Hip Accessory Movement Assessment

Movements tested:

  • Inferior Glide of the Femur: in supine, the hip is passively flexed to 90 degrees. The proximal femur is grasped and an inferiorly directed force to the most proximal aspects of the femur is applied.
  • Posterior Glide of the Femur: In supine, the hip is passively flexed to 90 degrees. While the hip is internally rotated and adducted, the examiner applies a posteriorly directed force through the femur
    • Inter-examiner reliability: For posterior mobility kappa=.37; For posterior mobility with pain provocation kappa=.65 (Browder et al 2004)
  • Lateral Glide of the Femur: In supine. the hip is passively flexed to 90 degrees whle the examiner grasps the proximal femur and applies a laterally directed force to the most proximal aspect of the femur.
  • Long-Axis Distraction of the Femur: With the hip in 20-30 degrees flexion and abducted approximately 30 degrees, the examiner grasps the patient's ankles and applies a longitudinal distraction force to the hip
  • Anterior Glide of the Femur: In prone, with either an extended or flexed knee, the examiner fully extends the patient's hip and applies a posterior-to-anterior directed force over the proximal femur.
    • Inter-examiner reliability: For anterior mobility kappa=.45; For anterior mobility with pain provocation kappa=.85 (Browder et al 2004)
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