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DPT 616 : MSK > OD Hip Lecture part 2 (post quiz 1) > Flashcards

OD Hip Lecture part 2 (post quiz 1) Flashcards

1
Q

what are the tests for hip provocation?

A

FAbER

FAdIR

Femoral grind (Scour) test

Sign of the buttock

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2
Q

what is the FAbER test a test for?

A

capsular issues and OA

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3
Q

what is the procedure for the FAbER test?

A

place the pt in FAbER and apply overpressure at the opposite knee and ASIS

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4
Q

what is a (+) FAbER test?

A

reproduction of hip pain

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5
Q

what are the stats of the FAbER test?

A

sn=41-77%
sp=88-100%

better for ruling IN

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6
Q

what is the FAdIR test a test for?

A

hip impingement (FAI)

labrum

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7
Q

what is the procedure for the FAdIR test?

A

place the pt in FAdIR and apply overpressure

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8
Q

what is a (+) FAdIR test?

A

reproduction of hip pain

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9
Q

what are the stats for FAdIR?

A

sn=88%
sp=83%

good to rule IN and OUT

(+) LR=5.2, (-)LR=.14

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10
Q

what is the femoral grind (Scour) test a test for?

A

OA

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11
Q

what is the procedure for the femoral grind (Scour) test?

A

place the hip in multiple degrees of flex/abd

apply axial pressure through the femoral shaft

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12
Q

what is a (+) femoral grind (Scour) test?

A

reproduction of hip pain

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13
Q

what are the stats for the femoral grind (Scour) test?

A

sn=75-91%
sp=43%

better to rule OUT

(+) LR=1.32
(-) LR=.58

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14
Q

what are the tests for hip performance and flexibility?

A

Trendelenburg test

Modified Thomas test

Ely test

Ober test

Noble compression test

Step down test

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15
Q

what is the Trendelenburg test a test for?

A

glut med weakness

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16
Q

what is the procedure of the Trendelenburg test?

A

raise one leg while palpating the relative height of the iliac crests

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17
Q

what is a (+) Trendelenburg test?

A

drop of the iliac crest on the NWB side

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18
Q

why may a pt with glut med weakness throw their trunk over the weak side?

A

to create a better mechanical advantage

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19
Q

what are the stats of the trendelenburg test?

A

sn=73%
sp=77%

(+) LR=3.15
(-) LR=.335

reliability (kappa)=.676 (moderate)

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20
Q

what is the modified Thomas test a test for?

A

the sartorius

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21
Q

what is the procedure for the modified Thomas test?

A

on the edge of the table, slowly lower one leg while the pt holds the other leg to their chest

palpate the iliac crest and feel for anterior pelvic rotation

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22
Q

what is a (+) modified Thomas test?

A

presence of hip flex, knee ext, and abd

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23
Q

during the modified Thomas test, if the knee extends without going in or out, what could this point to?

A

capsule or iliopsoas

24
Q

if the knee flexes and there is decreased ROM with the Thomas test, what could this point to?

A

capsule, rectus fem, or iliopsoas

25
Q

what is the Ely test a test for?

A

rectus fem tightness

26
Q

what is the procedure for the Ely test?

A

prone on a pillow

passively flex the knee and feel the ASIS for anterior pelvic rotation

27
Q

what is a (+) Ely test?

A

hip flexion when the knee flexes (LBP?)

28
Q

what is the Ober test a test for?

A

TFL/ITB tightness

29
Q

what is the procedure for the Ober test?

A

on the edge of the table in SL, slowly lower the top leg into adduction

30
Q

what is a (+) Ober test?

A

inability to drop the leg past midline

31
Q

what is the Noble compression test a test for?

A

ITB

32
Q

what is the procedure for the Noble compression test?

A

extend and adduct the hip

flex and extend the knee while applying overpressure to the lateral femoral condyle

33
Q

what is a (+) Noble compression test?

A

pain/clicking at 30 degrees flexion

34
Q

what is the step down test a test for?

A

glut med weakness

35
Q

what is the procedure for the step down test?

A

step off a stool w/o UE support

36
Q

what is a (+) step down test?

A

inability to maintain the knee in the sagittal plane (dynamic knee valgus)

37
Q

what are the acetabular labral tests?

A

anterior labral tear test

posterior labral tears test

HEER test

38
Q

what is the procedure for the anterior labral tear test?

A

move the pt from FAbER to adduction, IR, and extension

39
Q

what is a (+) anterior labral tear test?

A

pain or clicking

40
Q

what are the stats for the anterior labral tear test?

A

sn=75%
sp=43%

better to rule OUT

(+) LR=1.32
(-) LR=.58

41
Q

what is the procedure for the posterior labral tear test?

A

move the pt from FAdIR to abduction, ER, and extension

42
Q

what is a (+) posterior labral tear test?

A

pain or clicking

43
Q

what are the stats for the posterior labral tear test?

A

sn=75%
sp=43%

better to rule OUT

(+) LR=1.32
(-) LR=.58

44
Q

what is the HEER test a test for?

A

labrum, microinstability, hip apprehension

45
Q

what is the procedure for the HEER test?

A

put them in the modified Thomas test position

take the hip into ER

46
Q

what is a (+) HEER test?

A

anterior hip pain

47
Q

what are the stats for the HEER test?

A

sn=71%
sp=85%

48
Q

what are the pediatric hip tests?

A

Ortolani test

Barlow test

49
Q

what are the stats for the Ortolani/Barlow tests?

A

sp=100%
sn=0%

better to rule IN

50
Q

what are the tests for structural impairments of the hip?

A

apparent/true leg length test

Craig test

51
Q

what is the procedure for the apparent/true leg length test?

A

have the pt bridge then bring legs out

see if the med mal are in line

52
Q

if one knee is higher up when the knees are flexed, what could this mean?

A

longer tibia

53
Q

if one knee is further out when the knees are flexed, what could this mean?

A

longer femur

54
Q

what is the Craig test a test for?

A

no femoral anteversion/retroversion

55
Q

what is the procedure of the Craig test?

A

IR/ER the hip until the GT is most prominent

measure the angle bw the tibia and horizontal

56
Q

what is a (+) Craig test?

A

angle of >25 degrees (anteversion)

angle of <15 degrees (retroversion)

DPT 616 : MSK (15 decks)

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