Hip Flashcards by Madison Chibana

Normal ROM for hip flexion?

120°

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Normal ROM for hip extension?

20–30°

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Normal ROM for hip abduction?

40°

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Normal ROM for hip adduction?

20°

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Normal ROM for hip internal rotation?

30–45°

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Normal ROM for hip external rotation?

40–60°

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End feel for hip extension?

Firm

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Goniometer axis for hip flexion and extension?

Greater trochanter

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Goniometer stationary arm for hip flexion/extension?

Lateral midline of pelvis

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Goniometer mobile arm for hip flexion/extension?

Lateral midline of femur, toward lateral epicondyle

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Patient position for hip flexion ROM?

Supine, knees extended, hips neutral; stabilize pelvis with cranial hand to feel for posterior tilt; knee should flex as hip flexes

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Patient position for hip extension ROM?

Prone, knees extended, hips neutral; stabilize pelvis with cranial hand to prevent anterior tilt

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Goniometer axis for hip abduction/adduction?

ASIS

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Goniometer stationary arm for hip abduction/adduction?

Toward contralateral ASIS

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Goniometer mobile arm for hip abduction/adduction?

Anterior midline of femur, toward patella

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Patient position for hip abduction ROM?

Supine, knees extended, hips neutral; stabilize pelvis to prevent lateral tilt

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Patient position for hip adduction ROM?

Supine, knees extended; contralateral hip abducted

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Goniometer axis for hip rotation (seated)?

Anterior patella

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Goniometer stationary arm for hip rotation (seated)?

Perpendicular to the floor

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Goniometer mobile arm for hip rotation (seated)?

Anterior midline of tibia

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Patient position for hip rotation ROM (seated)?

Sitting with hips and knees flexed to 90°, neutral abduction/adduction, towel under distal femur; stabilize distal femur

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Patient position for hip rotation ROM (prone)?

Prone with ipsilateral knee flexed to 90°; stabilize pelvis with strap

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MMT Hip Flexion — against gravity patient position?

Short sitting (may hold table)

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MMT Hip Flexion — gravity-minimal patient position?

Sidelying with bottom limb slightly flexed; support test limb under knee

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MMT Hip Flexion — movement against gravity?

Flex hip by lifting leg off the table

MMT Hip Flexion — movement gravity-minimal?

Bring knee toward chest

MMT Hip Flexion — resistance placement?

Over distal thigh, directed downward

MMT Hip Flexion — stabilization?

At shoulder or ASIS

MMT Hip Extension (knee extended) — against gravity patient position?

Prone

MMT Hip Extension (knee extended) — gravity-minimal patient position?

Sidelying with bottom limb slightly flexed; support test limb under knee

MMT Hip Extension (knee extended) — movement against gravity?

Lift leg off table without bending knee

MMT Hip Extension (knee extended) — movement gravity-minimal?

Bring leg backward

MMT Hip Extension (knee extended) — resistance placement?

Posterior leg above the ankle, directed downward

MMT Hip Extension (knee extended) — stabilization?

At PSIS, avoiding excessive lumbar extension

MMT Hip Extension (knee extended) — resistance above the knee max grade?

36986

MMT Hip Extension (knee flexed) — what does knee flexion isolate?

Gluteus maximus (reduces hamstring contribution)

MMT Hip Extension (knee flexed) — resistance placement?

Posterior thigh, just above the knee

MMT Hip Extension with hip flexor tightness — against gravity patient position?

Standing at end of table with upper body prone on table

MMT Hip Extension with hip flexor tightness — resistance?

Posterior to knee, toward flexion

MMT Hip Extension with hip flexor tightness — stabilization?

Posterior pelvis

MMT Hip Extension in supine — against gravity patient position?

Supine with heels off end of table, arms folded across chest; therapist cups both hands under patient's heel with elbows straight

MMT Hip Extension in supine — movement?

Patient pushes heel down into therapist's hands, attempting to maintain hip in extension

MMT Hip Abduction — against gravity patient position?

Sidelying, test leg uppermost, pelvis slightly rotated forward

MMT Hip Abduction — gravity-minimal patient position?

Supine; support ankle enough to decrease friction

MMT Hip Abduction — movement against gravity?

Hip abduction with slight extension

MMT Hip Abduction — movement gravity-minimal?

Slide leg out to side, keeping kneecap up

MMT Hip Abduction — resistance placement?

Lateral ankle, toward adduction (at lateral thigh proximal to knee = max grade 4)

MMT Hip Abduction — stabilization?

Lateral pelvis

MMT Hip Abduction — therapist position against gravity?

Standing behind patient

MMT Hip Adduction — against gravity patient position?

Sidelying, test leg lowermost

MMT Hip Adduction — gravity-minimal patient position?

Supine; support ankle enough to decrease friction

MMT Hip Adduction — movement against gravity?

Lift bottom LE until it contacts upper LE

MMT Hip Adduction — movement gravity-minimal?

Slide leg toward opposite LE

MMT Hip Adduction — resistance placement?

Medial thigh just proximal to knee, toward abduction

MMT Hip Adduction — therapist position against gravity?

Standing behind patient; support uppermost extremity in ~25° abduction (cradle with forearm)

MMT Hip External Rotation — against gravity patient position?

Short sitting (may hold table)

MMT Hip External Rotation — gravity-minimal patient position?

Supine with leg in internal rotation

MMT Hip External Rotation — movement against gravity?

Pull foot inward (externally rotating hip)

MMT Hip External Rotation — movement gravity-minimal?

Roll leg outward

MMT Hip External Rotation — resistance placement?

Medial ankle, toward internal rotation

MMT Hip External Rotation — stabilization?

Counter pressure at lateral distal thigh

MMT Hip External Rotation — therapist position against gravity?

Seated at test side

MMT Hip Internal Rotation — against gravity patient position?

Short sitting (may hold table)

MMT Hip Internal Rotation — gravity-minimal patient position?

Supine with leg in external rotation

MMT Hip Internal Rotation — movement against gravity?

Pull foot outward (internally rotating hip)

MMT Hip Internal Rotation — movement gravity-minimal?

Roll leg inward

MMT Hip Internal Rotation — resistance placement?

Lateral ankle, toward external rotation

MMT Hip Internal Rotation — stabilization?

Counter pressure at medial distal thigh

MMT Hip Internal Rotation — therapist position against gravity?

Seated in front of patient

Post-op posterior THA precautions: what ROM/MMT to AVOID?

Hip flexion >90°, adduction past neutral, internal rotation (posterior dislocation precautions)

What does a Trendelenburg gait pattern suggest?

Weakness of hip abductors (typically gluteus medius) on the stance limb

Hip Flashcards

(71 cards)