Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Audio Graphics Project Presentation


Published on

Published in: Health & Medicine, Technology
  • Be the first to comment

Audio Graphics Project Presentation

  1. 1. Evaluation of the Hip
  2. 2. Bony Hip Anatomy Review
  3. 3. Muscular Hip Anatomy Review
  4. 4. Real Life Scenario: <ul><li>Your soccer athlete walks into the training room. He is complaining of pain in his left hip. He says he was at shooting practice and felt a pop and had immediate pain. </li></ul><ul><li>What do you do? </li></ul>
  5. 5. Hip Evaluation <ul><li>Visual Observation: </li></ul><ul><ul><li>Obvious deformity </li></ul></ul><ul><ul><li>Patterns of Swelling </li></ul></ul><ul><ul><li>Gait </li></ul></ul><ul><ul><li>Pelvic Obliquity </li></ul></ul>
  6. 6. Hip Evlauation <ul><li>MOI </li></ul><ul><ul><li>How did the injury occur? </li></ul></ul><ul><ul><li>Was there a direct blow to the hip? </li></ul></ul><ul><ul><li>Did you twist in a funny way? </li></ul></ul><ul><li>History: </li></ul><ul><ul><li>Have you ever injured it before? </li></ul></ul><ul><ul><li>How long ago did you injure it? </li></ul></ul><ul><ul><li>Did you hear or feel any ‘pops’ or ‘cracks’? </li></ul></ul><ul><ul><li>Have you had any previous evaluations or treatments? </li></ul></ul>
  7. 7. Hip Evaluation <ul><li>Palpation: </li></ul><ul><ul><li>Palpate all bony and soft tissue anatomy for: </li></ul></ul><ul><ul><ul><li>Point tenderness </li></ul></ul></ul><ul><ul><ul><li>Swelling </li></ul></ul></ul><ul><ul><ul><li>Crepitus </li></ul></ul></ul><ul><ul><ul><li>Temperature </li></ul></ul></ul><ul><ul><ul><li>Deformity </li></ul></ul></ul><ul><ul><li>Ensure </li></ul></ul><ul><ul><li>neurovascular </li></ul></ul><ul><ul><li>exam is intact </li></ul></ul>
  8. 8. Hip Evaluation <ul><li>Palpation (cont’d) </li></ul><ul><ul><li>Bony palpations: </li></ul></ul><ul><ul><ul><li>ASIS </li></ul></ul></ul><ul><ul><ul><li>Iliac crest </li></ul></ul></ul><ul><ul><ul><li>Greater Trochanter </li></ul></ul></ul><ul><ul><ul><li>Ischial Tuberosity </li></ul></ul></ul><ul><ul><ul><li>SI Joint </li></ul></ul></ul><ul><ul><ul><li>Lumbar Vertebrae </li></ul></ul></ul><ul><ul><li>Soft Tissue Palpations </li></ul></ul><ul><ul><ul><li>TFL </li></ul></ul></ul><ul><ul><ul><li>Trochantric bursa </li></ul></ul></ul><ul><ul><ul><li>Sartorious </li></ul></ul></ul><ul><ul><ul><li>Adductors </li></ul></ul></ul><ul><ul><ul><li>Inguinal lymph nodes </li></ul></ul></ul><ul><ul><ul><li>Gluteus Max. & Med. </li></ul></ul></ul><ul><ul><ul><li>Sciatic nerve </li></ul></ul></ul><ul><ul><ul><li>Quadriceps </li></ul></ul></ul><ul><ul><ul><li>Hamstrings </li></ul></ul></ul>
  9. 9. ROM & Strength Testing <ul><li>ROM should be tested: </li></ul><ul><ul><li>Passively </li></ul></ul><ul><ul><li>Actively </li></ul></ul><ul><ul><li>Resistively </li></ul></ul><ul><ul><ul><li>Concentric </li></ul></ul></ul><ul><ul><ul><li>Eccentric </li></ul></ul></ul><ul><li>Measure with a Goniometer </li></ul><ul><li>Compare Bilaterally </li></ul><ul><li>Observe Muscle Tone </li></ul>
  10. 10. Special Tests: <ul><li>Trendelenburg Test: </li></ul><ul><li>Positive Finding: </li></ul><ul><ul><li>When the pelvis on the unsupported side drops noticeably lower then the supported side </li></ul></ul><ul><ul><li>Indicates Gluteus Medius weakness on the supported side </li></ul></ul>
  11. 11. Special Tests: <ul><li>Ober’s Test </li></ul><ul><li>Positive finding: </li></ul><ul><ul><li>Inability of the leg to adduct and touch the table is indicative of IT Band tightness </li></ul></ul>
  12. 12. Special Tests <ul><li>Thomas Test </li></ul><ul><li>Positive finding: </li></ul><ul><ul><li>Lack of hip extension with knee flexion greater than 45 degrees is indicative of iliopsoas tightness </li></ul></ul><ul><ul><li>Full hip extension with knee flexion less than 45 degrees is indicative of rectus femoris tightness </li></ul></ul>
  13. 13. Special Tests: FABER/Patrick Test: <ul><li>Positive Finding: </li></ul><ul><ul><li>When involved lower extremity does not abduct below the level of the non-involved side. </li></ul></ul><ul><ul><li>Indicative of iliopsoas tightness, sacroiliac dysfunction, or hip joint abnormalities. </li></ul></ul><ul><li>Note: FABER is an acronym describing : </li></ul><ul><ul><li>F=Flexion </li></ul></ul><ul><ul><li>AB=Abducation </li></ul></ul><ul><ul><li>ER=External Rotation </li></ul></ul>
  14. 14. Special Tests <ul><li>Positive Finding: </li></ul><ul><ul><li>Pain or apprehension </li></ul></ul><ul><ul><li>Indicative of hip joint pathology such as: arthritis, osteochondral defects, avascular necrosis, or acetabular labrum defects </li></ul></ul>Hip Scouring/Quadrant Test
  15. 15. Manual Muscle Tests: <ul><li>Hip Flexors </li></ul>
  16. 16. Manual Muscle Tests <ul><li>Hip Extensors </li></ul>
  17. 17. Manual Muscle Tests <ul><li>Hip Abductors </li></ul>
  18. 18. Manual Muscle Tests <ul><li>Hip Adductors </li></ul>
  19. 19. Practice!!!
  20. 20. Questions?