Hip

Question 1

Ely’s Test
Position:
If positive:

Answer 1

Position: prone, PTA flexes knee to test pt’s hamstring length (normal 90 degrees)

If positive: spontaneous hip flexion with knee flexion= could be rectus femoris tightness

Question 2

Ober’s Test
Position:
If positive:

Answer 2

Position: Sidelying on opposite side, Test leg starts in hip and knee flexion, PTA passively abducts and then extends test hip/top LE and then drops LE toward table slowly

If positive: inability of LE to touch table/adduct =tight TFL/
ITBand contracture

Question 3

90/90 Test:
Position:
If positive:

Answer 3

Position: Supine, oppo leg stays extended, PTA passively flexes hip on testing LE to 90 with knee bent at 90 degrees and stabilizes hip, and then passively extends knee as much as possible.

If positive: Knee stays flexed 20 degrees or more, unable to get knee into 0-20 degree range. Means tight hamstring

Question 4

FABER’s Test:
Position:
If positive:

Answer 4

Position: Supine, oppo leg extended, testing leg goes into hip flexion, knee flexion, hip abduction and ER. Testing leg lateral malleolus is placed over oppo knee. PTA stabilizes oppo iliac crest/hip and applies pressure into testing knee posterior/straight down

If positive: pain located in–
SI region: SI involvement
Groin/anterior hip: hip pathology
Trochanteric region: capsular problem

Question 5

Thomas Test:
Position:
If positive:

Answer 5

Position: Pt supine with LE far enough off the table, SKC of oppo LE, tested hip is stays extended with knee bent/relaxed

If positive: testing LE will be off the table indicating tight hip flexors. Or pt may try to push LE to table and create increased Lumbar lordosis. Rectus might be involved if knee remains extended

-tight hip flexor

Question 6

Scouring Test:
Position:
If positive:

Answer 6

Position: Supine, passively adduction of hip and move between 90 degrees of hip flexion and full ROM hip flexion.
** stresses lateral and posterior joint capsule and compresses cartilage.

If Positive: will provoke apprehension, pain or crepitus

***indicate degenerative changes in articular surfaces

Question 7

FADIR’s Test:
Position:
If positive:

Answer 7

Position: supine, passively flexed hip, then adduction with internal rotation

If positive: hip impingement indicated

Question 8

Piriformis Test:
Position:
If positive:

Answer 8

Position: Sidelying on oppo side, testing LE is on top, place into ~60 degrees of flexion and slight internal rotation, then resist AB and ER

If positive: pt has local muscle symptoms/piriformis tightness, or sciatica

Question 9

SLR Test:
Position:
If positive:

Answer 9

Position: Supine, oppo leg remains in hip extension, PTA passively moves testing LE into SLR/hip flexion w knee extended, normal is 70-80 (70-90 this clinic)

If positive: less than normal, indicates hamstring tightness