Hip Goniometry and Special Tests

Question 1

Flexion

Answer 1

0-120 norm
Fulcrum: Greater Trochanter
Proximal Arm: Lateral Midline of Pelvis
Distal Arm: Lateral Epicondyle

Question 2

Extension

Answer 2

0-10 norm
Fulcrum: Greater Trochanter
Proximal Arm: Lateral Midline of Pelvis
Distal Arm: Midline of femur/patella

Question 3

Abduction

Answer 3

0-45 norm
Fulcrum: ASIS
Proximal Arm: Contralateral ASIS
Distal Arm: Midline of femur/patella

Question 4

Adduction

Answer 4

0-30 norm
Fulcrum: ASIS
Proximal Arm: Contralateral ASIS
Distal Arm: Midline of femur/patella

Question 5

Internal Rotation

Answer 5

0-45 norm
Fulcrum: Patella
Proximal Arm: Perpendicular to floor
Distal Arm: Midline of lower leg between malleoli

Question 6

External Rotation

Answer 6

0-45 norm
Fulcrum: Patella
Proximal Arm: Perpendicular to floor
Distal Arm: Midline of lower leg between malleoli

Question 7

Trendelenburg Test

Answer 7

pt slowly march in place, can add ankle PF (If no PF, S1)
Look at pelvis
-Greater than 1/2” depression is glute med weakness, hip compression intolerance, or S1 myotome involvement

Question 8

Faber/Patrick’s/Figure 4 Test

Answer 8

pt foot placed opposite distal thigh proximal to knee in supine
PT controls abduct/ER hip
-Hypomobile SI or hip joint, tight adductors
Symptoms at PSIS: SI/Lumbar joint pathology
Symptoms at GT/Thigh: hip joint pathology
Symptoms at knee: Meniscal pathology

Question 9

Thomas Test/3 Muscle Kendall Test

Answer 9

pt supine with ipsi. knee off plinth, contra knee to chest
Hip flexed: Tight IP
Knee Flexed

Question 10

Craig’s Test

Answer 10

pt prone with knee flexed to 90, passively IR/ER until GT is parallel to supporting surface
-Measure angle of tibia from vertical
15 degrees is anteversion

Question 11

FAIR Test

Answer 11

pt. sidelying
hip flexed to 45 and knee to 90
allow hip to adduct to table
PT IRs hip toward end range
Palpate Piriformis
Positive if pain at intersection of sciatic and piriformis

Question 12

Ober test

Answer 12

pt sidelying with supportive LE flexed to 45 and knee to 90
Tested hip brought to neutral extension with knee flexed to 90, hip abducted
Allow hip to adduct while stabilizing pelvis
Measure at point that pelvis begins to depress Inclinometer over lateral femoral condyle
Adduction

Question 13

Scour Test

Answer 13

pt supine, flex hip to 90 with slight adduction. Scour 2x without compression. If no symptoms, scour 2x with compression
Reproduction of symptoms could mean intra-articular pathology
If pain with scour, resisted hip flexion for 5 seconds

Question 14

Flexion-Adduction Test

Answer 14

pt supine, hip flexed to 90
PT adducts hip from zone 3 towards zone 1
Assess for firm end feel
Tests for non-specific hip pathology