Hip ROM

Hip Flexion Normal ROM

0 to 110-120 degrees (be sure the patient can go through zero-adequate hip flexor length)

Hip Flexion endfeel

soft due to muscle bulk or firm due to tension in joint capsule

Hip Flexion patient position

supine - pt brings knee up to chest until pelvis tilts posteriorly

Hip Flexion stabilization

pelvis to prevent posterior pelvic tilt (end ROM occurs with posterior tilt)

Hip Flexion axis of rotation

greater trochanter of the femur

Hip Flexion stationary arm

midline of pelvis (bisect pelvis between ASIS to PSIS - need to palpate)

Hip Flexion moveable arm

lateral aspect midline of femur (toward lateral epicondyle)

Hip Flexion helpful hints

provide cues for how to hold/manage goniometer especially for PROM

Hip Extension Normal ROM

0 to 10-15 degrees

Hip Extension endfeel

firm

Hip Extension patient position

prone

Hip Extension stabilization

pelvis to prevent anterior pelvic tilt

Hip Extension axis of rotation

greater trochanter of femur

Hip Extension stationary arm

midline of pelvis (palpate pelvis between ASIS to PSIS - need to palpate)

Hip Extension moveable arm

lateral aspect of femur (toward lateral epicondyle)

Hip Extension helpful hints

provide cues for how to stabilize for PROM; watch compensation of trunk rotation

Hip Abduction Normal ROM

0 to 35-50 degrees

Hip Abduction endfeel

firm

Hip Abduction patient position

supine, toes pointed toward ceiling, patient positioned to opposite side of table to allow enough room to move leg with leg supported (PT watch body mechanics)

Hip Abduction stabilization

pelvis (watch for hip hiking, lateral flexion)

Hip Abduction axis of rotation

anterior to ASIS on the side you are measuring

Hip Abduction stationary arm

in line between both ASIS

Hip Abduction moveable arm

anterior aspect of femur lined up with patella

Hip Abduction helpful hints

watch for compensation with trunk lateral flexion, hip flexion, hip ER

be aware of personal space, inform patient where you will be palpating

Hip Adduction Normal ROM

0 to 30 degrees

Hip Adduction endfeel

firm

Hip Adduction patient position

supine, toes pointed toward ceiling, move opposite limb out of the way

Hip Adduction stabilization

pelvis

Hip Adduction axis of rotation

anterior to ASIS on side you are measuring

Hip Adduction stationary arm

in line between both ASIS

Hip Adduction moveable arm

anterior aspect of femur lined up with patella

Hip Adduction helpful hints

watch for compensation with trunk lateral flexion, hip flexion, hip IR

Hip Internal Rotation normal ROM

0 to 30-40 degrees

Hip Internal Rotation endfeel

firm

Hip Internal Rotation patient position

sitting, sock and shoe off, towel under distal femur (want to keep femur in plane of motion; need to keep femur on towel)

Hip Internal Rotation stabilization

distal end of femur to prevent hip hiking, flexion, abduction, lateral WS etc (keep pure rotation)

Hip Internal Rotation moveable arm

along tibia between malleoli (bisect) SOCKS must be off to observe

Hip Internal Rotation helpful hint

give cues to orient them to what IR looks like, foot out.

caution with measurement if contraindicated (hip replacement)

Hip External Rotation Normal ROM

0 to 40-60 degrees

Hip External Rotation endfeel

firm

Hip External Rotation patient position

sitting, sock and shoe off, towel under distal femur (want to keep femur in plane of motion; need to keep femur on towel)

Hip External Rotation stabilization

distal end of femur to prevent hip hiking, flexion, abduction, lateral WS, (keep pure rotation)

Hip External Rotation axis of rotation

anterior aspect of patella

Hip External Rotation stationary arm

perpendicular to the floor

Hip External Rotation moveable arm

along tibia between malleoli (bisect) SOCKS must be off to observe

Hip External Rotation helpful hints

give them cues to orient what it looks like (foot in)

caution with measurements if contraindicated (hip replacement)