Hip Goniometry
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Hip Flexion
T: Supine PA: Lateral midline of pelvis, along mid-axillary line of trunk DA: Midline of lateral femur to the lateral epicondyle of knee F: lateral aspect of greater trochanter Stabilization: ipsilateral pelvis
Hip Flexion ROM & End Feel
0 - 120 Normal End-Feel - Soft due to muscle bulk - Firm due to tight posterior capsule
Hip Extension
T: Prone (use pillow under abdomen if needed for pt comfort) PA: Lateral midline of pelvis, along mid-axillary line of trunk DA: Lateral greater trochanter F: Midline of lateral femur to the lateral epicondyle of the ipsilateral knee Stabilization: Contralateral lower leg & pelvis on test side
Hip Extension ROM & End Feel
0 - 20 Normal End-Feel - Firm due to muscle tension, anterior joint capsule, or ligaments
Hip IR (seated)
T: Seated PA: Perpendicular to the floor DA: Midline of anterior tibia to center of talocrural joint F: Center of anterior patella Stabilization: Ipsilateral distal femur on test side
Hip IR ROM & End Feel
0-45 Normal End-Feel Firm due to posterior joint capsule, muscle tension, or ligaments.
Hip ER (seated)
T: Seated PA: Perpendicular to the floor DA: Midline of anterior tibia to center of talocrural joint F: Center of anterior patella Stabilization: Ipsilateral distal femur on test side
Hip ER ROM & End Feel
0-45 Normal End-Feel Firm due to anterior joint capsule, muscle tension, or ligaments
Hip Abduction
T: Supine PA: Align between both ASIS DA: Ipsilateral ASIS F: Midline of femuar to center of patella Stabilization: Ipsilateral iliac crest of pelvis on test side
Hip ABD ROM & End Feel
0-40 Normal End-Feel Firm due to medial joint capsule, muscle tension, or ligaments
Hip Adduction
T: Supine (Adduct test hip towards contralateral lower extremity to end of the range of motion, determined by resistance to movement, or lateral flexion of trunk or pelvis) PA: Align between both ASIS DA: Ipsilateral ASIS F: Midline of femuar to center of patella Stabilization: Ipsilateral iliac crest of pelvis on test side *Avoid rotation of the hip joint when placing the limb into adduction position
Hip ADD ROM & End Feel
0-20 Normal End-Feel Firm due to lateral joint capsule, muscle tension, or ligaments