Hip and Thigh

Question 1

Fabers

Answer 1

Knee Flexion
Hip Abduction and External Rotation
Therapist applies downward pressure on bent knee and opposite hip
Positive: Knee stays above straight leg
Negative: Knee falls to table
Indicates SI or Hip disfunction

Question 2

Sign of Buttock

Answer 2

Perform a SLR (passive hip flex)
When leg gets to max hip flexion bend knee to increase flexion
Positive: If knee flexion does not increase ROM
Indicates Lesion in glute or hip NOT sciatic
NOT hip If painful hip flexion w/ knee extended

Question 3

Flexion-Abduction

Answer 3

Patient Supine
One knee to chest other is straight
Adduct knee
Negative: Adduction w/o pelvis rotation or pain
Positive: Pain, Limited Adduction
Note: 3 zones of adduction

Question 4

Thomas

Answer 4

Patient Supine
Legs extend slightly past edge of bed
Therapist passively flexes one knee to patients chest while having one hand under Lsp
Patient holds knee
Positive: Increased Lordotic Curve or if straight leg is raised off table
Indicates: Tight hip flexor

Question 5

Kendall

Answer 5

For Rectus Femoris
Patient brings knee to chest and falls back onto bed
Examiners hand under Lsp
Positive: Knee moves into extension or leg raises off table

Question 6

Ely

Answer 6

Patient Prone
Therapist Passively flexes knee to buttock
Positive: Early hip extension or decreased ROM compared bilaterally

Question 7

Piriformis

Answer 7

Patient Side Lying
Bottom leg straight
Top leg with knee flexion and hip flexion (60 degrees)
Therapist stabilizes pelvis and applies adduction to knee
Positive: Pain in buttocks = Sciatic/ Pain in muscle = tight piriformis

Question 8

Ober

Answer 8

Patient is side lying
Lower leg flexed at knee and hip
Top leg is straight
Therapist passively abducts and extends upper leg to 90 degrees
Goal: Rotate IT band over top of Trocanter
Positive: If leg remains abducted and does not fall to table
Indicates: Tight IT band/contracture

Question 9

Leg Length

Answer 9

Measure ASIS to medial malleolus

Normal is within 1-1.5 cm difference

Question 10

Weber-Barstow

Answer 10

Patent Supine w/ heels off table
Pull on and hold medial malleolus
Patient flexes knees and hips
Patient bridges then returns to starting position
Examiner compares heigh to medial malleolus with legs extended