{"id":8958,"date":"2021-11-25T16:14:05","date_gmt":"2021-11-25T15:14:05","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=8958"},"modified":"2021-11-25T16:14:05","modified_gmt":"2021-11-25T15:14:05","slug":"hip-passive-range-of-motion","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/hip-passive-range-of-motion\/","title":{"rendered":"Hip Passive Range of Motion"},"featured_media":8959,"template":"","class_list":["post-8958","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":8959,"background_image_alt_text":"Hip Passive Range of Motion"},"heading":"Hip Passive Range of Motion | PROM Assessment","subheading":"Hip Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Hip Passive Range of Motion<\/h2>\n<div class=\"embed-container\">\n\nThe goal of\u00a0passive range of motion assessment is to\u00a0assess the osteokinematic movements of a joint\u00a0to evaluate the range of motion in degrees and\u00a0if range of motion is limited, to evaluate the\u00a0end-feel. According to studies\u00a0by Charlton et al. (2015) and Prather at al. (2010) passive range of motion assessment\u00a0of the hip joint had moderate to excellent\u00a0intra-tester reliability and poor to excellent\u00a0inter-tester reliability depending on the\u00a0\u00a0movement that was examined. The following table shows standard values for passive hip range of motion:\n\n<img class=\"aligncenter size-full wp-image-8960\" src=\"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2021\/11\/Hip-Passive-Range-of-Motion_Standard-Values.jpg\" alt=\"Hip passive range of motion standard values\" width=\"601\" height=\"211\" \/>\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=g0Xg68ytaYQ[\/embed]\n\n<\/div>\nFor flexion of the patient in supine lying position close to the long edge of the treatment bench. Then palpate the anterior superior iliac spine on the side to be examined to monitor one's end range of motion is reached and the pelvis starts to move. With the other hand grab on to the distal femur with the lower leg can rest on your forearm or stay in a flexed position. Then move into flexion and assess the end-feel.\n\nFor extension, have the patient in prone lying position close to the long edge of the bench. Then, fixate the pelvis at the ischial tuberosity with the hypothenar aspect of one hand. With the other hand grab onto the distal femur and perform passive hip extension and assess the end-feel.\n\nFor internal rotation, the first option is to test in 90 degrees of flexion while the patient lies supine. So bring the patient's leg into flexion while your forearm supports the lower leg and your hand can cup the knee to protect it against valgus torque when you perform internal rotation.\u00a0You can also assess internal rotation with the hip in neutral. This can be done supine with the leg hanging over the edge of the bench or in prone position where you again fixate the ischial tuberosity.\n\nFor external rotation, the same applies as for internal rotation. So you can test in both 90\u00b0 of hip flexion in supine position or in neutral hip position Fro abduction the patient lies in supine position close to the long edge of the bench. With one hand palpate the ipsilateral anterior superior iliac spine with the thumb. The remaining fingers of that hand can stay in contact with the bench. With your other hand, pick up the patient's leg at the knee so that the patient's lower leg is supported on your forearm and perform abduction passively, while your other hand monitors movement at the pelvis. Once you approach the end range and assess the end feel.\n\nFor adduction, the patient lies in supine\u00a0position with the foot of the non-tested\u00a0leg placed laterally to the knee of the\u00a0leg to be examined. The patient's leg is\u00a0supported on your forearm and the thumb\u00a0of the other hand palpates the anterior\u00a0superior iliac spine on the contralateral\u00a0side to monitor movement at the pelvis.\n\nIf you want to learn how to assess active range of motion in the hip joint, click <a href=\"https:\/\/www.physiotutors.com\/wiki\/hip-active-range-of-motion\/\">here<\/a>.\n\n[cta]\n\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27881628\/\" target=\"_blank\" rel=\"noopener\">McKay MJ, Baldwin JN, Ferreira P, Simic M, Vanicek N, Burns J, 1000 Norms Project Consortium. Normative reference values for strength and flexibility of 1,000 children and adults. Neurology. 2017 Jan 3;88(1):36-43.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21070485\/\" target=\"_blank\" rel=\"noopener\">Soucie JM, Wang C, Forsyth A, Funk S, Denny M, Roach KE, Boone D, Hemophilia Treatment Center Network. Range of motion measurements: reference values and a database for comparison studies. Haemophilia. 2011 May;17(3):500-7.BibTeXEndNoteRefManRefWorks<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24831757\/\" target=\"_blank\" rel=\"noopener\">Charlton PC, Mentiplay BF, Pua YH, Clark RA. Reliability and concurrent validity of a Smartphone, bubble inclinometer and motion analysis system for measurement of hip joint range of motion. Journal of Science and Medicine in Sport. 2015 May 1;18(3):262-7.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20970757\/\" target=\"_blank\" rel=\"noopener\">Prather H, Harris-Hayes M, Hunt DM, Steger-May K, Mathew V, Clohisy JC. Reliability and agreement of hip range of motion and provocative physical examination tests in asymptomatic volunteers. PM&amp;R. 2010 Oct 1;2(10):888-95.<\/a>\n<\/div>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hip Passive Range of Motion | PROM Assessment<\/title>\n<meta name=\"description\" content=\"Passive range of motion assessment of the hip is part of a basic physiotherapeutic examination. 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