OD Hip Lecture part 2 (post quiz 1)

Question 1

what are the tests for hip provocation?

Answer 1

FAbER

FAdIR

Femoral grind (Scour) test

Sign of the buttock

Question 2

what is the FAbER test a test for?

Answer 2

capsular issues and OA

Question 3

what is the procedure for the FAbER test?

Answer 3

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

Question 4

what is a (+) FAbER test?

Answer 4

reproduction of hip pain

Question 5

what are the stats of the FAbER test?

Answer 5

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

better for ruling IN

Question 6

what is the FAdIR test a test for?

Answer 6

hip impingement (FAI)

labrum

Question 7

what is the procedure for the FAdIR test?

Answer 7

place the pt in FAdIR and apply overpressure

Question 8

what is a (+) FAdIR test?

Answer 8

reproduction of hip pain

Question 9

what are the stats for FAdIR?

Answer 9

sn=88%
sp=83%

good to rule IN and OUT

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

Question 10

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

Answer 10

OA

Question 11

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

Answer 11

place the hip in multiple degrees of flex/abd

apply axial pressure through the femoral shaft

Question 12

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

Answer 12

reproduction of hip pain

Question 13

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

Answer 13

sn=75-91%
sp=43%

better to rule OUT

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

Question 14

what are the tests for hip performance and flexibility?

Answer 14

Trendelenburg test

Modified Thomas test

Ely test

Ober test

Noble compression test

Step down test

Question 15

what is the Trendelenburg test a test for?

Answer 15

glut med weakness

Question 16

what is the procedure of the Trendelenburg test?

Answer 16

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

Question 17

what is a (+) Trendelenburg test?

Answer 17

drop of the iliac crest on the NWB side

Question 18

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

Answer 18

to create a better mechanical advantage

Question 19

what are the stats of the trendelenburg test?

Answer 19

sn=73%
sp=77%

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

reliability (kappa)=.676 (moderate)

Question 20

what is the modified Thomas test a test for?

Answer 20

the sartorius

Question 21

what is the procedure for the modified Thomas test?

Answer 21

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

Question 22

what is a (+) modified Thomas test?

Answer 22

presence of hip flex, knee ext, and abd

Question 23

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

Answer 23

capsule or iliopsoas

Question 24

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

Answer 24

capsule, rectus fem, or iliopsoas

Question 25

what is the Ely test a test for?

Answer 25

rectus fem tightness

Question 26

what is the procedure for the Ely test?

Answer 26

prone on a pillow passively flex the knee and feel the ASIS for anterior pelvic rotation

Question 27

what is a (+) Ely test?

Answer 27

hip flexion when the knee flexes (LBP?)

Question 28

what is the Ober test a test for?

Answer 28

TFL/ITB tightness

Question 29

what is the procedure for the Ober test?

Answer 29

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

Question 30

what is a (+) Ober test?

Answer 30

inability to drop the leg past midline

Question 31

what is the Noble compression test a test for?

Answer 31

ITB

Question 32

what is the procedure for the Noble compression test?

Answer 32

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

Question 33

what is a (+) Noble compression test?

Answer 33

pain/clicking at 30 degrees flexion

Question 34

what is the step down test a test for?

Answer 34

glut med weakness

Question 35

what is the procedure for the step down test?

Answer 35

step off a stool w/o UE support

Question 36

what is a (+) step down test?

Answer 36

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

Question 37

what are the acetabular labral tests?

Answer 37

anterior labral tear test posterior labral tears test HEER test

Question 38

what is the procedure for the anterior labral tear test?

Answer 38

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

Question 39

what is a (+) anterior labral tear test?

Answer 39

pain or clicking

Question 40

what are the stats for the anterior labral tear test?

Answer 40

sn=75% sp=43% better to rule OUT (+) LR=1.32 (-) LR=.58

Question 41

what is the procedure for the posterior labral tear test?

Answer 41

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

Question 42

what is a (+) posterior labral tear test?

Answer 42

pain or clicking

Question 43

what are the stats for the posterior labral tear test?

Answer 43

sn=75% sp=43% better to rule OUT (+) LR=1.32 (-) LR=.58

Question 44

what is the HEER test a test for?

Answer 44

labrum, microinstability, hip apprehension

Question 45

what is the procedure for the HEER test?

Answer 45

put them in the modified Thomas test position take the hip into ER

Question 46

what is a (+) HEER test?

Answer 46

anterior hip pain

Question 47

what are the stats for the HEER test?

Answer 47

sn=71% sp=85%

Question 48

what are the pediatric hip tests?

Answer 48

Ortolani test Barlow test

Question 49

what are the stats for the Ortolani/Barlow tests?

Answer 49

sp=100% sn=0% better to rule IN

Question 50

what are the tests for structural impairments of the hip?

Answer 50

apparent/true leg length test Craig test

Question 51

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

Answer 51

have the pt bridge then bring legs out see if the med mal are in line

Question 52

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

Answer 52

longer tibia

Question 53

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

Answer 53

longer femur

Question 54

what is the Craig test a test for?

Answer 54

no femoral anteversion/retroversion

Question 55

what is the procedure of the Craig test?

Answer 55

IR/ER the hip until the GT is most prominent measure the angle bw the tibia and horizontal

Question 56

what is a (+) Craig test?

Answer 56

angle of >25 degrees (anteversion) angle of <15 degrees (retroversion)