Hip OE Sequence

Question 1

Standing

Answer 1

1. Static Posture/Observation: [head, shoulders, scapulae/iliac crests/ASIS/PSIS/sacral sulcus/leg length/gluteal fold, gr. trochanter, femur position/popliteal fossa, medial malleolus, calcaneal deviation]
2. Activity Limitations/Functional Tests: [gait, hop, skipping, one legged stance, squatting, heel rotation, cross legs]
3. Special Test: trendelenburg’s test

Question 2

Implicate or clear (as indicated)?

Answer 2

1. LS AROM: flexion + OP, extension + OP, side bending + OP, quadrant
2. Neurological Exam: myotome S1

Question 3

Supine

Answer 3

1. Palpation: ASIS, iliac crest, pubic symphysis, gr. trochanter, soft tissue
2. AROM: hip flexion (0-120), ER/IR (can be done in sitting, abd (0-45), hip add (0-30), PROM with OP
3. PAMs/Joint Play: post glide in neutral & varying degrees of hip flex, inf glide at 90 deg, inf glide at 0 deg, lateral distraction, compression
4. Muscle Length/Strength Testing/MMT: hip flex (can be done in sitting)
5. Special Tests: hip quadrant (F/Add)/Scour, FABER, Leg length

Question 4

Implicate/Clear in Supine (as indicated)?

Answer 4

1. implicate/clear pelvis-SIJ
2. implicate/clear knee
3. Neurodynamic testing: SLR
4. Neurological exam

Question 5

Sidelying

Answer 5

1. PAMS/Joint Play: ant glide (can be performed in prone)
2. Muscle Length/Strength Test: modified Ober test (iliotibial band test), piriformis test
3. MMT: hip abd, hip add

Question 6

Implicate/Clear in side lying (as indicated)?

Answer 6

1. implicate/clear pelvis-SIJ

Question 7

Prone

Answer 7

1. Palpation: PSIS, iliac crest, ischial tuberosity, sacral sulcus, sciatic notch, soft tissue
2. AROM: IR/ER, extension
3. PAMs/Joint Play: ant glide (can be performed in sidelying)
4. MMT: hip extension
5. Special Tests: Craig’s Test, Ely’s Test

Question 8

Implicate/Clear in prone?

Answer 8

1. implicate/clear pelvis-SIJ
2. Implicate/clear LS: SP of L5-S2, Central PA’s (L1 to S2) pass 1 and pass 2, confirm findings, Unilateral PA’s pass 1 & 2
3. Neurological exam
4. Neurodynamic test: PKB

Question 9

Sitting

Answer 9

1. AROM: hip ER (40-50), hip IR (35-45), PROM/OP
2. Muscle Length Test: Thomas Test
3. MMT: hip flexion, hip IR/ER

Question 10

Implicate/Clear in sitting (as indicated)?

Answer 10

1. Neurodynamic test: Slump