pelvis & hip bones 2 bones or sides connected by the sacrum parts of the bone ilium ischium...
TRANSCRIPT
PELVIS & HIP
BONES 2 Bones or sides Connected by the
Sacrum
PARTS OF THE BONEIlium
Ischium Pubis
BONES Illium Ishium Femur
HIP JOINT Acetabulum + Femur Head
PELVIC MUSCLES
Psoas Major Iliacus
Flex the thigh Gluteus Maximus
Flex hip, laterally (ER) rotate Gluteus Medius Gluteus Minimus
Abduct & medially (IR) rotate Adductor Longus
Adducts, flexes, laterally rotates
PELVIC MUSCLES Adductor Magnus
Adduction, extension, lateral rotation Gracilis
Adduction, flexion, medial rotation @ knee Pectineus
Adducts thigh Sartorius
Flexes hip, laterally (ER) rotate Tensor Fascia Late
Flex hip, Abduction, medially (IR) thigh
PELVIC MUSCLES
Piriformis Extend hip, Abduction, laterally (ER) thigh
Gameles & Obturator Laterally (ER) Thigh
IT Band Lateral Stabilizer
Hamstring Flex knee & Extend hip
Quadriceps Extend knee & Flex hip
INJURIES
FRACTURES Unable to be weight bearing Foot in ER
HIP POINTER Direct blow on Iliac Crest
STRAINS & SPRAINS Over stretch of tendons, muscles, ligaments
BURSITIS Trochanteric-Ache or pain while running; hip joint pain Illiopsoas-passive rotary motion; medial groin pain
R.O.M. TESTING
Hamstring Flexibility Actively/Passively Bring knee to chest & straight leg
Internal/External Rotation Bend knee 90 degrees Rotate hip internally & externally
Thomas Test (Hip flexor or RF) On back, buttock on edge of table Flex knee & bring to chest Watch for movement of other leg
R.O.M. TESTING
Ober’s Test (IT Band tightness) Sidelying, top leg straight bottom knee bent Raise & extend hip. Tightness if stays ABDUCTED
Patrick’s (Faber) Test (Iliopsoas) Supine with involved heel on opposite knee Hand on opposite hip & apply downward
pressure to involved knee
STRENGTH TESTING
ABduction sidelying Hand on hip, apply pressure to leg as they lift leg Gluteus Medius & Minimus, TFL, Sartorius, Piriformis
ADduction sidelying Hand on inside of lower leg, apply pressure to leg as
they lift leg Adductor brevis, magnus, longus & Gracilis, Pectineus
Extension prone (on stomach) Hand on gluts, apply pressure to leg as they lift leg Gluteus maximus, hamstrings, adductor magnus
STRENGTH TESTING
Internal Rotation sitting with knees @ 90 Stabilize thigh with one hand Apply resisitance: Lateral Malleolus as they IR hip so it
doesn’t move Gluteus medius & minimus or TFL
External Rotation sitting with knees @ 90 Stabilize thigh with one hand Apply resistance: Medial Malleolus as the ER hip so it
doesn’t move Piriformis, Gluteus maximus or Quadratus Femoris
STRENGTH TESTING
Flexion sitting with knees @ 90 Hand on femur & distal end of tibia Resist on femur as thigh is raised off of table Rectus femoris, iliopsoas, pectineus, sartorius or TFL
Trendelenburg standing Stand behind athlete Watch hips as they balance on univolved leg Hip abductors on weight bearing side