Evaluation of the Hip (unfinished)

Question 1

Thomas Test

Answer 1

-LE flexibility

-edge of plinth
-bend both knees
-bend one, let other down and check for discrepancies

-flexed hip with knee 90: iliopsoas
-ext hip with >90: rectus
-abducted: ITB
-flx hip and ER: short sartorius

Question 2

Ober’s Test

Answer 2

-tightness of TFL and ITB

-sidelying, lower leg flexed
-abduct, ER, extend hip
-lower and look for movement

Question 3

Single Leg Raise Test

Answer 3

-short hamstrings

-supine, both knees extended
-passive SLR to 70 deg is norm
-more than 91 deg hypermobile

Question 4

Popliteal Angle Test

Answer 4

-distal hamstring flexibility

-supine witth test leg 90 deg hip with relaxed knee

woman: can extend to 30
men: can extend to 40

Question 5

Ely’s Test

Answer 5

-short rectus fem

-prone, passive knee flexion
-check for hip rise

Question 6

FABER

Answer 6

-like quadrant without compression
-test for inguinal pain, SI pain

-hip flex, abducted, ER
-press on opposite ASIS

Question 7

Craig’s Test

Answer 7

-femoral retro/anteversion

-prone, knee flexed
-ER and IR until Greater troch is parallel with mat

-light reliable

Question 8

Piriformis Flexibility Test

Answer 8

-hip flexed to 100, maximally ER
-slowly adduct to get stretch of piriformis
-stand on opp side

Question 9

Clearing the Lumbar Spine

Answer 9

AROM
-Flexion: Bend forward
-Extension: hands on hips
-Lat SB: arms to the side
-Rotation: arms crossed, stabilize hips

RROM
-Flexion: resist being pulled back
-Extension: resist being pushed
-Lat SB: push shoulder down, stabilize contra pelvis
-Rotation: Pull one shoulder back, stabilize contra pelvis

Overpressure
-Flexion: sitting, Bend forward hands together, stabilize low back with forearm and push upper back with other forearm
-Extension: sitting, cross arms and arch back, stabilize low back with forearm and push chest
-Lat SB: sitting, lean to one side using trunk only, push ipsi shoulder down, stabilize contra pelvis
-Rotation: arms crossed, rotate to one side, push isi shoulder

Question 10

Leg Length

Answer 10

Apparent leg length: umbilcus to med mall

True length: ASIS to med mall

*3 bridges first

Question 11

Quadrant Scour Test

Answer 11

-degeneration of hip/labrum

-flex hip to 90
-compress joint in 4 quadrants

Question 12

FADIR Test

Answer 12

-like quadrant without compression
-test for labral, impingement, normal end feels

-hip flex, adducted, IR