Flashcards in Hip Deck (3)
The patient is positioned in supine on the plinth. The therapist stands on the side of the leg to be tested. The affected limb is placed in adduction and a compression force is applied and maintained through the femur through a range of 70-140 degrees of hip flexion. The test is repeated in abduction. A positive test is a reproduction of the patient's worst pain that they came with into the clinic.
The test is considered positive if the patient has any pain. The test is also positive if the therapist can feel any crepitus or if there is a leathery end feeling or if there’s a loss in ROM.
The test is considered negative if you can go from flexion-adduction to flexion-abduction in an arch, a normal ROM and with a normal end-feeling.
This test works by scouring the femoral acetabular joint for pathology. The compression of the femur, through the various ranges, stresses the bone, labrum, cartilage, ligaments, etc. While this test has been labeled as the "hip clearing test," due to the low diagnostic accuracy, it should not necessarily be used as such. Consider the results of the rest of your exam when trying to determine the pathology.
A positive Hip Quadrant test is an indication that there might be arthritis, an osteochondral defect, avascular necrosis, joint capsule tightness and/or an acetabular labrum defect. This test also detects if the patients hip can move through the full range of motion.
Th hip quadrant test does not give us any significantly useful information. Due to the wide range of structures that can be stressed, its results should be interpreted with caution. No validity or reliability studies could be located for its diagnostic validity.
Minimal data is available on the significance of the Hip Quadrant alone. However, the American College of Rheumatology provide an alternative method for the diagnosis of hip OA.
There are 2 cluster diagnoses which are:
Pain in the hip
<115 degrees of hip flexion
< 15 degrees of hip IR
Pain with hip IR
> 60 minutes of AM stiffness
> 50 years old
If at least 4 of 5 variables were present, the positive LR was equal to 24.3 (95% confidence interval: 4.4-142.1), increasing the probability of hip OA to 91%.
what can the FABER test detect?
The following findings of a positive FABER test may help to guide your clinical diagnosis;
Sarcoiliac Joint Pain on external hip rotation
Sacroiliac Joint Dysfunction
Groin Pain on external hip rotation
Iliopsoas Strain or Iliopsoas Bursitis
Intraarticular Hip Disorder
Hip Impingement (femoral acetabular impingement)
Hip Labral Tear
Hip loose bodies
Hip chondral lesion
Posterior Hip Pain on external hip rotation
Posterior Hip Impingement