Hip SpT

Question 1

Hip SpT’s

Answer 1

Trendelenburg
test
Ober’s test
FABER test
FADIR test
Modified Thomas test

Question 2

Trendelenburg test: procedure

Answer 2

• SL stance
• Lift opposite knee

Question 3

Trendelenburg test: purpose

Answer 3

Hip dysfunction, weakness in abductors

Question 4

Trendelenburg test: SPEC/SENS

Answer 4

SENS: 55%
SPEC: 70%

Question 5

Trendelenburg test: +ve -ve tests

Answer 5

+ drop of the hip laterally or PL

Question 6

Ober’s test: procedure

Answer 6

• Patient side lying
• Passively abduct and extend the hip
• Ask patient to lower past edge of the bed to max range

Question 7

Ober’s test: purpose

Answer 7

Evaluates a tight, contracted or inflamed tensor fascia latae (TFL) and iliotibial band (ITB)

Question 8

Ober’s test: SPEC/SENS

Answer 8

???

Question 9

Ober’s test: +ve -ve tests

Answer 9

+ fails to drop as far as non-affected hip
+ P?
- hip drop symmetrical

Question 10

FABER test: procedure

Answer 10

• Supine lie
• Passively place the hip in flex, abd, er over other leg
• Stabilise the iliac crest on the contralateral side
• Passive over press on knee if no pain

Question 11

FABER test: purpose

Answer 11

To reproduce pain in the hip, lumbar spine or SI region

Question 12

FABER test: SPEC/SENS

Answer 12

SENS: 71%
SPEC: 75%

Question 13

FABER test: +ve -ve tests

Answer 13

+ anterior hip pain or instability
+ SIJ pain
- equal range, no pain, no instability

Question 14

FADIR test: procedure

Answer 14

• Supine lie
• Passively place the hip into flex, add, ir

Question 15

FADIR test: purpose

Answer 15

Femoroacetabular impingement syndrome
Anterior labral tear
Iliopsoas tendititis

Question 16

FADIR test: SPEC/SENS

Answer 16

SENS: 60%
SPEC: 52%

Question 17

FADIR test: +ve -ve tests

Answer 17

+ anterior hip pain or instability (FAI/Labral)
+ P
- equal range, no pain, no instability

Question 18

Modified Thomas test: procedure

Answer 18

• Supine lie
• Pull the non-affected knee towards chest and patient should hold to fix pelvis into posterior rotation
• Allow affected leg to hang with gravity
• Repeat on the other side

Question 19

Modified Thomas test: purpose

Answer 19

Measures hip flexor length and distiniguishes tightness between one joint and two joint muscles

Psaos syndrome
Patellofemoral pain syndrome
Lower back pain
Osteoarthritis
Rheumatoid arthritis

Question 20

Modified Thomas test: SPEC/SENS

Answer 20

SENS: 31.82%
SPEC: 57.14%

Question 21

Modified Thomas test: +ve -ve tests

Answer 21

+ lack of extension in the “relaxed” leg
+ P in the relaxed leg?
- equal range, hip extension, no pain