OD Hip Lecture part 2 (post quiz 1) Flashcards
what are the tests for hip provocation?
FAbER
FAdIR
Femoral grind (Scour) test
Sign of the buttock
what is the FAbER test a test for?
capsular issues and OA
what is the procedure for the FAbER test?
place the pt in FAbER and apply overpressure at the opposite knee and ASIS
what is a (+) FAbER test?
reproduction of hip pain
what are the stats of the FAbER test?
sn=41-77%
sp=88-100%
better for ruling IN
what is the FAdIR test a test for?
hip impingement (FAI)
labrum
what is the procedure for the FAdIR test?
place the pt in FAdIR and apply overpressure
what is a (+) FAdIR test?
reproduction of hip pain
what are the stats for FAdIR?
sn=88%
sp=83%
good to rule IN and OUT
(+) LR=5.2, (-)LR=.14
what is the femoral grind (Scour) test a test for?
OA
what is the procedure for the femoral grind (Scour) test?
place the hip in multiple degrees of flex/abd
apply axial pressure through the femoral shaft
what is a (+) femoral grind (Scour) test?
reproduction of hip pain
what are the stats for the femoral grind (Scour) test?
sn=75-91%
sp=43%
better to rule OUT
(+) LR=1.32
(-) LR=.58
what are the tests for hip performance and flexibility?
Trendelenburg test
Modified Thomas test
Ely test
Ober test
Noble compression test
Step down test
what is the Trendelenburg test a test for?
glut med weakness
what is the procedure of the Trendelenburg test?
raise one leg while palpating the relative height of the iliac crests
what is a (+) Trendelenburg test?
drop of the iliac crest on the NWB side
why may a pt with glut med weakness throw their trunk over the weak side?
to create a better mechanical advantage
what are the stats of the trendelenburg test?
sn=73%
sp=77%
(+) LR=3.15
(-) LR=.335
reliability (kappa)=.676 (moderate)
what is the modified Thomas test a test for?
the sartorius
what is the procedure for the modified Thomas test?
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
what is a (+) modified Thomas test?
presence of hip flex, knee ext, and abd
during the modified Thomas test, if the knee extends without going in or out, what could this point to?
capsule or iliopsoas
if the knee flexes and there is decreased ROM with the Thomas test, what could this point to?
capsule, rectus fem, or iliopsoas
what is the Ely test a test for?
rectus fem tightness
what is the procedure for the Ely test?
prone on a pillow
passively flex the knee and feel the ASIS for anterior pelvic rotation
what is a (+) Ely test?
hip flexion when the knee flexes (LBP?)
what is the Ober test a test for?
TFL/ITB tightness
what is the procedure for the Ober test?
on the edge of the table in SL, slowly lower the top leg into adduction
what is a (+) Ober test?
inability to drop the leg past midline
what is the Noble compression test a test for?
ITB
what is the procedure for the Noble compression test?
extend and adduct the hip
flex and extend the knee while applying overpressure to the lateral femoral condyle
what is a (+) Noble compression test?
pain/clicking at 30 degrees flexion
what is the step down test a test for?
glut med weakness
what is the procedure for the step down test?
step off a stool w/o UE support
what is a (+) step down test?
inability to maintain the knee in the sagittal plane (dynamic knee valgus)
what are the acetabular labral tests?
anterior labral tear test
posterior labral tears test
HEER test
what is the procedure for the anterior labral tear test?
move the pt from FAbER to adduction, IR, and extension
what is a (+) anterior labral tear test?
pain or clicking
what are the stats for the anterior labral tear test?
sn=75%
sp=43%
better to rule OUT
(+) LR=1.32
(-) LR=.58
what is the procedure for the posterior labral tear test?
move the pt from FAdIR to abduction, ER, and extension
what is a (+) posterior labral tear test?
pain or clicking
what are the stats for the posterior labral tear test?
sn=75%
sp=43%
better to rule OUT
(+) LR=1.32
(-) LR=.58
what is the HEER test a test for?
labrum, microinstability, hip apprehension
what is the procedure for the HEER test?
put them in the modified Thomas test position
take the hip into ER
what is a (+) HEER test?
anterior hip pain
what are the stats for the HEER test?
sn=71%
sp=85%
what are the pediatric hip tests?
Ortolani test
Barlow test
what are the stats for the Ortolani/Barlow tests?
sp=100%
sn=0%
better to rule IN
what are the tests for structural impairments of the hip?
apparent/true leg length test
Craig test
what is the procedure for the apparent/true leg length test?
have the pt bridge then bring legs out
see if the med mal are in line
if one knee is higher up when the knees are flexed, what could this mean?
longer tibia
if one knee is further out when the knees are flexed, what could this mean?
longer femur
what is the Craig test a test for?
no femoral anteversion/retroversion
what is the procedure of the Craig test?
IR/ER the hip until the GT is most prominent
measure the angle bw the tibia and horizontal
what is a (+) Craig test?
angle of >25 degrees (anteversion)
angle of <15 degrees (retroversion)
