Student Name and Number
Assessor’s Name
Passing Grad:
Physical Therapist Technician
Management of Pelvis, Hip and Thigh Conditions
Clinical Assessment
Materials
a)
b)
c)
d)
e)
f)
g)
h)
Patient case study
Pen
Paper (checklist for assessor and blank for student)
Assessment materials:
I. Goniometer
II.
Reflex hammer
III.
Kleenex
Pillows
Plinth
Hand sanitizer
Simulated patient
Facility Instructions
This EC shall be completed in one of two settings:
a) The physical therapy clinic at the Polyclinic; or
b) The physical therapy classroom at the AFAMS school house once the equipment on
order has arrived and has been set up for student use.
Arrangements and Procedures
Practical EC: The student will enter the assessment room where there will be the assessor and a
simulated patient in a chair. The assessor will read the scenario from a piece of paper to the
student and will then make it accessible for the student to reference during the assessment.
Students shall receive 2 minutes to prepare the room and equipment. They will then have 30
minutes to perform the given task(s). Student will complete this EC with due regard to all safety
procedures ensuring they ask about contraindications/precautions to which the simulated
patient will have none.
Grading Scheme
This EC consists of a pass/fail checklist. The student must perform all points on the checklist to
successfully pass this EC. If they are not successful, they must be tested again.
Student Name and Number
Assessor’s Name
Passing Grad:
Instructions For Simulated Patient
Subjective History Information:
Chief complaint is left anterior hip pain. Examined by the doctor today who diagnosed her with
osteoarthritis of the hip joint. Pain started about over 10 years ago and has gotten progressively
worse over the years. Had a serious motor vehicle accident 15 years ago where she dislocated
and fractured her left hip. Received some minor treatment but has always had pain and
stiffness since. During the past few years the pain has increased in intensity and has started to
affect her function more. Pain is mainly localized to the anterior left hip area but can radiate
around laterally. Pain is a constant dull ache to the left hip and can sometimes be an
intermittent sharp pain with certain activities. Aggravated by prolonged sitting and walking,
rising from sitting, first thing in the morning, squatting, and stairs. Pain is slightly decreased
with sitting or lying, heat, elevation and resting. On a scale of 1-10, pain is a 7/10 at its worse
and 2/10 at its best. Regularly takes Tylenol which provides some relief. Patient is a mother and
grandmother to over 10 children. Her activities of daily living include a lot of cleaning and
housework as well as she is the primary care giver for the children. Consents to the objective
exam.
Special Questions:
o
o
o
o
o
Any trauma? If so what was the mechanism of injury? NO
Any locking, catching, clunking or clicking? YES, cracking and clicking
Any urinary incontinence? NO
Able to lie on the affected side? YES, for short periods of time
Location of pain? Anterior, posterior, or lateral? Anterior and sometimes lateral
Red Flag Questions:
o Bowel or bladder disturbances? NO
o History of a fall from a standing position? NO
o Unexplained weight loss? NO
o History of long-term corticosteroid use? NO
o 5-8 year old boys with groin/thigh pain? NO
o A shortened and externally rotated lower extremity? NO
o Pain in groin, and/or scrotum in males? NO
o Groin aching exacerbated with weight-bearing? NO
o Involved leg held in external rotation? NO
o Unwillingness to weight bear on or move the involved hip? NO
Student Name and Number
Assessor’s Name
Passing Grad:
Objective Exam Information:
o Decreased weight bearing on left in standing, decreased stance phase on left during gait,
difficultly with rising from sitting with pain, left leg slightly externally rotated in standing
o On palpation, tenderness over anterior left hip joint, left great trochanter and left PSIS
o Lumbar AROM: full all directions, mild pain with end range flexion
o Hip AROM:
o Normal flexion, ABD, ADD, ER
o ++ Decreased left IR with ++ hip pain
o Slightly decreased left ext’n with moderate hip pain
o Hip PROM:
o Decreased IR with ++pain
o Slight decrease extension with some pain
o Hip strength testing:
o 5/5 flex, ABB, ADD, ER, Ext’n
o 4/5 IR with pain
o Neuro exam:
o Normal dermatomes
o Normal myotomes
o Normal reflexes
o Special test:
o +ve FABER’s on left producing left hip pain
Student Name and Number
Assessor’s Name
Passing Grad:
Trainee Instructions
The assessor will read a scenario and then provide a copy for reference. You will have 2 minutes
to review the case and prepare for the assessment and 30 minutes to perform the assessment.
All the materials that you will need for the assessment will be provided for you.
Scenario 1
A 50 year old female is referred to physical therapy for left hip osteoarthritis. Perform the
subjective and objective examination.
Student Name and Number
Assessor’s Name
Passing Grad:
Physical Therapist Technician
Management of Pelvis, Hip and Thigh Conditions
Clinical Assessment
CHECKLIST
SUBJECTIVE ASSESSMENT
1
2
3
Confirm patient identification and
diagnosis
Confirm patients chief complaint
5
Inquire about the patient’s history
of present illness (OPQRST)
Inquire about the patient’s pain
(location, duration, type, frequency)
Ask about past medical history
6
Ask about current medications
7
Inquire about the patient’s social
status and occupation
Inquire about any previous
treatments for the condition
Ask special questions
4
8
9
10 Ask red flag questions
11 Obtain consent to perform
objective exam
OBJECTIVE ASSESSMENT
1
2
3
Use appropriate infection control
procedures for patient care (hand
washing and equipment cleaning)
Remove any clothing that is
obstructing the area to be assessed
Inspection (Posture, spinal curves,
transfers, gait, tilt of the pelvis,
muscle atrophy, bruising, swelling)
YES NO
COMMENTS
Student Name and Number
Assessor’s Name
4
5
6
7
8
9
Passing Grad:
Palpation (iliac crests, ASIS, PSIS,
ischial tuberosity, greater
trochanter and bursae, SI joint,
pubic symphysis)
Screen lumbar spine AROM (flex,
ext’n, rotation, side flexion)
Hip AROM with goniometer (flex,
ext’n, ABD, ADD, IR, ER)
Hip PROM (IR, Ext’n)
Hip strength testing (flex, ext’n,
ABD, ADD, IR, ER)
Dermatomes L2-S2 (light touch)
10 Myotomes L2-S1
11 Reflexes x2 (patellar, Achilles)
12 Special test: FABER’s
17 PTT records findings in the patient’s
chart
Overall Assessment:
PASS
Student’s Signature
Date:
FAIL
Assessor’s Signature