SPEAKER_06 1:00:18–1:02:05
Well, you have two options and you get to choose. One, you don't measure it because you can't get a true position, or you take them there and see what happens. So you have a comparison for after you intervene, because you know if you can't get them there, where's the concept of orientation that's interfering? So right away, you kind of know what you're looking at. But if you want to have a comparison for a before and after, then go ahead and take them to where you would typically do your traditional measures so you can compare the before and after. With the understanding that you're in compensation land, but it can still provide you information as the comparison. So for instance, I had a guy yesterday who probably came in with maybe 60 degrees of hip flexion. I took him all the way up to the traditional measure and he had like 25 degrees of total hip excursion in internal and external right rotation. I expected that; it was not a surprise. But I have a comparison on the paper. In the same representation, I could have somebody who is compressed anterior to posterior to such a degree that they come in and they might have 70 degrees of external rotation and minus five degrees of internal rotation at 90 degrees and still have limited hip flexion. That tells me another piece of information: I now have somebody that is turning elsewhere. You see why it can become valuable. It's just a matter of identifying what the potential representations are. So from a treatment standpoint, it doesn't really change anything as to how you're going to initiate it, but it does give you the comparison.
hip flexionjoint mobility assessmentcompensatory movementrotation measurement