Goniometry: Hip Flexion: Difference between revisions
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== | == Hip flexion (with knee flexion) == | ||
The hip joint's range of motion (ROM) is an important clinical parameter used in hip assessment | The hip joint's range of motion (ROM) is an important clinical parameter used in hip assessment.<ref name=":0">Yazdifar M, Yazdifar MR, Mahmud J, Esat I, Chizari M. [https://www.sciencedirect.com/science/article/pii/S1877705813020043 Evaluating the hip range of motion using the goniometer and video tracking methods.] Procedia Engineering. 2013 Jan 1;68:77-82. Available: https://www.sciencedirect.com/science/article/pii/S1877705813020043<nowiki/>(accessed 15.1.2022)</ref>Hip flexion is one of the hip motions that can be measured with a goniometer. The goniometer can simply measure the joint angles. It has some limitations not allowing the clinician to analyse the ROM and track the hip joint during eg walking or maximum squat. Motion capture devices are mainly used to analyse the patient's gait and assess the condition of the joints and bones.<ref name=":0" /> | ||
== | == Testing Position == | ||
Patient is supine with hips and knees in neutral rotation | |||
* Motions of the pelvis on the lumbar spine during measurement of hip flexion or extension can artificially inflate the range of motion measurement obtained. | |||
* Use landmarks on the pelvis to eliminate the possibility of including lumbar spine motion in the measurement, or one should manually ensure that the pelvis remains in a neutral position at the beginning and end of the range of motion measurement. <ref name=":1">Musculoskeletal key [https://musculoskeletalkey.com/measurement-of-range-of-motion-of-the-hip/ Measurement of ROM of the hip] Available: https://musculoskeletalkey.com/measurement-of-range-of-motion-of-the-hip/<nowiki/>(accessed 15.1.2022)</ref> | |||
== Goniometer Placement == | == Goniometer Placement == | ||
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== Expected Findings == | == Expected Findings == | ||
Expected range of motion is 0- 120 degrees<ref>Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. FA Davis; 2016 Nov 18.</ref> | Expected range of motion is 0- 120 degrees<ref>Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. FA Davis; 2016 Nov 18.</ref> | ||
Most of the motions at the hip are limited by the ligaments (iliofemoral, ischiofemoral, and pubofemoral) and muscles that surround the joint, as well as by the hip joint capsule. Hip flexion is an exemption, being frequently limited by approximation of the soft tissue between the anterior thigh and the abdomen when the knee is flexed. | |||
Hip flexion range of motion is dependent on the position of the knee during movement. | |||
* Full hip flexion is obtained only with the knee flexed. | |||
* If the hip is flexed with the knee extended, tension in the hamstring muscles limits the motion<ref name=":1" />. | |||
== References == | == References == | ||
Revision as of 02:15, 15 January 2022
Hip flexion (with knee flexion)[edit | edit source]
The hip joint's range of motion (ROM) is an important clinical parameter used in hip assessment.[1]Hip flexion is one of the hip motions that can be measured with a goniometer. The goniometer can simply measure the joint angles. It has some limitations not allowing the clinician to analyse the ROM and track the hip joint during eg walking or maximum squat. Motion capture devices are mainly used to analyse the patient's gait and assess the condition of the joints and bones.[1]
Testing Position[edit | edit source]
Patient is supine with hips and knees in neutral rotation
- Motions of the pelvis on the lumbar spine during measurement of hip flexion or extension can artificially inflate the range of motion measurement obtained.
- Use landmarks on the pelvis to eliminate the possibility of including lumbar spine motion in the measurement, or one should manually ensure that the pelvis remains in a neutral position at the beginning and end of the range of motion measurement. [2]
Goniometer Placement[edit | edit source]
| AXIS LOCATION | STATIONARY ARM | MOVEMENT ARM |
|---|---|---|
| femoral greater trochanter | parallel to the trunk | parallel with longitudinal axis of the femur in line with the lateral femoral condyle |
Expected Findings[edit | edit source]
Expected range of motion is 0- 120 degrees[3]
Most of the motions at the hip are limited by the ligaments (iliofemoral, ischiofemoral, and pubofemoral) and muscles that surround the joint, as well as by the hip joint capsule. Hip flexion is an exemption, being frequently limited by approximation of the soft tissue between the anterior thigh and the abdomen when the knee is flexed.
Hip flexion range of motion is dependent on the position of the knee during movement.
- Full hip flexion is obtained only with the knee flexed.
- If the hip is flexed with the knee extended, tension in the hamstring muscles limits the motion[2].
References[edit | edit source]
- ↑ 1.0 1.1 Yazdifar M, Yazdifar MR, Mahmud J, Esat I, Chizari M. Evaluating the hip range of motion using the goniometer and video tracking methods. Procedia Engineering. 2013 Jan 1;68:77-82. Available: https://www.sciencedirect.com/science/article/pii/S1877705813020043(accessed 15.1.2022)
- ↑ 2.0 2.1 Musculoskeletal key Measurement of ROM of the hip Available: https://musculoskeletalkey.com/measurement-of-range-of-motion-of-the-hip/(accessed 15.1.2022)
- ↑ Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. FA Davis; 2016 Nov 18.
