Hip Flashcards

1
Q

Scour test

A
  • used to detect DJD
  • positive test with pain or apprehension within the hip, knee, or elsewere that is the pts main complaint
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2
Q

FABER

A
  • used to identify hip mobility restrictions
  • positive if pt is unable to assume relaxed position and or reproduction of painful symptoms.
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3
Q

FADIR

A
  • used to identify labral lesions such as anterior-superior acetabular impingement, iliopsoas tendinopathy, and anterior labral tears.
  • positive with reproduction of groin pain (with or without click)
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4
Q

pt and PT position for scours test

A

pt is supine with hip flexed to 90 and maximal knee flexion
PT applies a compressive force to the femur followed by sweeping and compression through IR and ER

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5
Q

pt and PT position for FABER

A

pt is supine passively flexed, abducted, and ER so that the leg is in a figure 4 position
PT stabilizes the contralateral hip and applies downward pressure to distal femur.

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6
Q

pt and PT position for FADIR

A

pt supine
PT takes the involved LE from full passive hip flexion, abduction, and ER to flexion, adduction, and IR position.

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7
Q

posterior labral tear test

A
  • used to identify posterior labral tear, posterior inferior impingement, and anterior labral instability
  • positive with groin pain, apprehension, reproduction of posterior hip symptoms.
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8
Q

pt and PT postion for posterior labral tear test

A

pt in supine.
PT passively move from full flexion, adduction, and IR to flexion, abduction, and ER

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9
Q

thomas test

A
  • used to identify tight hip flexors, rectus femoris, and IT band
  • positive if the straight lower leg flexes and or the pt is unable to remain flat on the table when the other is flexed
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10
Q

pt position for thomas test

A

pt is in supine with one leg maximally flexed to the chest and the other leg is off the edge of the table.

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11
Q

obers test

A
  • used to identify tightness of the TFL/ITB
  • positive if the uppermost limb remains above the horizontal
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12
Q

pt and PT position for the obers test

A

pt sidelying with lower leg flexed at the hip and knee.
PT passively extends and abduct the hip with knee flexed to 90 and slowly lower the limb toward the table

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13
Q

ely test

A
  • used to identify tightness of the rectus femoris
  • positive if the ipsilateral hip flexes
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14
Q

pt and PT position for ely test

A

pt prone
PT passively flex the knee

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15
Q

90/90 hamstring test

A
  • used to identify tight hamstrings
  • positive if the knee lacks 10 degrees or more of knee extension
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16
Q

pt and PT position for the 90/90 hamstring test

A

pt in supine with hip and knee supported in 90 degrees of flexion
PT passively moves the knee toward extension

17
Q

FAIR test

A
  • used to test for piriformis syndrome
  • positive at the intersection of the piriformis and sciatic nerve
18
Q

pt and PT position of the FAIR test

A

pt is sidelying involved side up with the pelvis level
PT move the pt into 90 degrees of hip flexion, maximal adduction, and IR to 45 degrees

19
Q

trandelenburg sign

A
  • identifies weak glut med
  • positive with ipsilateral hip drop in SLS
20
Q

Sign of buttock

A
  • indicates a lesion in the area of the posterior axis of hip flexion and hip extension.
  • passive hip flexion less then or equal to SLR
  • refer out to physician
21
Q

patellar pubic test

A
  • used to test for a hip fx
  • positive with decreases percussion noted on painful side compared to uninvolved side.
22
Q

pt and PT position for patellar pubic test

A
  • pt in supine
  • PT taps each of the patella separately while auscultating the pubic synthesis with a stethoscope
23
Q

fulcrum test

A
  • identify femoral shaft fx
  • positive with symptom reproduction, sharp pain and apprehesion
24
Q

pt and PT postion for fulcrum test

A

pt seated
PT squatting next to the side that is to be tested. place forearm under involved leg on the distal femur, if symptoms are not reproduced move the forearm proximally.

25
Q

resisted SLR

A
  • used to identify articular hip pathology
  • SLR is isometrically held at 20 degrees of flexion
26
Q

log roll test

A

hip rolled to end range IR and ER
- reproduction of symptoms or excessive PROM might be indicative for ligamentous laxity

27
Q

test for snapping hip

A
  • test for snapping of the iliopsoas tendon
  • passivly move the hip from flexion,abduction and ER to extension and IR