Hip

Question 1

What does the Trendellenberg test look for, how do you do it and what is a positive result?

Answer 1

Testing for glute med weakness. Put thumbs on both PSIS. Ask them to lift one leg and then the other. Your thumbs should stay level for a negative test. Positive is the thumb on the non-weight bearing side will drop as their weight bearing hip kicks out to side

Question 2

What does the hip quadrant test look for, how do you do it and what is a positive result?

Answer 2

Test for labrum injury. Manually move the femur all the way around the hip to try and press it up against the acetabular rim. Might create pain/ locking/ grinding/ popping/ locking

Question 3

What does the modified Thomas test look for, how do you do it and what is a positive result?

Answer 3

Testing tightness of hip flexors (does lower thigh go horizontal) quads (does shin go perpendicular to floor) it band (does your thigh drift out to the side). Sit on edge of low bed. 1 knee to chest and lie upper body down so other leg dangles off end of bed

Question 4

What does Obers test look for, how do you do it and what is a positive result?

Answer 4

Testing IT band tightness. Lie on side diagonally on bed. Hips stacked with bottom leg bent. Keep hips stacked with your hand on top hip. Take top leg straight back and let it lower naturally. Positive is that foot doesn’t touch bed

Question 5

What does the hip FABERs test look for, how do you do it and what is a positive result?

Answer 5

FABER = testing flexion, abduction, external rotation
* Supine with one ankle crossed above opposite knee
* Put hand on inside of bent knee and press down
Positive result is pain

Question 6

How do you test for leg length discrepancy and what is a positive result?

Answer 6

Only way to truly do this is by x ray. 2 ways we can do this: apparent and true. Neither better than the other. Apparent goes from belly button to distal end of medial malleolus. True goes from ASIS to distal side of lateral malleolus. Always take 3 measurements and take the average to account for human error. Positive: anything more than 2cm difference between sides (This could be affected by Q angle)