Hip

Question 1

Thomas Test

Answer 1

Tests: Hip flexor tightness
-flexed knee tests rectus femoris
-extended knee tests iliopsoas
How: Supine, BKTC, drop unilateral knee. + = thigh does not touch table

Question 2

Ober’s Test

Answer 2

Tests: ITB and TFL tightness
	-flexed knee = ITB
	-extended knee = TFL
How: side-lying, knees bent, hip adduct, stabilize pelvis, drop past midline
\+ = does not drop passed midline

Question 3

Ely’s Test

Answer 3

Tests: rectus femoris tightness
How: Prone, flex knee, stabilize pelvis
+ = heel does not touch buttock

Question 4

Scour Test

Answer 4

Tests: Labrum tear, OA, jt capsule impairment, impingement
How: supine, flex knee to 90. apply pressure posteriorly, then abduct and IR, then adduct and ER.
+ = pain and clicking
good for ruling out conditions

Question 5

Straight Leg Test

Answer 5

Test: Hamstring tightness (sciatic nerve root irritation)
How: supine, neutral pelvis and stabilize opposite ASIS, flex hip with knee extended
+ = less than 80 degrees tissue resistance

Question 6

Trendelenberg Sign

Answer 6

Test: gluteus medius strength
How: Standing, lift contralateral leg (non testing side)
+ = hip drop of ipsilateral side
(lifted - uncompensated lean - compensated)

Question 7

Leg Length Discrepancy

Answer 7

Tests: leg length
How: standing, palpate and examine side to side
iliac crest, ASIS, PSIS, greater trochanter, fibular head, medial malleolus, arch of foot
+ = not even

Question 8

Faber Test

Answer 8

Tests: SI jt problem, capsular tightness, articular surface problem
How: supine, flex abduct and externally rotate to end range. then push thigh into more abduction and ER.
+ = pain in hip - articular surface problem (OA) , pain in low back - SI jt problem, inability to move leg even with opposite leg - hip jt problem (tightness?)

Question 9

Craig Test

Answer 9

Tests: femoral anteversion or retroversion
How: prone, knee flexed to 90. IR/ER leg until greater trochanter is most lateral. Measure hip rotation
+ = >15 degrees of IR means femoral anterversion
< 8 degrees of IR means femoral retroversion

Question 10

Hip Inferior Glide

Answer 10

For: increasing ABDUCTION
How: start in resting position (abd 30, flex 30, slight ER)
hands close to joint line, lateral/inferior and slight anterior force

Question 11

Hip Posterior Glide

Answer 11

For: increase flexion and IR
How: start in resting position (flex 30, abd 30, slight ER)
lumbrical grip over rectus, parallel to flatten out jt surface, push posteriorly

Question 12

Hip Anterior Glide (2)

Answer 12

For: increasing extension and ER
How:
1. prone hips over table, hold proximal femur and push anteriorly
2. prone, figure 4 position, anterior glide while stabilizing ankle

Question 13

Hip Posterolateral Glide

Answer 13

For: increasing IR
How: Prone, knee flexed, heel of hand on midpoint of pelvis, push pelvis anteromedially (same as moving femur posterolaterally)
continue doing at end range ER

Question 14

Hip Lateral Glide

Answer 14

For: increasing adduction and IR
How: resting position (supine, flex 30, abd 30, slight ER), apply pressure laterally

Question 15

Bursitis (trochanteric, ischial, iliopectineal)

Answer 15

resisted isometric test can give false + for tendonopathy if bursa is underneath tested tissue
friction massage aggravates inflamed bursa
trochanteric bursa lies under the gluteus medius
iliopectineal bursa lies under iliospoas

Question 16

Tendinopathy (gluteus medius/minimus, hamstring, rectus femoris, ilioposoas

Answer 16

identify

- point tenderness with thickness
- pain with resisted isometric muscle contraction
- pain with stretch (passive ROM)