Patient Positions
The position of the patient when measuring ROM for hip flexion.
The bony structure at which you stabilize patient while measuring ROM for hip flexion.
What is iliac crest.
The muscles being tested when testing muscle strength for hip flexion.
What are iliacus and psoas.
The axis, stationary arm, and moving arm positions for measuring hip flexion ROM.
Axis: Greater trochanter of hip
Stationary Arm: Parallel with table along axillary line of trunk
Moving Arm: From trochanter at hip to lateral epicondyle of the knee
AMA ROM standard for hip flexion.
110-120 degrees.
The position of patient when testing for hip flexion muscle strength (grades 3-5).
What is seated at edge of table with hands holding on to edges for extra stability.
The pelvic motion that indicates a patient has reached the end of hip joint flexion.
What is posterior pelvic tilt.
Muscles to palpate when measuring muscle strength for hip extension.
What are hamstrings (biceps femoris, semitendinosus, semimembranosus) and gluteus maximus
The axis, stationary arm, and moving arm when measuring ROM for hip extension.
Axis: Greater trochanter of hip
Stationary Arm: Mid axillary line of trunk
Moving Arm: Between trochanter and lateral epicondyle of knee
AMA ROM standard for hip extension.
What is 10-15 degrees.
Patient position when testing muscle strength for hip flexion (Grades 0-2).
Side-lying, facing away from OT. Hip being tested is on the bottom while top leg is supported by OT.
Where OT stabilizes when testing hip internal rotation in gravity eliminated position.
What is anterior pelvis.
Gluteus medius.
The axis, stationary arm, and moving arm when measuring ROM for hip abduction.
Axis: Ipsilateral anterior superior iliac spine (ASIS)
Stationary Arm: Between both ASIS
Moving Arm: Between ipsilateral ASIS and patella
Where the OT places pressure when testing muscle strength for hip flexion.
What is distal anterior femur.
Patient position when testing ROM for hip extension.
What is prone.
AMA ROM standard for hip internal rotation.
What is 30-40 degrees.
Muscles palpated when testing muscle strength for hip internal rotation.
What are gluteus medius and tensor fascia latae.
The axis, stationary arm, and moving arm when measuring ROM for hip internal rotation.
Axis: Patella
Stationary Arm: Perpendicular to floor
Moving Arm: Midline of anterior tibia to the center of talocrural joint (aka bisecting lower leg)
AMA ROM standard for hip abduction.
40 degrees
Position patient is in when testing ROM for hip abduction.
What is supine.
AMA ROM standard for hip external rotation.
40-60 degrees.
Muscles palpated when measuring muscle strength for hip external rotation.
What is piriformis. However, piriformis is so deep that it's difficult to actually palpate.
The axis, stationary arm, and moving arm when measuring ROM for hip external rotation.
Axis: Patella
Stationary Arm: Perpendicular to floor
Moving Arm: Midline of anterior tibia to the center of talocrural joint (aka bisecting lower leg)
Where OT stabilizes when measuring muscle strength for hip internal rotation.
What is inside of knee.