Hip Special Tests

1
Hip Special Tests
2
Faber (Patricks Test)

• Flexion, ABD, ER
• Positive hip or SI joint

3
SI Joint Compression and Distraction Test

• Compression supine
• Distraction supine or side lying
• Evaluation
• Compression overpressure to ASIS
• Distraction
• Down pressure through anterior aspect of ilium

4
Gaenslens Test

• Pt Position supine close to edge of table
• Near leg over edge
• Opposite leg move into flexion
• Apply overpressure to near leg into
  hyperextension
• Positive pain ipsilateral SI joint

5
Leg Length Tests

• True Leg Length Discrepancy
• Measure ASIS to medial malleolus
• Positive 1-1.5 cm
• Apparent (Functional) Leg Length
• Umbilicus to Medial malleolus

6
Trendelenberg Test

• Pt Position standing on one leg with WB leg
  being the involved limb
• Positive pelvis on opposite side drops
• Indications weak Gluteua medius

7
Kendall Test

• Pt Position supine with knees bent over the
  table
• Evaluation
• One hand under lordotic curve
• Passively flex hip to chest
• Allow opposite leg to rest on table
• Positive knee move into extension or leg rises
  off table

8
Thomas Test

• Pt Position supine with both leg on table
• Evaluation
• One hand under lumbar region
• Passively flex one leg to chest
• Positive straight leg raises off table
• Increased lordotic curve

9
Periformis Test

• Pt Position side-lying on univolved side with
  test leg in 60 degrees of hip flexion
• Evaluation
• Stabilize pelvis, apply an adduction force to
  knee
• Positive pain or tightness in hip
• Pain in buttocks sciatic nerve impingement

10
Femoral Nerve Traction Test

• Pt Position prone with pillow under abdomen
• Evaluation
• Passively extend hip with knee flexed to 90
  degrees
• Positive pain in anterior and/or lateral thigh
• Implication nerve root impingement L2-L4

11
Nobels Test
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Perform an Evaluation on this Sport Injury