Podcast
Questions and Answers
In which anatomical plane does the motion of hip flexion primarily occur?
In which anatomical plane does the motion of hip flexion primarily occur?
- Frontal plane
- Sagittal plane (correct)
- Oblique plane
- Transverse plane
A physical therapist is assessing an adult patient's hip flexion range of motion. Which of the following ranges is generally considered within the typical healthy adult range?
A physical therapist is assessing an adult patient's hip flexion range of motion. Which of the following ranges is generally considered within the typical healthy adult range?
- 60-80 degrees
- 120-140 degrees (correct)
- 150-170 degrees
- 90-110 degrees
When assessing hip flexion range of motion across different age groups, what general trend is typically observed from toddlerhood to older adulthood?
When assessing hip flexion range of motion across different age groups, what general trend is typically observed from toddlerhood to older adulthood?
- Fluctuations in ROM with no clear trend
- No noticeable change in ROM
- A slight decrease in ROM (correct)
- A significant increase in ROM
During hip flexion ROM assessment in supine position, why is it crucial to ensure the pelvis is in a neutral position?
During hip flexion ROM assessment in supine position, why is it crucial to ensure the pelvis is in a neutral position?
To confirm a neutral pelvic position prior to measuring hip flexion, which anatomical landmarks should be palpated to ensure vertical alignment?
To confirm a neutral pelvic position prior to measuring hip flexion, which anatomical landmarks should be palpated to ensure vertical alignment?
What is the primary method for confirming that the hip is in 0 degrees of rotation before initiating hip flexion ROM measurement?
What is the primary method for confirming that the hip is in 0 degrees of rotation before initiating hip flexion ROM measurement?
During the hip flexion ROM test, what is the purpose of stabilizing the ipsilateral pelvis with one hand?
During the hip flexion ROM test, what is the purpose of stabilizing the ipsilateral pelvis with one hand?
What clinical sign indicates the end of hip flexion range of motion during a manual assessment?
What clinical sign indicates the end of hip flexion range of motion during a manual assessment?
What is the typical end-feel expected during a normal hip flexion range of motion assessment, and what anatomical factors contribute to this?
What is the typical end-feel expected during a normal hip flexion range of motion assessment, and what anatomical factors contribute to this?
When aligning a goniometer for hip flexion ROM measurement in a supine position, where should the fulcrum be placed?
When aligning a goniometer for hip flexion ROM measurement in a supine position, where should the fulcrum be placed?
Flashcards
Hip Flexion
Hip Flexion
Movement in the sagittal plane around a medial-lateral axis.
Testing Position for Hip Flexion
Testing Position for Hip Flexion
Lying on the back with the pelvis level and knees straight.
Stabilization During Hip Flexion Testing
Stabilization During Hip Flexion Testing
Preventing pelvic tilt or rotation during hip flexion testing.
Testing Motion for Hip Flexion
Testing Motion for Hip Flexion
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Normal End-Feel for Hip Flexion
Normal End-Feel for Hip Flexion
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Fulcrum Placement for Hip Flexion Measurement
Fulcrum Placement for Hip Flexion Measurement
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Proximal Arm Alignment for Hip Flexion
Proximal Arm Alignment for Hip Flexion
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Distal Arm Alignment for Hip Flexion
Distal Arm Alignment for Hip Flexion
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Study Notes
- Hip flexion involves movement in the sagittal plane around a medial-lateral axis.
- Normal hip flexion range of motion (ROM) for adults typically spans from 120 to 140 degrees.
- Hip flexion ROM tends to slightly decrease with age, from toddler to senior, with variations between 4 degrees (males) to 10 degrees (females).
Testing Position
- Position the subject supine with the pelvis neutral, knees extended, and hips at 0 degrees of abduction, adduction, and rotation.
- Confirm neutral pelvic alignment by ensuring the anterior superior iliac spine (ASIS) is vertically aligned with the posterior superior iliac spine (PSIS) through palpation.
- Verify that the hip is in 0 degrees of rotation by palpating the medial and lateral femoral epicondyles, noting the patella should face anteriorly. Epicondyle alignment provides more accurate assessment.
Stabilization
- Stabilize the ipsilateral pelvis with one hand to prevent posterior tilting or rotation.
- Keep the contralateral lower extremity flat on the table in a neutral position for additional stabilization.
Testing Motion
- Flex the hip by lifting the thigh off the table, allowing passive knee flexion to reduce hamstring tension.
- Maintain the extremity in neutral rotation and abduction/adduction throughout the movement.
- The ROM ends when resistance is felt, and further attempts cause posterior pelvic tilting.
- Monitor posterior pelvic tilting by observing the PSIS moving inferiorly and the ASIS moving superiorly.
Normal End-Feel
- The end-feel is typically soft due to contact between the anterior thigh muscles and the lower abdomen.
- A firm end-feel may occur due to tension in the posterior joint capsule and/or the gluteus maximus muscle.
Goniometer Alignment
- Place the goniometer fulcrum over the lateral aspect of the hip joint, using the greater trochanter of the femur as a reference point.
- Align the proximal arm with the lateral midline of the pelvis.
- Align the distal arm with the lateral midline of the femur, using the lateral epicondyle as a reference.
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