HIP/LUMBAR/SIJ orthopedic tests Flashcards
Functional Testing (Squat/ hop/ jump)
Plantar fasciitis
Meniscal tear
Hip pathology (fracture)
Scour (quadrant)
Non-specific hip pathology and change in ROM
Stresses bone, labrum, cartilage, ligaments
-Osteoarthritis
-Labral tear/acetabular labrum defect
-Avascular necrosis (AVN)
-Joint capsule tightness
Patrick FABER
-SIJ dysfunction
-Iliopsoas hypertonicity
-Hip joint pathology - i.e. bone spur
FADDIR
Assess for crepitus, pain, apprehension
-Anterior superior impingement syndrome
-Anterior labral tear
-Iliopsoas tendinitis
Used to assess FAI
Posterior impingement test
Assess for crepitus, pain, apprehension
-Posterior inferior impingement
-Posterior labral tear
-Anterior hip instability
Hibb’s test
-SIJ lesion
-Hip joint lesion (arthritis/sprain)
-Piriformis syndrome/sciatic nerve involvement
Craig’s test
Greater trochanter position
Angle should be between 8-15 degress
Positive sign is anteversion - toeing in or retroversion - toeing out
Apparent leg length
Measurement taken from the umbilicus to medial malleoli’s
Allis test
Leg length discrepancy
-Higher knee - Tibial length discrepancy
-Anterior knee - Femoral length discrepancy
Anvil
Used as a last resort
Pain in groin/apprehension
-Femoral neck stress fracture
-Hip arthritis
-Hip joint pathology
-Infection
Lever (fulcrum)
Pain/apprehension
-Femoral neck stress fracture
-FAI
-Femoral head/hip capsule pathology
Sign of the buttock
Used to differentiate hip/buttock pathology and hamstring/sciatic or potentially disc
Ober
ITB/TFL hypertonicity
Thomas
-Iliopsoas, rec fem, sartorius and TFL/ITB hypertonicity
Trendelenburg
Used to assess the functional capacity of glute Medius
Would be positive with legg-calve-perthes disease and slipped femoral capital epiphysis
FAI
Test hip ROM (will be decreased), pain with single leg squat and walking up stairs, decreased hip flexion strength
Tests – FADIR
Osteoarthritis
Scour (quadrant) – Sultive cluster – scour, squat, hip flex, hip extension, decreased internal rot, Allis test (leg length)
AS
Schobers test
Ott’s (for thoracic however)
Cluster of laslett
Distraction, compression, thigh thrust and
sacral thrust
Cluster of Van den wurff
Distraction, compression, thigh thrust,
Gaenslen’s and Patrick Fabere
SIJ testing
Adarm’s belt test
Springing the sacrum
Sacral distraction
Sacral compression
Sacral thrust
Thigh thrust
Gaenslens
Stoop test
Neurogenic intermittent claudication
Lumbar spinal stenosis