Hip Tests & Treatments Flashcards
Labral Loading
Indicates:
(+) Test
Flex the patient’s knee and hip to 90 degrees and load into femur
labral or cartilaginous pathology
pain
Labral Distraction
Indicates:
(+) Test
distract patient’s femur away
labral or cartilaginous pathology
improvement of pain
Scour
Indicates:
(+) Test
Flex and externally rotate patient’s hip. Load into socket & articulate through annular range of motion.
Labral or articular cartilage pathology
Pain
Apprehension:
FABER (1 of 3)
Indicates:
(+) Test
Patient’s hip is flexed, abducted and externally rotated. Physician induces further external rotation by applying posterior force at the knee.
Labral pathology
anterior subluxation of hip or apprehension/pain
Jump Sign
Indicates:
(+) Test
patient seated. pressure is applied to greater trochanter.
trochanteric bursitis
patient withdraws or “jumps” with pressure
Patrick’s FABER (2 out of 3)
Indicates:
(+) Test
patient’s hip is flexed, abducted, and externally rotate. Physician braces contralateral ASIS, patient externally rotates/abducts against resistance.
Gluteus medius pathology
Pain or weakness
Patrick’s FABER (3 out of 3)
Indicates:
(+) Test
patient’s hip is flexed, abducted, and externally rotate. Physician braces contralateral ASIS. Patient internally rotates/adducts against resistance
Thomas Test
Indicates:
(+) Test
patient supine and pulls knees to chest.
Hip flexor contraction
inability to full extend, or extended leg raises off table
Hamstring Hypertonicity MET
patient supine.
physician has patient’s leg on shoulder; stabilize contralateral ASIS
Gluteus Hypertonicity
MET
patient lateral recumbent with affected side up; foot on physician’s thigh
physician stabilize ipsilateral PSIS with one hand; other hand grabs knee
patient push foot downward against physician’s thigh
Soft tissue (prone)
physicians stands opposite of affected IT band.
grabs foot or ankel and flexes knee to 90, and places other hand on lateral thigh
MET Hypertonic Short Adductor of Lower Extremity
patient supine.
physician has patient make a 4 with their legs and engage in isometric relaxation
