Hip Competency

Question 1

HIP - What is the ROM for:

Flexion (knee straight)

Answer 1

90

Question 2

HIP - What is the ROM for:

Flexion (knee flexed)

Answer 2

120-135

Question 3

HIP - What is the ROM for:

Extension

Answer 3

15-30

Question 4

HIP - What is the ROM for:

Internal Rotation

Answer 4

30-40

Question 5

HIP - What is the ROM for:

External Rotation

Answer 5

40-60

Question 6

HIP - What is the ROM for:

Adduction

Answer 6

20-30

Question 7

HIP - What is the ROM for:

Abduction

Answer 7

45-50

Question 8

What are the two reflexes to test and what are their nerve roots?

Answer 8

Patellar - L4

Achilles - S1

Question 9

What do you say when you do the muscle strength and when are you testing this?

Answer 9

5/5

all ranges of motion

Question 10

Dermatomes for kneecap?

Answer 10

L3/L4, mostly L4 though

Question 11

Where is L2?

Answer 11

highest part of thigh going lateral to medial

Question 12

Where is L3?

Answer 12

below L2 and again towards medial thigh, doesn’t quite get to the patella

Question 13

where is L4?

Answer 13

lower than L3, goes across leg but with patella and goes down medial leg

Question 14

L5?

Answer 14

Below L4, more anterior leg and medial foot

Question 15

S1?

Answer 15

posterolateral thigh and leg, comes forward to do part of the lateral leg and all of lateral dorsal foot

Question 16

S2?

Answer 16

Posteromedial thigh and leg, also plantar lateral foot

Question 17

What is capillary refill?

Answer 17

Hold their digits between thumb and index until blanching. let go and wait. 2 seconds or less is normal. above that could be hypothermia or occlusion of arteries

Question 18

What pulses are you going to say and maybe do?

Answer 18

femoral
posterior tibial
dorsalis pedis

Question 19

what is the log roll?

Answer 19

• Roll the patient’s leg into internal and external rotation.
• (+) Test: Pain
• Indicates: Central or peripheral compartment
pathology

Question 20

C Sign?

Answer 20

• Patient characteristically points to the source of pain with two fingers or cups just above the trochanter with the thumb and index finger
• Indicates: Labral pathology

Question 21

Labral Loading?

Answer 21

• Flex the patient’s knee and hip to 90 °, load into the femur towards the innominate
• (+) Test: pain
• Indicates: Labral or cartilaginous pathology

Question 22

Labral Distraction

Answer 22

• Distract patient’s femur away from innominate
• (+) Test: Improvement of pain
• Indicates: Labral or cartilaginous pathology

Question 23

Scour test?

Answer 23

• Flex and externally rotate patient’s hip. Load into socket and articulate through annular range of motion.
• (+) Test: Pain
• Indicates: Labral or articular cartilage pathology

Question 24

Apprehension: Faber?

Answer 24

• Patient’s hip is flexed, abducted and externally rotated. Physician induces further external rotation by applying a posterior force at the knee.
• (+) Test= anterior subluxation of hip or apprehension/pain
• Indicates: Labral pathology. Can also be positive with impingement.

Question 25

Rectus femoris test?

Answer 25

* Patient supine. One hip is flexed up to the chest. The other leg is bent over the edge of the table. * (+) Test: knee flexion < 90° * Indicates: Rectus Femoris contraction

Question 26

Thomas Test?

Answer 26

* Patient supine and pulls knees to chest. One leg is lowered to the table to test the flexibility of the hip flexors. * (+) Test: Inability to fully extend, or extended leg raises off table * Indicates: Hip flexor contraction

Question 27

Jump Sign?

Answer 27

* Patient seated. Pressure is applied to greater trochanter * (+) Test: patient withdraws or “jumps” with pressure * Indicates: Trochanteric Bursitis

Question 28

Straight leg raise test

Answer 28

• Patient supine. Passively flex patient’s ipsilateral hip with knee extended • (+) Test: Pain over lateral leg, especially at >15 ̊ • Indicates: IT band contracture o Positivesignsusuallyoccurbetween30-60 ̊if cause is lumbosacral radiculopathy and/or sciatic neuropathy o Positive signs at >70 ̊ is more likely mechanical low back pain due to muscle strain or joint disease.

Question 29

Piriformis Test

Answer 29

* Patient supine with hip and knee flexed, one ankle crossed over contralateral knee. Patient abducts against resistance. * (+) Test: Pain over posterior aspect of greater trochanter * Indicates: Piriformis spasm or pathology THIS IS PAIN IN THE GLUTEAL REGION, PATRICK FABER IS WEAKNESS IN GLUTEUS MEDIUS

Question 30

Patrick Faber 2/3 and 3/3?

Answer 30

2/3 is * Patient’s hip is flexed, abducted, and externally rotated. Physician braces contralateral ASIS, patient externally rotates/abducts against resistance. * (+) Test: Pain or weakness * Indicates: Gluteus medius pathology 3/3 is * Patient’s hip is flexed, abducted, and externally rotated. Physician braces contralateral ASIS. Patient internally rotates/adducts against resistance. * (+) Test: anterior or medial groin pain/weakness * Indicates: Iliopsoas insufficiency or pathology