Term
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Definition
*Patrick test
-pt lies supine with test leg crossed over unaffected leg in figure 4 position.
-PT slowly lowers test leg to table.
-Test leg should become parallel w/ opposite leg or drop below parallel.
+ test: if test leg cannot be pushed to parallel, or pain sxs reproduced – indicates hip or SI pathology.
"Pain? Where?" |
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Term
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Definition
| like in screen (look for op hip drop) |
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Term
Craig's Test
(Trochanteric Prominence Test) |
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Definition
Pt prone; knee flexed 90.
Palpate gr troch and rotate leg to point which it sticks out the most, tell pt to hold in that position.
Measure angle btwn leg and table
>15 indicates + test for hip anteversion
<8 indicates + test for hip retroversion
8-15 indicates - test |
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Term
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Definition
| -pt supine with hips and knees flexed -PT palpates both med malleoli, evens them up. -while holding medial malleoli’s even, have pt raise pelvis off table & lower it back. -Assess differences visually by looking at height of knees |
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Term
| Joint play - Caudal glide/distraction |
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Definition
Pt supine, pull whole LE into distraction
Open pack: 30 flex, 30 abd, slight ER |
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Term
| Joint play - Hip Compression |
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Definition
| PT places pt.’s knee in resting position and applies a compressive force through longitudinal axis of femur by pushing through the femoral condyles |
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Term
| Quadrant Test (aka scouring test) - flynn |
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Definition
*Like labral grind test for shoulder:
• Pt supine 90/90; LE is passively flex/add until resistance to movement is detected.
• PT holds in flex, moves into ABD, bringing hip through full arc of motion. If no pain, PT applies compression through the femur.
• Reproduced pain sxs or ↓ ROM indicate + test for hip pathology |
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Term
| Joint play - lateral distraction of hip |
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Definition
| Pt supine in 90/90, leg over PT shld w/ bent knee, use both hands to lat distract |
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Term
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Definition
Pt. is supine – flexes both hips to 90 deg with knees bent
b. Pt. grasps behind knees to stabilize hips then tries to actively extend each knee as much as possible
c. For normal flexibility, knee should be within 20 deg of full extension |
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Term
| Length test - Thomas test |
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Definition
*Hip flexors
• Pt supine, PT check to make sure no lordisis;
• PT flexes one of pt.’s hips, bringing knee to chest, pt. holds in place w/ arms
• If straight leg remains on examining table, is - test
• If straight leg rises off table & muscle stretch end feel is felt, measure angle. Indicates + test for hip flexor tightness.
• If leg does not lift off the table, but abducts – “J” sign – + test for tightness of IT band |
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Term
| Joint play - post capsule of hip |
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Definition
| Pt supine, crosses affected leg over good leg, fig 4 position. Using both hands, apply compressive force to hip through knee. |
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Term
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Definition
-Pt. S/L with lower leg flexed for stability
-PT passively abd/ext top leg with knee straight or flexed to 90 deg (STRONGLY stabilize pelvis)
– PT slowly lowers upper limb
-If leg remains abducted / does not fall to table, + test for ITB/TFL tightness
If neurological signs during test, + for femoral nerve pathology |
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Term
| FAIR test (for Piriformis) - Flynn |
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Definition
Pt. S/L, facing away from PT, with test leg on top
•PT cradles lower leg, cupping the knee and stabilizing hip w/ other hand + body weight.
PT flexes hip 60 deg w/ knee flexed, applying downward pressure into ADD, IR
• Pain indicates + test: ask where it is: *In piriformis, is + for tightness • *In buttocks w/ N/T indicates + for sciatic nerve entrapment ("Piriformis Syndrome") |
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Term
| Length test - "Ely's Test" |
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Definition
*for Rectus Femoris:
i. Pt. prone, PT passively flexes pt.’s knee
ii. Test is positive if the hip on the same side spontaneously flexes into table when the knee is flexed, + test for rectus tightness |
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Term
| Joint play - Ant capsule of hip |
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Definition
| Pt prone; Knee bent, pull up on knee and press down femoral segment into table |
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Term
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Definition
*Tight hip flexors
Pt S/L, brace ASIS and press humerus Ant |
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Term
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Definition
| Pt standing, Eyes closes, + test indicated by swaying |
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Term
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Definition
| Pt standing, have them walk heel to toe in straight line (tests balance) |
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Term
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Definition
| Pt shuts eyes, PT positions a lower limb, tells pt to match the position w/ other limb. (for proprioception) |
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Term
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Definition
| -Pt stands on 1 leg and extends bwd (can also add rotation to load facets on that side) -Test both sides -Increased back pain indicates + test for spoldylolisthesis on that side, loss of proprioception (if also have - trendelenburg), SI/knee/ankle instability |
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Term
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Definition
o Piriformis at > 90 degrees flexion:
• Supine: ER and flex the hip. Add to the stretch by adducting the hip toward the opposite shoulder.
o Piriformis at < 90 degrees flexion:
• Supine: Place the foot of the tested LE lateral to the knee or distal thigh of the non-tested LE. Stabilize the pelvis on the tested side, and bring the knee slowly towards and across midline. |
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Term
| Hip OA Test Cluster (based on subjective) |
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Definition
• Test Cluster 1:
1. Hip pain
2. Hip internal rotation range of motion <15°
3. Hip flexion range of motion <115° deg.
• If hip internal rotation range of motion is > 15°, then use cluster 2:
• Test Cluster 2:
1. Painful hip with hip internal rotation
2. >50 years of age
3. Morning hip stiffness < 60 minutes |
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Term
| SLR (not the one in the screen - the other version) |
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Definition
| Test bad leg; Pt supine, passively flex hip to point of discomfort. If they have discomfort before ~70 degrees, is a neural tightness issue. If they don't have any discomfort until >~70 is a muscle tightness issue. |
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Term
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Definition
| Do on pt's that have peripheralization issues. Supine, Is SLR test on the GOOD leg; + test indicated by neural sxs in the BAD leg as the good leg is raised up and indicates a severe disk pathology |
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