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Clin Orthop Relat Res ; 466(2): 281-6, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18196407

RESUMO

We believe there is a degree of inaccuracy in the usual methods of evaluation of range at the hip in the sagittal plane, ie, flexion-extension. We describe a simple method of measuring more accurately the range of hip flexion-extension, presuming such ranges of motion should relate to the anatomic position of the pelvis. We used this technique for the measurement of flexion and extension of the left hip in a cohort of 200 healthy individuals; we found a wide range of both flexion (80 degrees-140 degrees ) and extension (5 degrees-40 degrees ). Especially with respect to extension, we believe more conventional methods underestimate the ranges of motion. As a corollary to this study, we suggest some reappraisal of the straight-leg-raising test by which pain from nerve root tension can be distinguished from a source of pain arising locally in intervertebral joints for mechanical reasons or from the hip itself. We recommend the method described as being useful in the consulting office.


Assuntos
Articulação do Quadril/fisiologia , Artropatias/diagnóstico , Ortopedia/métodos , Exame Físico/métodos , Exame Físico/normas , Amplitude de Movimento Articular , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Artropatias/fisiopatologia , Perna (Membro) , Região Lombossacral , Masculino , Pessoa de Meia-Idade , Valores de Referência , Decúbito Dorsal
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