LAB Hip and knee ROM_full slides

Hip and Knee Joint ROM

Overview of the Course

  • Course Code: PHTY1040

Attendance Check-in

  • Reminder: Log into MyUON

  • Step 1: Click on Attendance Check-in

  • Timing for Check-in: 5 minutes before lab starts; closes 45 minutes before class ends.

  • Manual Recording: If unable to check-in, the tutor will record names manually.

Today's Agenda

  • Review:

    • Movement directions for the hip and knee

    • Surface anatomy

  • Activities:

    • Measuring hip and knee joint Range of Motion (ROM)

    • Case scenario discussion

Importance of Measuring ROM

  • Reasons for Measurement:

    • Establishing Baseline

    • Reassessment of progress

    • Differentiation between active and passive movement

  • Palpation Skills:

    • Identifying landmarks for measurement

    • Skill is essential for future physical examinations

Hip Movements

  • Types of Movement:

    • Flexion / Extension

    • Abduction / Adduction

    • Internal / External Rotation

Knee Movements

  • Types of Movement:

    • Flexion / Extension

    • Internal / External Rotation

Palpation and Surface Anatomy Reference

  • For hip surface anatomy, refer to Clarkson, pg 276

  • For knee surface anatomy, refer to Clarkson, pg 333

  • Use a skeleton and personal body reference for anatomical landmarks.

Pre-Session Protocol

  1. Hand Hygiene: Essential before interactions.

  2. Introduction: Introduce yourself to the patient.

  3. Explain Procedures:

    • Communicate what you want them to do and why in layman's terms.

    • If necessary, explain why clothing removal is required.

    • Ensure both you and the patient are in a comfortable position.

  4. Perform Measurement:

    • Monitor any relevant symptoms.

    • Compare both sides if necessary.

Hip Surface Anatomy Landmarks

  • Iliac Crest

  • Anterior Superior Iliac Spine (ASIS)

  • Posterior Superior Iliac Spine (PSIS)

  • Ischial Tuberosity

  • Greater Trochanter

  • Adductor Tubercle

  • Lateral and Medial Epicondyles and Condyles of Femur (Clarkson pg 277)

Knee Surface Anatomy Landmarks

  • Patella

  • Patella Tendon

  • Tibial Tuberosity

  • Tibial Plateau(s)

  • Head of Fibula

  • Lateral and Medial Malleolus (ankle bones) (Clarkson pg 333)

Video Guide Resources

  • Clarkson 2021: The Clarkson text has online resources available.

  • Account Setup: Sign up for an account (details inside the cover of the newly purchased textbook).

  • Accessing Videos: Log in to view instructional videos in preparation for labs; read the relevant textbook sections.

Measuring Hip/Knee ROM

  • Reference: Clarkson pg 278 (hip) and 334 (knee)

  • Measurement Procedures:

    1. Hip: Flexion/Extension, Abduction/Adduction, Internal/External Rotation

    2. Knee: Flexion/Extension

  • Tips for Measurement:

    • Eyeball ROM first to assist with goniometer readings.

    • Be aware of 'trick movements'.

    • Always compare both sides.

    • Documentation: Understanding how to document findings is crucial.

Case Scenario for Discussion

  • Patient Profile: Mary Parsons, an 85-year-old woman with a surgical fixation of the neck of the right femur six weeks ago.

  • Discussion Points:

    • Why is this fracture common in this age group and gender?

    • Potential surgical management strategies.

    • Post-operative management considerations.