Lab 5

Question 1

What do we treat first: Hip pain or LBP?

Answer 1

LBP

Question 2

What sign can help you differentiate cancer from infection?

Answer 2

Cancer will be more likely to have fever

Question 3

People with hip pain are likely to hold their legs in what position

Answer 3

weight shifted off of affected side, knee and hip flexed

in open packed position: ER, flexed, abducted

Question 4

Poor SLS balance is anything under

Answer 4

30 seconds

Question 5

What do we measure first at the hip PROM or AROM

Answer 5

AROM, only measure PROM if there’s a notable lack of AROM

Question 6

How much hip flexion is needed for tying your shoes ?

What about for sitting?

Answer 6

120

112

Question 7

How much hip flexion is needed for squatting?

stooping?

Answer 7

115 flexion and 15 ABD and IR

125

Question 8

how much hip flexion is needed to ascend stairs?

descend stairs?

Answer 8

67

36

Question 9

how much hip flexion is needed to put foot on opposite thigh?

to put on pants?

Answer 9

120 flex, 20 abd, 20 ER

90 degrees of flexion

Question 10

Obers test is for…

Answer 10

Lateral hip pain

ITB syndrome

Question 11

When would you preform the piriformis muscle length test?

Answer 11

Posterior pain

Sciatica

Question 12

When would you not do joint play?

Answer 12

full pain free AROM is present

Question 13

what do you ask after doing any technique and the patient feels pain

Answer 13

“is that your pain”

Question 14

Progressive labral pathology tests

Answer 14

Fitzgerald -> FADIR -> Hip Quadrant -> Hip Scour

Question 15

Will all impingement patients have a labral tear?

Answer 15

F, but all labral tears will have impingement

Question 16

What test is best for a hip/femur fracture

Answer 16

patellar/pubic percussion test

Question 17

how do you preform the fitzgerald test?

Answer 17

passively move patient from FABER to ext + add + IR

postitive test: recreation of symptoms with or without click

Question 18

The fitzgerald test is for what pathology?

Answer 18

Anterior labral tear

Question 19

What is the best test for impingement?

Answer 19

Quadrant -> Scour

Question 20

FADIR tests for what?

Answer 20

Femoral Acetabular Impingement

positive: increased hip and groin pain

Question 21

The hip scour test is for what pathology?

Answer 21

FAI, Labral tear, Acetabular impingement

Question 22

How do you preform the hip scour test

Answer 22

Move leg passively from Flexion/add/IR to Flexion/Abd/ER with a compressive force

basically its the quadrant test with compression

Question 23

What does FABER test for?

Answer 23

Impingement, SIJ dysfunction, capsular tightness

Question 24

What is the craig test for

Answer 24

tests for femoral anteversion/retroversion

Question 25

What is a normal craig test?

Answer 25

Greater trochanter is most easily palpatable at 10-15 degrees of IR AKA anteversion

Question 26

A craigs test of over 15 degrees of IR shows what?

Answer 26

femoral anteversion

Question 27

a craigs test of under 10 means what

Answer 27

femoral retroversion

Question 28

how do you preform the patellar-pubic percussion test

Answer 28

tap patella and listen to the pubic symphysis and there will be less sound on the side with a fx compared to the opposite side

Question 29

What is the iHOT-33, HOOS, HHS?

Answer 29

outcome measure for the hip

Question 30

IF we want to target the **inferior capsule & flexion ROM** what mobilization should we use first

Answer 30

Postero-inferior Mob w/ Belt

Question 31

IF a patient has a (+) FADIR, quadrant, or scour & We want to target the **lateral capsule and ADduction ROM** what mobilization should we use first

Answer 31

Progressive Lateral Mob w/ Belt

Question 32

IF a patient has a (+) FADIR, quadrant, or scour & We want to target the **postero-lateral capsule & ADduction ROM** what mobilization should we use first?

Answer 32

AP w/ Lateral Mob

Question 33

IF we want to target the **anterior capsule, rectus femoris, hip ext AROM** what mobilization should we use first

Answer 33

PA Hip Mob w/ Hip Ext/Knee Flexion

Question 34

What mob should we use with a patient has a positive FABER

Answer 34

PA hip mob w/ abd and ER *in prone*

Question 35

IF we want to target the **posterior capsule, IR ROM** what mobilization should we use first

Answer 35

Hip IR Mobilization

Question 36

How do you progress a lateral hip mobilization

Answer 36

Add more hip flexion, adduction, and IR

Question 37

How do you progress the PA hip mobilization

Answer 37

Add more hip extension and knee flexion

Question 38

What is the patient position for the hip mob that helps with abd and er

Answer 38

Prone with affected leg off of table in ER/ABD and knee resting on stool

Question 39

How do we progress the hip mob for ABD ER

Answer 39

Add more ER and ABD, or bring the patients leg from the stool below the table onto the table (see slide 54)

Question 40

Where does a therapist apply mobilization pressure to mobilize hip IR

Answer 40

stabilize hip into IR with one hand, mobilize at opposite pelvis