Posterior Labral Tear Test
Patient pos - Patient is placed in supine.
Stabilization - Is provided by the patient's own body and the table.
Force - the examiner takes the hip into full flexion, adduction, and medial rotation as a starting position. The examiner then takes the hip into extension combinerd with abduction and lateral rotation.
Positive findings - A positive finding is indicated by the production of groin pain, patient apprehension, or the reproduction of the patient's symptoms with or without click.
Functional Leg Length
Patient pos - The patient lies supine on the table with the trunk , pelvis, and legs alligned.
Fixation - Weber barstow
Test - Clinicain measures from the umbilicus to the medial malleoulus
Positive findings - If the difference in between the legs exceeds 1.0 - 1.5cm this is considered and positive sign.
Test - Lateral rotation, abduction, and flexion of the thigh. as well as knee flexion
Pressure - against the anterolateral surface of the lower thigh in the direction of hip extension, adduction, and medial rotation.
True Leg Length Test
Patient Pos - The patient lies supine on the table, with the trunk, pelvis, and legs in straight alignment.
Test - Clinician measures from each ASIS to the umbilicus to check against anterior and posterior tilt. Then measure from each ASIS to the medial malleoulus
Positive findings - If the difference in between legs exceeds 1.0 - 1.5cm then it is a positive find.
Interpretation - many different things can cause a positive finding including but not limites to posterior/anterior tilt of pelvis, hip joint abnormality, or actual difference in leg length.
Hip Scour Test
Patient Pos - Patient will be lying supine with the practicioner standing to the involved side.
Stabilization - Provided by the patient's body and table
Force - The examiner passively flexes the knee to 90 degrees and adducts the hip and places the knee in flexion. The examiner then applies a downward force along the shaft of the femur while passively abducting and externally rotating the hip.
Positive findings - Any pain, crepitus, apprehension, or unusual movement is considered a positive sign,
Anterior Labral Tear Test
Patient pos - Patient is placed in supine
Stabilization - Pt is stabilized by their own body and table
Force - The examiner takes the hip into full flexion, lateral rotation, and full abduction as a starting position. the examiner then extends the hip combined with medial rotation and adduction.
Positive findings- A positive test is indicated by the production of pain, the reproduction of the patient's symptoms with or without a click, or apprehension.
Interpretation - The test places the greatest strain on the anterolateral labrum, and the examiner should be carefull to equate findings with the patient's symptoms.
Patient pos - patient is placed in side lying with affected hip up, and flexes the test hip to about 60 degrees.
Force - Examiner stabilizes the hip with one hand and applies a downward pressure to the knee.
Positive Findings - If the Piriformis is tight, pain is elicited in the muscle. if the piriformis is pinching the sciatic, pain is elicited down the buttock and into the lower leg.
Patient Pos - Patient lies supine
Force - the examiner flexes on of the patient's hips, bringing the knee to the chest to flatten out the lumbar spine and to stabilize the pelvis.
Positive Findings - the patient holds the flexed hip and knee to their chest. if there is no contracture the opposite hip will not leave the table. If there is a contracture the opposite hip will raise off the table and illicit a positive finding.
Pt. Position - Standing position with feet shoulder width apart.
Stabilization - Slowly lift on foot off the ground, balancing on your other foot.
Postive Findings - A positive test or Trendelenburgs sign is when the hip of your non weight-bearing leg drops or is lower than the other side.
Interpretation- Your ineven hips indicate that the hip abductors, Glute Min/Med, on your weight bearing side are weak and cannot stabalize your pelvis.
Patient Pos - Prone with kness flexed at 90 degrees.
Stabilization - The tested limbs knee is placed in 90 degrees flexion. Examiner rotates the hip medially and laterally. The examiner then measures the angle of the hip with the goniometer to determine the amount of anteversion, using the long axis of the tibia.
Force - Palpate the greater triochanter until the outward most point is found on the lateral aspect of the hip.
Positive findings - Normal hip anteversion is 8-15 degrees. Anything over 15 degrees would be considered significant.
Patient pos - Patient is sitting with legs off table.
Stabilization - Pt. is stabilized by the clinician and the table
Force - the examiner places there forearm inderneath the patients femur and then applies a downward force on the top of the thigh.
Positive findings - If pain is illicited a stress fracture is is present.
Interpretation - send patient for bone scan to reconfirm diff DX.
Tensor Fascia Latae MMT
Test - Abduction, flexion, and medial rotation of the hip with the knee extended
Pressure - against the leg in the direction of extension and adduction. (try to turn off the rectus femoris)
Hip Adductors MMT
Patient pos - pt is side lying on the testing side with the body in a straight line.
Test - the examiner will stabilize the top leg and resist the adduction of the bottom or tested side.