MOD 3: hip flexibility

Question 1

What is the primary focus of the hip flexibility examination?

Answer 1

• Assessing hip muscle length
• Identifying relevant muscles
• Determining relevance to patient’s chief complaint

The examination includes tests for flexibility and muscle performance.

Question 2

True or false: A short and tight muscle always indicates strength.

Answer 2

FALSE

A short and tight muscle may test weak due to overlap of active and myosin myofilaments.

Question 3

What are the flexibility tests mentioned for assessing hip flexibility?

Answer 3

• 90/90 hamstring test
• Straight leg raise test
• Ober’s test
• Thomas test

Each test assesses different aspects of hip flexibility and muscle length.

Question 4

In the 90/90 hamstring test, what angle indicates tightness?

Answer 4

Less than 125°

This angle suggests a loss of flexibility in the hamstrings.

Question 5

What does the straight leg raise test assess?

Answer 5

• Neural tension
• Hamstring flexibility

It evaluates symptoms related to nerve issues and muscle flexibility.

Question 6

What muscles are assessed in Ober’s test?

Answer 6

• Tensor fascia lata
• Iliotibial band

The test evaluates lateral tissues and their flexibility.

Question 7

The Thomas test is used to assess flexibility of which muscles?

Answer 7

• Iliopsoas
• Rectus femoris
• Tensor fascia lata

It evaluates hip flexors and their length.

Question 8

In the Thomas test, what position should the knee be maintained at?

Answer 8

90° of flexion

This position ensures that all three assessed muscles are placed on stretch.

Question 9

What compensations might indicate tightness in the rectus femoris during the Thomas test?

Answer 9

Knee extension

This muscle acts as both a hip flexor and a knee extensor.

Question 10

What compensations might indicate tightness in the iliopsoas during the Thomas test?

Answer 10

External rotation

The iliopsoas is a hip flexor and external rotator.

Question 11

What compensations might indicate tightness in the tensor fascia lata during the Thomas test?

Answer 11

Abduction

This indicates tightness in the TFL during hip flexion.

Question 12

What is a key consideration when stretching an injured muscle?

Answer 12

Patient’s response to stretch

Pain levels should return to baseline after cessation of movement.

Question 13

What is the importance of remodeling collagen in injured muscles?

Answer 13

To influence proper healing direction

Early restoration of muscle length may be necessary.