[vc_row][vc_column width=”5/6″][vc_custom_heading text=”Hip Adduction RROM” use_theme_fonts=”yes”][/vc_column][vc_column width=”1/6″][vc_custom_heading text=”ROM 3642″ font_container=”tag:p|text_align:right” use_theme_fonts=”yes”][/vc_column][/vc_row][vc_row][vc_column][vc_tta_tour active_section=”1″][vc_tta_section i_icon_fontawesome=”fa fa-cogs” title=”Procedure” tab_id=”1453644987098-a0bdfd0a-a284″ add_icon=”true”][vc_column_text]
Procedure
- Ask the client to bring the knee of the leg which is NOT tested into full flexion up to their chest and hold it there with both hands, or into abduction TIP 290
- Place your hand (this therapist’s right hand) on the medial aspect of the leg to be tested, just proximal to the knee joint and ask them to push against your hand
- Alternatively test both sides simultaneously by placing both your fists on the table on the medial proximal aspects of both knees and ask the client to bring their legs together. With strong clients you can reinforce your fists by having them support each other
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Zero Position
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Caution
- Extreme care with hip replacements
- Support the leg TIP 179
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Endfeel
- Soft, antagonists
- Soft, compression of big thighs can offer some soft tissue restriction to a full range of adduction
- The more flexion and medial rotation is integrated, the more adduction will be possible
- Relevant for PROM only
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Avoid
- Lateral flexion of the spine (pelvis moving), usually the spine laterally flexes to the side opposite of the leg being tested
- Rotation of the spine (towards the leg being tested)
- Medial rotation of the hip
- Flexion of the hip
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Permit
- Flexion of hip NOT tested
- Abduction of hip NOT tested
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Agonist Muscles
Hip (Leg) Adductors
- Adductor Magnus
- Adductor Longus
- Adductor Brevis
- Pectineus
- Gracilis
- Gluteus Maximus (lower fibres)
- Iliacus
- Psoas Major
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Antagonist Muscles
Hip (Leg) Abductors
- Gluteus Medius, PM
- Gluteus Minimus
- Piriformis (when hip flexed > 90o)
- Tensor Fasciae Latae
- Sartorius
- Gluteus Maximus (upper fibers)
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Tissues Compressed
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Tissues Stretched
- Antagonists, hip abductors
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Joints Directly Involved
- Hip joint
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Joints Indirectly Involved
- Intervertebral (lumbar) joints
- Knee joint
- Ankle joint
- Arches of the foot
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Special Notes
- NA
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Learn more about ROM
Description of TABS and ICONS
RESOURCES
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also in this section
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