Hip

Anatomy of the Hip

Anterior View

Posterior View

Physiologic (Osteokinematic) Motions of the Hip

Accessory (Arthrokinematic) Motions of the Hip

Hip Mobilization Techniques

Hip Distraction

Indications:

• To improve motion in all directions

Patient:

• Supine with hip in open-packed position

Clinician:

• At pt's feet in a tandem stance facing pt

• Stabilizing contact: Provided by pt's body weight with assistance from a belt around pelvis

• Mobilizing contact: Both hands grasp pt's distal tibia/fibula just proximal to ankle (or above knee if knee pathology exists); belt may be used to reinforce hand contacts

Accessory Motion Technique:

• While maintaining all contacts, clinician shifts weight from front to back foot

Accessory With Physiologic Motion Technique:

• Pt & clinician in same position

• Pt & clinician move hip in direction of greatest restriction

• Clinician maintains hand contacts & distraction force t/o ROM

Hip Inferior Glide

Indications:

• To improve hip flex

Patient:

• Supine with hip flexed to 90° & lower leg draped over clinician's shoulder (knee flexed); may incorporate abd/add or ER/IR to pre-position at point of restriction

Clinician:

• Stand to side facing pt with pt's posterior thigh in contact with clinician's shoulder

• Stabilizing contact: Provided by pt's body weight with assistance from belt around pt's pelvis

• Mobilizing contact: Clasped hands mobilize by contacting anterior aspect of proximal femur. Mobilization belt may be used around clinician's waist & pt's thigh to reinforce hand contacts

Accessory Motion Technique:

• Both hands exert inferior mobilizing force; ...