EMORY DPT MSK: Hip Practical
In a mobility assessment of the hip What would an early tilting of the ASIS with
FLEXION or Extension correlate to? - ANSWER-relative stiffness of hip vs lumbar
- stabilize pelvis and reassess
How is quadriceps muscle length determined? - ANSWER-Using the Thomas test:
- one hip end-range flexed the other observed
- if contralateral thigh lifts off table = +
- if knee extended and thigh lowers = +
- if flex knee and thigh raises more = +
Using Ely Test:
- prone knee flexion to look for hip hike = +
How is the ITB/TFL complex muscle length determined? - ANSWER-Using the Thomas
Test:
- same position but with adducted LE
- if hip raises or IR more then +
Using the Ober Test:
- SL, knee flexed with hip slightly abducted and extended then allow leg to adduct
- if failure to lower then +
Objective Examination includes: - ANSWER-Postural assessment
Functional Movement
AROM
AROM Measurements
Quadrants and clearing tests (L/S & SIJ)
MMT
PPM
PAM
Muscle length Test
Neuro Exam
, Special Tests
palpation
How is the SIJ cleared? - ANSWER-Cluster:
Thigh Thrust
Sacral Thrust
Sacroiliac compression
sacroiliac distraction
Gaenslen
How is the adductor compartment muscle length determined? - ANSWER-Using the
Thomas Test:
- Same position but with LE abducted
- if thigh raises + for adductor impairment
How is the hamstring complex muscle length determined? - ANSWER-Using Supine
SLR:
- differentiate posterior thigh pain b/w hamstring muscle injury and neural tension by
adding ankle dorsiflexion component
How is the Piriformis Muscle length determined? - ANSWER-involved leg is flexed at
knee and hip then adducted over opposite leg
How is resisted testing performed for the LE?
o Iliopsoas -
o Pectineus -
o Adductor longus, brevis -
o Gracilis -
o Sartorius -
o Hamstrings -
o Glut max -
o Glut med -
o Tensor fascia Latae -
o Piriformis - - ANSWER-o Iliopsoas - pain with hip flexion
o Pectineus - pain with hip flexion and adduction
o Adductor longus, brevis - pain with adduction
o Gracilis - pain with adduction, flexion of hip and flexion of knee
o Sartorius - pain with flexion and ER of hip, flexion of knee
o Hamstrings - pain with knee flexion, hip extension
o Glut max - pain with hip extension (with knee flexed), pain with ER
o Glut med - pain with abducton
o Tensor fascia Latae - pain with hip flexion, abduction, IR
o Piriformis - Pain with ER with hip flexion < 90 degrees , pain with IR with hip flex > 90
degrees
In a mobility assessment of the hip What would an early tilting of the ASIS with
FLEXION or Extension correlate to? - ANSWER-relative stiffness of hip vs lumbar
- stabilize pelvis and reassess
How is quadriceps muscle length determined? - ANSWER-Using the Thomas test:
- one hip end-range flexed the other observed
- if contralateral thigh lifts off table = +
- if knee extended and thigh lowers = +
- if flex knee and thigh raises more = +
Using Ely Test:
- prone knee flexion to look for hip hike = +
How is the ITB/TFL complex muscle length determined? - ANSWER-Using the Thomas
Test:
- same position but with adducted LE
- if hip raises or IR more then +
Using the Ober Test:
- SL, knee flexed with hip slightly abducted and extended then allow leg to adduct
- if failure to lower then +
Objective Examination includes: - ANSWER-Postural assessment
Functional Movement
AROM
AROM Measurements
Quadrants and clearing tests (L/S & SIJ)
MMT
PPM
PAM
Muscle length Test
Neuro Exam
, Special Tests
palpation
How is the SIJ cleared? - ANSWER-Cluster:
Thigh Thrust
Sacral Thrust
Sacroiliac compression
sacroiliac distraction
Gaenslen
How is the adductor compartment muscle length determined? - ANSWER-Using the
Thomas Test:
- Same position but with LE abducted
- if thigh raises + for adductor impairment
How is the hamstring complex muscle length determined? - ANSWER-Using Supine
SLR:
- differentiate posterior thigh pain b/w hamstring muscle injury and neural tension by
adding ankle dorsiflexion component
How is the Piriformis Muscle length determined? - ANSWER-involved leg is flexed at
knee and hip then adducted over opposite leg
How is resisted testing performed for the LE?
o Iliopsoas -
o Pectineus -
o Adductor longus, brevis -
o Gracilis -
o Sartorius -
o Hamstrings -
o Glut max -
o Glut med -
o Tensor fascia Latae -
o Piriformis - - ANSWER-o Iliopsoas - pain with hip flexion
o Pectineus - pain with hip flexion and adduction
o Adductor longus, brevis - pain with adduction
o Gracilis - pain with adduction, flexion of hip and flexion of knee
o Sartorius - pain with flexion and ER of hip, flexion of knee
o Hamstrings - pain with knee flexion, hip extension
o Glut max - pain with hip extension (with knee flexed), pain with ER
o Glut med - pain with abducton
o Tensor fascia Latae - pain with hip flexion, abduction, IR
o Piriformis - Pain with ER with hip flexion < 90 degrees , pain with IR with hip flex > 90
degrees
