Hip

Question 1

6 Hip Movements

Answer 1

Flextion
Extension
Abduction
Addiction
IR
ER

Question 2

Thomas Test

Answer 2

Positive

1. Contracture of Hip flexors
2. Lordotic curve in lumber spine

Question 3

The Modified Thomas test

Answer 3

Positive

1. Slightly Thigh flexed - Tight Psoas or Rec fem
2. Extend the knee passively
   - Does Thigh Drop -Rec fem tightness
   - Not Thigh Drop - Psoas tightness
3. Knee does not flex 90 degree - Tight rec fem
4. Leg Abduction - Tight TFL, Glutes Med and IT band
5. Hip Lateral Rotation - Tight Piriformis
6. Rotation of Tibia - Unilateral Hamstring tightness

Question 4

Ober’s Test

Answer 4

Sidelying - AB upper leg - slightly EX hip - Release
(TFL/ ITband)

Positive
1. Leg remains above the height of table

• Knee FL and drop - IT band tightness
• Knee FL and Not drop - TFL tightness

Question 5

Piriformis Test

Answer 5

Side lying - upper hip and knee FL 90degree - push knee toward floor

Positive
1. Pain - buttock also radiate down the leg (sciatic n impingement)

Question 6

Trendelenburg Test

Answer 6

Strength and inner action of hip ABductors (Glutes Med/L5)

Positive

1. Pelvis Drop on the opposite side
   * perform opposite side first

Question 7

Patrick’s or Fabre Test

Answer 7

Flexibility of the ADdactor mms

Figure 4 position - ABduct toward table

Positive
1. Pain at inguinal region - Hip jt pathology
sacroiliac jt - Sacroiliac joint

• Fabre= F Ab ER= FL/AB/EX ROT

Question 8

Scouring ( The Quadrant Test)

Answer 8

Articulate surface of the head of the Femur= Acetabulum

Start with Hip FL-ADd knee (opposite shoulder)
*linear / longitudinal force down the femur
AB + ER= outer aspect of Hip jt
AD + IR = Inner aspect of Hip jt

Positive
1. Grating/Sound - osteoarthritis change

Question 9

Ely’s Test

Answer 9

Injure, contracture or tight Rec fem

Positive
1. Buttocks starts to rise.

*Watch closely in the first 30 degree of knee FL

Question 10

8 Hip Special Tests

Answer 10

1. The Thomas test
2. The Modified Thomas test
3. Ober’s Test
4. Piriformis test
5. Trendelenburg test
6. Patrick’s / Faber test
7. Scourting
8. Ely’s test