Flashcards in Special Tests Hip Deck (12)
Posterior Labral Test
Pt is placed in supine
Stabilization is provided by the pts own body and the table
Force - the examiner take the hip into full flexion, adduction, and medial rotation as a starting position. The examiner then take the hip into extension, combined with abduction and lateral rotation.
Positive finding - a positive test is indicated by the production of groin pain, pt apprehension, or the reproduction of the pts symptoms, with or without a click.
Interpretation - A positive test is indication of a labral tear, anterior hip instability, or posterior-inferior impingement.
The pt is supine.
Fixation - the clinician stabilizes the opposite iliac crest while the quads stabilize the testing leg.
Test - hip flexion with slight ABD and LR
Pressure - against the anteromedial aspect of the leg in the direction of ext and slight ABD
Pt is in the supine position
Fixation - None for the clinician. The pt may hold onto the table.
Test - LR, ABD, and Flexion of the hip. as well as knee flexion.
Pressure - against the anterolateral surface of the lower thigh in the direction of hip extension, add, and MR. Also, against the leg in the direction of knee extension.
MMT Tensor Fascia Latae (TFL)
the pt. is tested in the supine position.
Fixation - none necessary, unless the pt. is unable to maintain pelvis on the table. The clinician may then stabilize the opposite pelvis anteriorly. the pt may also hold on to the table.
Test - ABD, FLEX, and MR of the hip with the knee extended.
Pressure - against the thigh, in the direction of ext and add
MMT Hip ADD
Pt is sidelying on the side that you are trying to test.
Stabilization - the examiner hols the upper leg in abduction. the patient should hols on to the table for stability.
Force - against the medial aspect of the distal thigh in the direction of abduction.
MMT Gluteus Maximus
The pt is prone with knee flexed at 90*
Fixation - the clinician stabilizes posteriorly, the back muscles and opposite hip flexor.
Test - hip extension with knee flexed
Pressure - against the inferior part of the posterior thigh in the direction of the hp flexion.
Gluteus Medius MMT
The patient is sidelying with their knee underneath flexed at the hip and knee. Pelvis should be rotated slightly forward.
Fixation - the muscles of the trunk and the clinician stabilizes pelvis.
Pressure - against the leg near the ankle, in the direction of ADD and Flight flexion.
Gluteus Minimus MMT
Pt is sidelying
Fixation - the clinician stabilizes the pelvis
Test - ABD of the hip in a position neutral between flexion and extension. also neutral in regard to rotation
Pressure - against the leg in the direction of ADD and slight EXT.
pt is standing with feet shldr width apart
Stabilization - slightly lift one foot off of the ground, balancing on your other foot.
Positive findings - when the hip of your non weight bearing leg drops or is lower than the other side.
interpretation - ABD on your weight bearing side are weak and cannot stabilize.
Pt is Prone
The tested limb's knee is place in 90* of flexion. Examiner rotates hip medially and laterally. The examiner then measures the angle of the hip with a goni to determine the amount of anteversion, using the long axis of the tibia
Force - while palpating the greater trochanter, find the position that the outward most point is found in the lateral aspect of the hip.
Positive findings - Normal hip anteversion is 8-15 degrees
Interpretation - Individuals with abnormal anteversion (or retroversion) angles of the femur are more susceptible to acetabular impingement, and thus, labral damage. The position of the femoral head also determines gait. Individuals with hip dysplasia have an abnormally high amount of anteversion, and must medially rotate the hips in order to improve the moment arms of the hip ABD for gait. This appearance with bill toe-in gait. opposite for the retroversion.
Stabilization - provided by the pts own body and table
Force - the examiner passively flexes to 90* and ADD the subjects hip and places knee into full flexion. the examiner then applies a downward force along the shaft of the femur while passively abd and ER the hip.
Positive findings - pain, crepitus, apprehension, or unusual movement is a positive sign
Interpretation - examiner must document where in ROM a + sign is indicated to determine specific pathology.