[vc_row][vc_column width=”5/6″][vc_custom_heading text=”Hip Flexion PROM” use_theme_fonts=”yes”][/vc_column][vc_column width=”1/6″][vc_custom_heading text=”ROM 3613″ 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
- One hand supports the client’s leg under knee
- The other hand supports the client’s ankle
- Bring their knee towards their chest
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Zero Position
- Supine
- ASISs aligned with tableTIP 175
- Client places the soles of both feet onto the table (=hip in approximately 45° of flexion)
- Client brings the knee of the leg which is NOT tested into full flexion up to chest and holds it there with both hands
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Caution
- Extreme care with hip replacements
- Support the leg TIP 179
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Endfeel
- Sometimes there is pain on rectus femoris origin when compressed in full flexion
- Soft, tissue approximation in obese people (tummy in the way)
- Soft, should not feel hard (antagonists, especially when conducted with the knee in extension and the hamstring muscles engage)
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Avoid
- Lateral rotation of hip
- Abduction of hip
- Horizontal abduction of hip
- Excessive spine flexion (sacrum lifting off the table)
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Permit
- Full flexion of hip NOT to be tested
- Client may have feet flat on the table for starting position (hips in about 45° flexion, not in anatomical position)
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Agonist Muscles
Hip (Leg) Flexors
- Iliacus, PM
- Psoas Major, PM
- Sartorius
- Adductor Longus
- Adductor Brevis
- Adductor Magnus (anterior fibers)
- Pectineus
- Rectus Femoris
- Tensor Fasciae Latae
- Gluteus Medius (anterior fibers)
- Gluteus Minimus (anterior fibers)
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Antagonist Muscles
Hip (Leg) Extensors
- Gluteus Maximus, PM
- Biceps Femoris, PM
- Semitendinosus
- Semimembranosus
- Adductor Magnus (posterior fibers)
- Gluteus Minimus (posterior fibers)
- Gluteus Medius (posterior fibers)
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Tissues Compressed
- Agonists, hip flexors
- Rectus femoris attachment on pelvis
- Anterior joint capsule
- Soft tissue approximation with adipose tissue
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Tissues Stretched
- Antagonists, hip extensors (but none of the hamstring muscles as the knee is in full flexion)
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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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