TIP 335 – ROM Hip Horizontal Abd Supine

TIP 335 – ROM Hip Horizontal Abduction

Alternative Procedure – Perform Supine

This position is advatageous if there are problems with the hip lexors

Zero

  • Supine, hip and knee flexed to 90o

Procedure

  • Gently stabilize the knee to prevent uncontrolled movement
  • Ask the client to bring the thigh away from the midline
  • Start the motion for the client to indicate which way to move

Nota Bene

  • In this position the horizontal flexors (=adductors) of the hip are likely to control horizontal extension as they have to decelerate the weight of the thigh
  • So remember that in this position it is mainly the hip horizontal flexors you will get information about TIP

 

 

TIP 293 – ROM Measurements

In most joints angular measurements lend themselves well for assessing the degrees of movement restriction. The degree of motion can often be gauged quickly or a goniometer can be employed to measure the degrees of motion more precisely.

Sometimes other means of measurements come in handy, like in case of flexion of the spine, measuring distances can be quicker and easier.

Flexion of the spine practically is a combined movement of (cervical,) thoracic, lumbar spine and hip flexion.

It is much easier recorded as the distance between the fingers and the toes than it is in degrees as movement occurs in so many places.

Care has to be taken however to establish where the movement occurs!

In the case of multiple joint movement the end result of the movement may look desirable but closer inspection might show that the movement does not occur in the designated areas but rather that other areas compensate for the lack of movement by overstretching.

Getting back to that example of flexion of the spine short lumbar erectors might lead to overstretching in the upper thoracic area – the end result (being able to touch ones toes) might look fine but the flexion occurs in the wrong areas.

 

TIP 325 – ROM Hip Lateral Rotation Alternative

TIP 325 – ROM Hip Lateral Rotation

Alternative Procedure 2

Zero

  • Prone
  • Knee in 900 flexion

Procedure

  • Ask the client to bring the foot inwards for lateral rotation
  • Start the motion for the client or tap against the outside of the heel to indicate which way to move

Nota Bene

  • Alternative procedure 2 does not lend itself well to AROM as the weight of the lower leg is moving away medially from the rotational axis it will contribute to increase the speed of rotation
  • The medial rotators will then engage to decelerate lateral rotation