College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is a common sign that may indicate hip flexor contracture during gait assessment?

1. Increased lateral stability

2. Forward trunk lean during mid stance

3. Decreased stride length

4. Foot dragging during swing phase

The correct answer is: Forward trunk lean during mid stance

A forward trunk lean during mid stance is a common sign indicative of hip flexor contracture during gait assessment. When the hip flexors are tight and unable to lengthen adequately, the pelvis can be pulled into a forward position. This compensatory mechanism helps maintain balance and forward progression during walking, as the body attempts to shift weight over the foot that is in contact with the ground. Individuals with a hip flexor contracture often lean their trunk forward to prevent excessive anterior pelvic tilt, which can destabilize their gait and result in discomfort. This forward inclination helps counteract the inability of the hip to extend fully, allowing the individual to maintain a semblance of normalcy during ambulation. Other signs such as decreased stride length or foot dragging may also be present in individuals with hip flexor contracture, but the specific observation of a forward trunk lean directly reflects the compensatory strategy employed due to the tightness in the hip flexors. Increased lateral stability and other compensatory movements may present themselves differently and do not directly indicate hip flexor contracture in the same manner.