Hip special tests

Question 1

FABER

Answer 1

-patient is supine, take on the tests leg and put it in figure 4 position, stabilize at the opposite ASIS, and then press down on the test knee
-testing for SI joint dysfunction and/or hip flexor tightness
-positive test: either pain at the SI joint or an inability for the test knee to drop below the other knee

Question 2

FADDIR

Answer 2

-patient is supine put them into hip flexion, adduction and internal rotation
-test for femoral acetabular impingement syndrome (hip impingement syndrome)
-positive test: pain at hip

Question 3

90/90 SLR (straight leg raise)

Answer 3

-90 degrees of knee and hip flexion; kick one leg up straight and then kick the other leg up straight; actively
-testing for hamstring tightness
-positive test: inability to get within 20 degrees of full extension

Question 4

Lasegue SLR

Answer 4

-patient is supine, passively bring their hip into flexion
-from 35-70 degrees of hip flexion is when you put the most stress on sciatic nerve, over 70 degrees is usually more muscular related than it is disc related
-testing for sciatica
-positive test: radiating symptoms (numbness, tingling down the leg)

Question 5

Trendelenburg Test

Answer 5

-stand on the affected leg, if there was a gluteus medius tear/weakness, opposite hip is going to fall below the testing side
-testing for gluteus medius tear/weakness
-positive test: opposite hip falls below the testing side

Question 6

piriformis

Answer 6

have the patient lying on their side, bottom leg is straight, we are testing top leg; push knee towards table
for: piriformis tightness
pos: inability for knee to touch table

Question 7

Thomas test/Kendall

Answer 7

-patient supine on table, both knees to chest, one leg down
for: tight hip flexors and lower back
pos: space between leg and table / back and table
Kendall: seated off table, leg straight if positive

Question 8

gaenslen’s test

Answer 8

-patient Is supine on the table, one leg off side of table, other leg to chest, bring leg into hip extension
for: si joint
pos: pain

Question 9

gillet’s test

Answer 9

psis is even with s2 vertebrae, move them over ask patient to flex hip, should drop
for: si joint
positive: s2 process doesn’t drop

Question 10

ober’s test

Answer 10

-patient is lying on their side, both knees and hips in flexion, abduct and extend lower leg to table
for: IT band tightness
pos: inability for leg to fall off table

Question 11

leg length

Answer 11

true and apparent
true: measure ASIS to medial malleolus
apparent: belly button to medial malleolus
positive test: difference in length