GONIOMETRIC EXAM:

Motion           Measurement position   
Hip flexion        supine
Hip on the measured side is flexed maximally. Ipsilateral knee is comfortably flexed and contralateral limb is comfortably extended.

Hip extension    supine, prone or sidelying   
Depends on involvement and tightness at the joint. Here we want an idea of the maximum passive ROM available while minimizing the contribution of neurologic involvement and contractile tissue tightness to the measure. Knee on measured side is extended.

Hip abduction (straight)   supine
Listed as abduction on eval form. Hip and knee on measured side are extended.

Hip abduction (horizontal)   supine
Listed as abduction with flexion. Hip on measured side is flexed to 90 degrees and knee on measured side is flexed maximally. If measured hip cannot achieve 90 degrees of flexion, then the hip is flexed maximally and notation is made of the position.

Hip adduction (straight)   supine
Listed as adduction. Hip and knee on measured side are extended. If needed, the contralateral limb is flexed enough to allow the limb being measured to stay in extension while adduction continues beyond neutral.

Hip adduction (horizontal)        supine
Listed as adduction with flexion. Hip on measured side is flexed to 90 degrees and knee on measured side is flexed maximally. If measured hip cannot achieve 90 degrees of flexion, then  the hip is flexed maximally and notation is made of the position.

Hip external rotation (flexed)  supine
Hip and knee on measured side are in 90 degrees of flexion. If patient is unable to flex 90 degrees, the joint is taken to maximal flexion and notation is made of the measuring position.
Goniometric Exam, continued: