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T & M: Review Quiz # 3
Terms in this set (19)
Hip ROM Norms:
- Flexion-extension (0-120 degrees and 0-20 degrees)
- Medial-lateral rotation (0-45 degrees)
- Abduction-adduction (0-45 deg and 0-15 to 20
How to perform Scour Test for hip:
PTA- affected side of pt
test- passively flexes and adducts the subject's hip and places the knee in full flexion.
-applies a downward force along the shaft of the femur while passively adducting and externally rotating the hip.
-passively adducts and internally rotates the hip while keeping the downward pressure through the femur
positive test=pain/apprehension/unusual movements
*notice localized symptoms for pathology
Internal rotators of hip:
Gluteus minimus, TFL, Gluteus medius
ROM: Hip adduction
• Patient position: Supine
- Axis: ASIS of extremity of being measured
- Proximal arm: imaginary horizontal line from one
ASIS to the other
- Distal arm: anterior midline of femur using midline
of patella for reference
ROM: Hip flexion
• Test position: supine w/ knees extended
- Axis: lateral aspect of hip joint using greater
trochanter of femur as reference
- Proximal arm: lateral midline of pelvis
- Distal arm: lateral midline of femur using lateral
epicondyle as reference
MMT: Hip IR
• Grades 5, 4, 3: pt in short sitting
- Give resistance on lateral ankle (medial force), other hand on medial knee for support
- "don't let me turn your leg in"
• Grades 2, 1, 0: pt in supine
- Test limb in ER then moves leg to IR
- "Try to roll your leg in"
Keep pelvis stabilized during sitting tests
Substitution alert: While you are performing an MMT of hip flexion in the sagittal plane, and the subject moves the hip into abduction, lateral (external) rotation, and knee flexion. Based on this information, you feel certain the subject is cheating with which muscle?
How do you isolate semitendinosis in knee flexion MMT?
-Position of pt: prone, knee flexed to less than 90 degrees; leg in internal rotation
-Position of therapist: standing next to limb being tested, resistance just superior to ankle in oblique direction (down and out)
-Test: pt flexes knee while maintaining leg in internal rotation
-Instructions: "bend your knee", "hold it!", "don't let me straighten it"
Which ligament reinforces the hip joint anteriorly?
iliofemoral and pubofemoral ligaments
% of stance versus % of swing
stance phase - 60%
swing phase - 40%
Innervation of glut med and glut min
Superior gluteal nerve
Muscles responsible for knee flexion/innervation?
Biceps Femoris, Semitendinosus, Semimembranosus (Sciatic n. L5-S2)
Capsular pattern of Hip:
restriction from most to
least -> medial rotation, flexion, abduction
True or False: During the swing phase of gait, the arthrokinematics occurring at the hip are a concave moving on a convex surface.
Tensor fasciae latae (L4-S1) Superior gluteal n.
Special test for HS tightness
How do you isolate glut max in MMT?
Isolate Gluteus maximus
- Grade 5, 4, 3: Prone, knee flexed to 90 deg
- Grade 2: Sidelying, knee flexed and supported
- Grade 1, 0: Prone
Excessive downward movement of the pelvis of swing leg indicates what gait abnormality? What muscles are weak?
• Contralateral pelvis drop
hip abductor weakness or neuromuscular
Special test for MCL?
Valgus stress test
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