Hip Special Tests Flashcards
What is the FADIR test used for?
- femeroacetabular impingement
- anterior labral tears
- iliopsoas tendonitis
How is the FADIR test performed?
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.
What is a positive FADIR test?
- reproduction of symptoms
- pain in the groin (labral pathology)
- click or apprehension
What is the FABER test used for?
- identify presence hip pathology
- attempt to reproduce pain
- screening for joint dysfunction in the hip, lumbar & sacroiliac regions
How is the FABER test performed?
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.
What is a positive FABER test?
- sacroiliac joint pain on ER
- groin pain on ER (iliopsoas strain, labral tear, OA)
- posterior hip pain on ER (impingement)
What is the Hip Quadrant test used for?
- identify a non-specific hip pathology
- change in ROM
How is the Hip Quadrant test performed?
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.
What is a positive Hip Quadrant test?
- any pain
- crepitus/leathery feel
- loss in ROM
What is the Trendelenberg test used for?
- identify weakness in the hip abductors
- mechanical, neurological, and spinal disorders
How is a Trendelenberg test performed?
The patient is instructed to stand on one leg for 30 seconds w/o leaning to one side.
What is a positive Trendelenberg test?
Pelvis drops towards unsupported side
What is the Modified Thomas test used for?
- measures hip flexor length
- distinguish between one joint and two joint muscle tightness
- impaired range of motion may indicate there is an underlying cause
How is the Modified Thomas test performed?
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.
What is a positive Modified Thomas test?
- hip flexion suggest tight iliopsoas
- knee extension suggests tight rectus femoris (>90 degrees)
- hip abduction suggest tight ITB and TFL
What are FADER-R and ADD-R testing for?
Greater trochanter pain syndrome
How is FADER-R performed?
- Hip flexed to 90 degrees
- Full external rotation
- Patient does isometric IR against resistance
How is ADD-R performed?
- Side-lying
- Top leg adducted over edge of plinth
- Patient resists top leg abduction
What is the Squeeze test looking for?
Athletic groin pain
How is the squeeze test performed?
- Patient in supine
- Hips 45 degrees and push into hands between both knees
- Legs flat push into hand between medial malleolus ankles
