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NAMEAGEGENDERADDRESS+TELEPHONE NUMBEROCCUPATIONCHIEF COMPLAINT-

HISTORYA. PRESENT HISTORY-

B. PAST HISTORY-

C. TREATMENT HISTORY-

D. FAMILY HISTORYE. SOCIAL HISTORYOBSERVATIONa. Postureb. Gaitc. Whether patient can attain weight bearing position and bears weight equally on both the legs? d. Balance e. Symmetry of the limbs f. Presence of shortening of leg or any deformity g. Color and texture of the skin. h. Any scars or sinuses. ANTERIOR VIEW LATERAL VIEW POSTERIOR VIEW

PALPATION SWELLING MUSCLE SPASM TEMPERATURE TENDERNESS MUSCLE GIRTH LIMB LENGTH

EXAMINATION ACTIVE ROM AND PASSIVE ROM AROM (L), PROM(L) HIP FLEXIONHIP EXTENSIONHIP ABDUCTIONHIP ADDUCTIONHIP MEDIAL ROTATIONHIP LATERAL ROTATIONMMTHIP FLEXORSHIP EXTENSORSHIP ABDUCTORSHIP ADDUCTORSHIP MEDIAL ROTATORSHIP LATERAL ROTATORS(L)

AROM(R), PROM(R)

(R)

Special Tests Patrick (Faber) test Trendelenburg's sign Thomas test Rectus femoris test Ober's test 90-90 straight leg raise test DIFFERENTIAL DIAGNOSIS-

DIAGNOSTIC TESTS- X-RAYSCT SCANMRIULTRASOUND-

DIAGNOSIS-

TREATMENT PLANSHORT TERM GOALS:

LONG TERM GOALS:

PHYSIOTHERAPY TREATMENT:

ANNEXURE 1. PATRIC(FABER) TESTPOSITION OF PATIENT- Supine lying POSITION OF THERAPISTS- at the side of the patient to be tested. FINDING- A negative test is indicated by the test leg's knee falling to the table or at least being parallel with the
opposite leg. A positive test is indicated by the test leg's knee remaining above the opposite straight leg. INTERPRETATION- If positive, the test indicates that the hip joint may be affected, there may be iliopsoas spasm, or the sacroiliac joint may be affected. 2. TREDELENBURGS SIGNPOSITION OF PATIENT- stand on one lower limb POSITION OF THE THERAPIST- in front of the patient FINDING- If the pelvis on the opposite side (nonstance side) drops when the patient stands on the affected leg, a

positive test is indicated.. INTERPRETATION- If the pelvis drops on the opposite side, it indicates a weak gluteus medius or an unstable hip on the affected or stance side
3. THOMAS TESTPOSITION OF PATIENT-Supine lying POSITION OF THERAPIST- at the side of the patient FINDING- The patient holds the flexed hip against the chest. INTERPRETATION- If a contracture is present, the patient's straight leg rises off the table and a muscle stretch end feel will be felt. 4. RECTUS FEMORIS TESTPOSITION OF THE PATIENT- The patient lies supine with the knees bent over the end or edge of the examining table. The patient flexes one knee onto the chest and holds it POSITION OF THE THERAPIST- at the side of the patient to be tested FINDING- The angle of the test knee should remain at 90 when the opposite knee is flexed to the chest.

INTERPRETATION- If it does not (i.e., the test knee extends slightly), a contracture is probably present. 5. OBERS TESTPOSITION OF PATIENT- The patient is in the side lying position with the lower leg flexed at the hip and knee for stability. POSITION OF THE THERAPIST- At the side of the patient, at the side to be tested. FINDING- The examiner then passively abducts and extends the patient's upper leg with the knee straight or flexed to 90. INTERPRETATION- The examiner slowly lowers the upper limb; if a contracture is present, the leg remains abducted and does not fall to the table. 6. 90-90 STRAIGHT LEG RAISING TESTPOSITION OF PATIENT- The supine patient flexes both hips to 90 while the knees are bent. The patient then grasps behind the knees with both hands to stabilize the hips at 90 of flexion. The patient actively extends each knee in turn as much as possible. POSITION OF THE THERAPIST- At the side of the patient to be tested. FINDING- Normally, or if the hamstrings are tight, the end feel will be muscle stretch. INTERPRETATION- Nerve root symptoms may also result, as this positioning is similar to the slump test done in supine lying instead of sitting.