hip special tests

Question 1

Patrick’s FABER test

Answer 1

purpose: identify hip mobility restriction
description: In supine. flex, abd, ER knee so foot of test leg is on top of knee of opp leg. slowly lower knee to table
result:
negative - knee falls to table or at least parallel to opp leg
positive - knee remains above opp straight leg. indicates there can be iliopsoas spasm or SI joint is affected

Question 2

grind (scour) test

Answer 2

purpose: identify DJD (OA) of hip
description: pt supine. PT flex/add hip so resistance is felt
result: reproduce pain in hip joint and refer pain to knee or elsewhere

Question 3

thomas test

Answer 3

purpose: ID tight hip flexors
description: supine, and check for lordosis. pt holds one knee to chest to flatten lumbar spine and stabilize pelvis
result:
Rec Fem - if leg cant touch table/feel m stretch when leg is bent, but able to touch table when leg straight
iliopsoas - Isn’t able to touch table if knee is/isn’t bent
TFL - If leg abducts

Question 4

Ober’s test

Answer 4

purpose: ID TFL/ITB tightness
description: Pt sidelying, and lower leg flexed at hip and knee. Abduct and extend upper leg, and lower limb
result: positive - if leg remains abducted and doesn’t fall to table

Question 5

Ely’s test

Answer 5

purpose: tightness of rec fem
description: pt lies prone, passively flex knee
result: positive if hip also flexes

Question 6

90-90 hamstrings test

Answer 6

purpose: hamstring tightness
description: supine. flex both hips to 90 while knees bent. actively extends each knee
result: pos if knee can’t reach 10deg from neutral (-10deg of ext)

Question 7

tripod sign

Answer 7

purpose: hamstright tightness
description: seated, both knees flexed to 90 over edge of table. passively extend 1 knee at a time
result: positive - if extend trunk to relieve tension of hamstring

Question 8

piriformis test

Answer 8

purpose: piriformis syndrome
description: sidelying with test leg on top. Flex hip to 60deg with knee flexed. Stabilize hip with 1 hand and apply downward pressure to knee
result:
tight piriformis - pain in m
piriformis pinching sciatic n - pain in butt and possible sciatica

Question 9

leg length test

Answer 9

purpose: true leg length discrepency
description: supine. measure ASIS to medial malleolus on same side. repeat on other
result: normal - dif of 1-1.3cm (.5-1in)
abnormal - more than 1 in

Question 10

Craig’s test

Answer 10

purpose: id abnormal anteversion
description: prone, knee flexed to 90deg. palpate posterior aspect of greater troch of femur. IR and ER hip until GT is parallel with table (reaches most lateral position)
result: measure anteversion based on lower leg with vertical
adults: 8-15deg anteversion (IR) is normal. <8deg retroversion, >15deg =increased anteversion (in toeing, squinting patella)
babies: 30deg anteversion