Hip Special Tests

Question 1

What is the FADIR test used for?

Answer 1

• femeroacetabular impingement
• anterior labral tears
• iliopsoas tendonitis

Question 2

How is the FADIR test performed?

Answer 2

The patient is in supine and the therapist raises the affected leg into 90 degrees flexion. The leg is then adducted with combined internally rotation.

Question 3

What is a positive FADIR test?

Answer 3

• reproduction of symptoms
• pain in the groin (labral pathology)
• click or apprehension

Question 4

What is the FABER test used for?

Answer 4

• identify presence hip pathology
• attempt to reproduce pain
• screening for joint dysfunction in the hip, lumbar & sacroiliac regions

Question 5

How is the FABER test performed?

Answer 5

The patient is in supine and the affected limb placed in a figure 4 position. Stabilizing the opposite side of the pelvis, an external rotation and abduction force is then applied.

Question 6

What is a positive FABER test?

Answer 6

• sacroiliac joint pain on ER
• groin pain on ER (iliopsoas strain, labral tear, OA)
• posterior hip pain on ER (impingement)

Question 7

What is the Hip Quadrant test used for?

Answer 7

• identify a non-specific hip pathology
• change in ROM

Question 8

How is the Hip Quadrant test performed?

Answer 8

The patient is in supine, and the affected hip is adducted. A compressive force is applied through a range of 70-140 degrees hip flexion.

Question 9

What is a positive Hip Quadrant test?

Answer 9

• any pain
• crepitus/leathery feel
• loss in ROM

Question 10

What is the Trendelenberg test used for?

Answer 10

• identify weakness in the hip abductors
• mechanical, neurological, and spinal disorders

Question 11

How is a Trendelenberg test performed?

Answer 11

The patient is instructed to stand on one leg for 30 seconds w/o leaning to one side.

Question 12

What is a positive Trendelenberg test?

Answer 12

Pelvis drops towards unsupported side

Question 13

What is the Modified Thomas test used for?

Answer 13

• measures hip flexor length
• distinguish between one joint and two joint muscle tightness
• impaired range of motion may indicate there is an underlying cause

Question 14

How is the Modified Thomas test performed?

Answer 14

The patient is instructed to sit at the edge of the bed and hug one knee against their chest. The physio slowly lowers them onto their back, keeping the contralateral leg on the bed.

Question 15

What is a positive Modified Thomas test?

Answer 15

• hip flexion suggest tight iliopsoas
• knee extension suggests tight rectus femoris (>90 degrees)
• hip abduction suggest tight ITB and TFL

Question 16

What are FADER-R and ADD-R testing for?

Answer 16

Greater trochanter pain syndrome

Question 17

How is FADER-R performed?

Answer 17

• Hip flexed to 90 degrees
• Full external rotation
• Patient does isometric IR against resistance

Question 18

How is ADD-R performed?

Answer 18

• Side-lying
• Top leg adducted over edge of plinth
• Patient resists top leg abduction

Question 19

What is the Squeeze test looking for?

Answer 19

Athletic groin pain

Question 20

How is the squeeze test performed?

Answer 20

• Patient in supine
• Hips 45 degrees and push into hands between both knees
• Legs flat push into hand between medial malleolus ankles