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MSK > Hip Functional/Special Tests > Flashcards

Hip Functional/Special Tests Flashcards

1
Q

Long Axis Hip Manipulation

A

-Open pack: 30 flx/ 30 abd/ ER
-pull on leg

targets entire capsule

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2
Q

Inferior Glide Mobilization

A

-Open pack
-for loss of flx

  1. Pt in supine, hip flx
  2. PT on table, leg over shoulder
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3
Q

Anterior Glide Mobilization

A

-Open pack
-loss of extension

  1. Pt prone, leg in ext and abd (other leg off table if needed)
  2. PT hand on isch tub and lift knee up
  3. Push on isch tub
  4. Progress with more hip ext and knee flx
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4
Q

Lateral Glide Mobilization

A

-Open Pack
-lack of ADD

  1. Pt in supine, knee flexed 30
  2. PT pulls down and out laterally (can use belt or hands)
  3. Can add more ADD during progression

Progression: AP Lat Mobilization

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5
Q

Self Treatment

A

-Joint mobility
-Flexibility
-Muscle Weakness/Inhibition

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6
Q

Observations of Hip Pain

A

-discomfort
-Antalgic gait
-foot drop
-Stand in OPP
-Weight shifts
-leg length discrepancy

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7
Q

Hip Joint Clearing Tests

A

-(+) Trendelenburg
-(+) Inability or pain with squat
-(+) Sign of buttock

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8
Q

FABER Test

A

-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

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9
Q

Sign of Buttock Test

A

-provocation tests
-sign of serious pathology (hip absess, fracture, infection, cancer)
-nerve on slack and pain still there

  1. Passive SLR (+)
  2. Return to neurtral and bend hip and knee
  3. Passive bent leg raise (+) and same ROM
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10
Q

Hip ROM/MMT Directions

A

-Flx/Ext
-Abd/ADD
-IR/ER

AROM > Overpressure > PROM

all must be measured
test back and knee

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11
Q

Hip Flexibility Tests

A

-Ober’s
-Modified Thomas
-Elys
-Piriformis
-Hamstrings

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12
Q

Joint Play: Long Axis Distraction

A

-Open pack: 30 flx/ 30 abd/ ER
-pull on leg to

targets entire capsule

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13
Q

Joint Play: Posterio-Inferior Glide

A

-inferior/posterior capsule
-for loss of flx

  1. Pt in supine, hip flx
  2. PT on table, leg over shoulder
  3. PT scoops and pulls out and down
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14
Q

Posterio-Inferior Mobilization w/ Belt

A

-inferior/posterior capsule
-for loss of flx

  1. Pt in supine, hip flx
  2. PT stands with belt at hips
  3. PT pulls out and down
  4. Add more flexion to progress
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15
Q

Joint Play: Anterior Glide

A

-target anterior capsule
-loss of extension

  1. Pt prone, leg in ext and abd (other leg off table if needed)
  2. PT hand on isch tub and lift knee up
  3. Push on isch tub
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16
Q

Joint Play: Lateral Traction

A

-Open Pack
-targets lateral capsule

  1. Pt in supine, knee flexed 30
  2. PT pulls inferolaterally (can use belt or hands)
  3. Can add more ADD during
17
Q

Labral Special Tests

A
  1. Fitzgerald Test
  2. FADIR Test
  3. Hip Quadrant
  4. Hip Scour
  5. FABER
18
Q

Capsular Tightness Special Test

A

-FABER

19
Q

Hip Dysplasia Special Test

A

-Passive hip Abduction

20
Q

Hip/Femur Fracture

A

Patellar-Pubic Percussion Test

21
Q

Fitzgerald Test

A

-anterior labral tear

  1. Pt in supine
  2. PROM from FABER to Ext/Add/IR

(+): reproduces s/s w/ or w/o click

22
Q

Quadrant Test

A

-FAI or Labrum

  1. Pt in supine
  2. PT PROM from FADIR to FABER

(+): reproduces s/s w/ or w/o click

23
Q

Hip Scour Test

A

-FAI, Labrum, acetabular dysfunction

  1. Pt in supine
  2. PT hugs knee and PROM from FADIR to FABER WITH COMPRESSION
  3. Can scallop for specific areas

(+): reproduces s/s w/ or w/o click

24
Q

FADIR Test

A

-FAI or Labrum

  1. Pt in supine
  2. PT PROM into flx/add/IR

(+): reproduces s/s w/ or w/o click

25
Q

FABER/Pattrick Test

A

-impingement, SIJ, capsular tightness

  1. Pt in supine
  2. PT PROM into flx/abd/ER

(+): reproduces s/s in ant hip or posterior hip

26
Q

Craig’s Test

A

-femoral anteversion/retroversion

  1. Pt in prone
  2. Move into IR/ER until Greater troch is parallel to table (most into hand)
  3. Measure ROM

-normal 10-15 IR

(+):
->15: anteverted
-<10: retroverted

27
Q

Patellar Pubic Percussion Test

A

-fx oof the hip or femur

  1. Stethoscope over pubic symphysis
  2. Tap on Patella on affected sound and compare

(+): diminished sound on involved side

28
Q

AP w/ Lateral Mobilization

A

-progressive mobilization
-more aggressive lat mobilization
-add adduction and IR (piriformis stretch position)
-target posterio-lateral capsule, ADD ROM
-use when (+) FABER, quadrant, or SCOUR

29
Q

PA Hip Mobilization w/ ABD and ER

A

-progressive mobilization
-target ER and ABD ROM
-use when (+) FABER

  1. Pt prone with hip flexed and abducted off of bed (progress to more ER)
  2. PT mobilize into ER
30
Q

Hip IR Mobilization

A

-progressive mobilization
-target posterior capsule and IR ROM

  1. Pt prone in IR
  2. PT maintains IR while mobilizing contra pelvis
31
Q
A

MSK (30 decks)

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