Hip Goniometry and Special Tests Flashcards Preview

PT 515 Musculo > Hip Goniometry and Special Tests > Flashcards

Flashcards in Hip Goniometry and Special Tests Deck (14):
1

Flexion

0-120 norm
Fulcrum: Greater Trochanter
Proximal Arm: Lateral Midline of Pelvis
Distal Arm: Lateral Epicondyle

2

Extension

0-10 norm
Fulcrum: Greater Trochanter
Proximal Arm: Lateral Midline of Pelvis
Distal Arm: Midline of femur/patella

3

Abduction

0-45 norm
Fulcrum: ASIS
Proximal Arm: Contralateral ASIS
Distal Arm: Midline of femur/patella

4

Adduction

0-30 norm
Fulcrum: ASIS
Proximal Arm: Contralateral ASIS
Distal Arm: Midline of femur/patella

5

Internal Rotation

0-45 norm
Fulcrum: Patella
Proximal Arm: Perpendicular to floor
Distal Arm: Midline of lower leg between malleoli

6

External Rotation

0-45 norm
Fulcrum: Patella
Proximal Arm: Perpendicular to floor
Distal Arm: Midline of lower leg between malleoli

7

Trendelenburg Test

pt slowly march in place, can add ankle PF (If no PF, S1)
Look at pelvis
-Greater than 1/2" depression is glute med weakness, hip compression intolerance, or S1 myotome involvement

8

Faber/Patrick's/Figure 4 Test

pt foot placed opposite distal thigh proximal to knee in supine
PT controls abduct/ER hip
-Hypomobile SI or hip joint, tight adductors
Symptoms at PSIS: SI/Lumbar joint pathology
Symptoms at GT/Thigh: hip joint pathology
Symptoms at knee: Meniscal pathology

9

Thomas Test/3 Muscle Kendall Test

pt supine with ipsi. knee off plinth, contra knee to chest
Hip flexed: Tight IP
Knee Flexed

10

Craig's Test

pt prone with knee flexed to 90, passively IR/ER until GT is parallel to supporting surface
-Measure angle of tibia from vertical
15 degrees is anteversion

11

FAIR Test

pt. sidelying
hip flexed to 45 and knee to 90
allow hip to adduct to table
PT IRs hip toward end range
Palpate Piriformis
Positive if pain at intersection of sciatic and piriformis

12

Ober test

pt sidelying with supportive LE flexed to 45 and knee to 90
Tested hip brought to neutral extension with knee flexed to 90, hip abducted
Allow hip to adduct while stabilizing pelvis
Measure at point that pelvis begins to depress Inclinometer over lateral femoral condyle
Adduction

13

Scour Test

pt supine, flex hip to 90 with slight adduction. Scour 2x without compression. If no symptoms, scour 2x with compression
Reproduction of symptoms could mean intra-articular pathology
If pain with scour, resisted hip flexion for 5 seconds

14

Flexion-Adduction Test

pt supine, hip flexed to 90
PT adducts hip from zone 3 towards zone 1
Assess for firm end feel
Tests for non-specific hip pathology