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.