question 8

What does PROM test

Answer 8

Inert tissues & contractile at end of range

Question 9

What are you looking for in PROM

Answer 9

Range available
Pain reproduction & resistance = where?
Pattern of movement limitation = capsular? Specific movement
End feel

Question 10

Name 2 muscle length tests for the hip

Answer 10

Modified Thomas test = tests hip flexor tightness
Overs test = length of iliotibial band & glute med & min

Question 11

What test indicates weak hip abductors if positive

Answer 11

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