Hip Flashcards
AROM
Flex 110-120
Ext: 10-15
Abd: 30-50
Add: 30
IR: 30-40
ER: 40-60
Jt Pattern
Resting: 30 Flex, 30 Abd, slight ER
Close Packed: Ext, IR, Abd
Capsular Pattern: Flex, Abd, IR
Patrick Fabers Test
SUPINE: The examiner places the foot of the test leg on the opposite knee, creating a “figure-4” position. The examiner then applies gentle downward pressure on the knee of the test leg, lowering it towards the table.
TESTED: Hip joint, iliopsoas, sacroiliac joint
+ve:
Lateral pain suggests femoroacetabular impingement
Groin pain suggests iliopsoas pathology or psoas impingement.
Posterolateral pain indicates ischiotrochanteric impingement.
Posterior pain indicates sacroiliac joint involvement.
Trendelenburg’s Sign
STANDING: The examiner asks the patient to balance on one leg and observes the movement of the pelvis. The test is then repeated on the other leg (Hold for 6-30sec).
TESTING: Hip abductor muscle weakness
+VE: The pelvis on the non-stance side drops
Thomas Test
SUPINE
The examiner flexes one hip, bringing the knee to the chest. The patient holds the flexed hip against the chest. The examiner observes the position of the straight leg.
TESTING: Hip flexion contracture
+VE: The straight leg rises off the table (Hip FLexors) OR the straight leg abducts (IT Band)
Rectus Femoris Contracture Test
SUPINE - The patient flexes one knee to the chest and holds it. The examiner observes the angle of the opposite (test) knee, ensuring it remains at 90° when the opposite knee is flexed.
TESTING: Rectus Femoris Contracture
+VE: The test knee extends slightly
Ober Test
Client Positioning: Side-lying with the lower leg flexed at the hip and knee for stability.
Examiner Action: The examiner passively abducts and extends the upper leg with the knee straight while keeping the hip extended. The examiner stabilizes the pelvis to prevent it from falling backward, then slowly lowers the upper leg
TESTING
ITB Contracture – flex bottom knee and hip, hold pelvis, and knee strait: abd and extend then lower leg down then let go. If you let go and it stays up its +ve.
TFL Contracture - flex bottom knee and hip. hold pelvis, knee bent 90 abd and extend then FLEX THE KNEE and lower
+VE: The leg remains abducted & does not fall to the table
Quadrant Hip Scour Test
SUPINE: The examiner bends the clients knee, flexes and adducts the patient’s hip so that it faces the opposite shoulder, applying a slight compressive force. The examiner then moves the hip into abduction while maintaining flexion in an arc-like motion
TESTING: Hip joint pathology
+VE: Irregularity in movement (e.g., “bumps”), pain, or patient apprehension during the arc of movement
Craig’s Test
PRONE: KNEE FLEXED TO 90°.
The examiner palpates the posterior aspect of the greater trochanter and passively rotates the hip medially and laterally until the greater trochanter is parallel with the examining table or reaches its most lateral position
TESTING: Femoral anteversion
+VE: An angle of the lower leg that deviates significantly from the normal range (approx. 8° to 15°)
Piriformis Length Test
PRONE: Hips adducted, knees flexed. Examiner laterally rotates legs (medial hip rotation) and lets go
Piriformis Syndrome
+ve: less than 40o
Ely’s Test
PRONE: The examiner passively flexes the patient’s knee.
TESTING: Rectus femoris contracture
+VE: Spontaneous flexion of the hip on the same side when the knee is passively flexed,
FADDIR Test
SUPINE
1. Flex, abd, lat rotate hip
2. Add, med rot, then extend hip
TESTING: Anterolateral labrum tear
+VE: Production of pain, reproduction of the patient’s symptoms (with or without a click), or patient apprehension
N END FEEL
Tissue Approx. or Tissue Stretch
Flex, Adduction
Tissue Stretch
Ext, Abd, LR, MR
