Hip Flashcards
FADDIR
assessing FAI and labral tear
patient in supine. put leg in 90 degrees flexion.
Adduct and internally rotate the hip, looking for reproduction of groin pain which may be indicative of hip impingement. comparing findings from both sides
high sensitivity
FABER
assessing limitation of hip ROM and sacroiliac dysfunction
patient in supine, cross test leg over other knee. Fixate ilium of other leg and slowly lower down testing leg onto treatment table. Abduct and ER
looking for pain or restriction
positive if test leg remains above opposite leg which is indicative of an affected hip joint, SI joint or iliopsoas spasm
Anterior/posterior labral test
Assessing for FAI or labral tear
Anterior: patient supine. hip into flexion, ER and ABD then slowly move into IR, ADD and extension
Posterior: patient supine. hip into flexion, IR and ADD then slowly move into ER, ABD and extension
test is positive if patient symptoms are reproduced with or without a click or if pain is experienced
Cluster of Laslett
Distraction
Thigh Thrust
Compression
Sacral Thrust
Adduction test
assessing for gluteal tendinopathy
patient in diagonal side lying position on UNAFFECTED SIDE
Extend affected leg so its in line with trunk (over edge of plinth)
drop leg into EOR adduction and perform overpressure and then do resisted isometric abduction from this position
puts glute med under compressive and tensile loads
positive test is reproduction of patients lateral hip pain
high specificity
Greater Trochanter Palpation
assessing gluteal tendinopathy
patient in diagonal side lying position on UNAFFECTED SIDE
palpate greater trochanter and looking for reproduction of patients pain
highly sensitive
Single Leg Stance
assessing gluteal tendinopathy
patient standing next to wall with affected leg furthest from wall. one finger on wall for balance. Raise unaffected leg (knee to 90 degs). maintain position for 30s
positive test: reproduction of lateral hip pain in region of greater trochanter
Ober’s Test
assessing ITB/TFL tightness
patient in side lying position. passively abducts and extends leg. lower upper leg down to table
positive test if upper leg stays in air and doesn’t fall down to table
Thomas Test
assessing iliopsoas tightness
patient in sitting on end of bed. Bring knee as far up as possible
positive test: extended leg lifts up off table
Ely’s Test
assessing rec fem contracture
90-90 straight leg raise test
assessing hamstring contracture
supine, hips and knees flexed to 90 degs. patient holds legs and extends knee
positive test if patient cannot go further than 30 degrees extension
What is FAI
bony abnormality on femoral head or acetabulum which causes pain
Normal Hip ROMs
Flexion: 110-120
Extension: 10-15
ABDuction: 30-50
ADDuction: 25-30
External rotation: 40-60
Internal rotation: 30-40
Measurement of hip flexion
Patient in supine
Fulcrum: greater trochanter
Stationary arm: midline of pelvis
Moving arm: lateral epicondyle
End feel: soft
Measurement of hip extension
Patient in prone
Fulcrum: greater trochanter
Stationary arm: midline of pelvis
Moving arm: lateral epicondyle
End feel: firm
