Hip Functional/Special Tests Flashcards
Long Axis Hip Manipulation (Hip)
-Open pack: 30 flx/ 30 abd/ ER
-pull on leg
targets entire capsule
Inferior Glide Mobilization
-Open pack
-for loss of flx
- Pt in supine, hip flx
- PT on table, leg over shoulder
Anterior Glide Mobilization
-Open pack
-loss of extension
- Pt prone, leg in ext and abd (other leg off table if needed)
- PT hand on isch tub and lift knee up
- Push on isch tub
- Progress with more hip ext and knee flx
Lateral Glide Mobilization
-Open Pack
-lack of ADD
- Pt in supine, knee flexed 30
- PT pulls down and out laterally (can use belt or hands)
- Can add more ADD during progression
Progression: AP Lat Mobilization
Self Treatment
-Joint mobility
-Flexibility
-Muscle Weakness/Inhibition
Observations of Hip Pain
-discomfort
-Antalgic gait
-foot drop
-Stand in OPP
-Weight shifts
-leg length discrepancy
Hip Joint Clearing Tests
-(+) Trendelenburg
-(+) Inability or pain with squat
-(+) Sign of buttock
FABER Test
-provocation tests
-pt supine, PT on ipsi side of leg
-hip in flx, ER, abduction
-press into contra ASIS and knee
(+) reproduction of pt ain at posterior pelvis or butt
Sign of Buttock Test
-provocation tests
-sign of serious pathology (hip absess, fracture, infection, cancer)
-nerve on slack and pain still there
- Passive SLR (+)
- Return to neurtral and bend hip and knee
- Passive bent leg raise (+) and same ROM
Hip ROM/MMT Directions
-Flx/Ext
-Abd/ADD
-IR/ER
AROM > Overpressure > PROM
all must be measured
test back and knee
Hip Flexibility Tests
-Ober’s
-Modified Thomas
-Elys
-Piriformis
-Hamstrings
Joint Play: Long Axis Distraction (Hip)
-Open pack: 30 flx/ 30 abd/ ER
-pull on leg to
targets entire capsule
Joint Play: Posterio-Inferior Glide
-inferior/posterior capsule
-for loss of flx
- Pt in supine, hip flx
- PT on table, leg over shoulder
- PT scoops and pulls out and down
Posterio-Inferior Mobilization w/ Belt
-inferior/posterior capsule
-for loss of flx
- Pt in supine, hip flx
- PT stands with belt at hips
- PT pulls out and down
- Add more flexion to progress
Joint Play: Anterior Glide
-target anterior capsule
-loss of extension
- Pt prone, leg in ext and abd (other leg off table if needed)
- PT hand on isch tub and lift knee up
- Push on isch tub