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Published byWesley Wade Modified over 9 years ago
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Hip Special Tests
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Hip Scouring Test http://www.teachertube.com/viewVideo.ph p?video_id=159603&title=Hip_Scouring_T est&vpkey= http://www.teachertube.com/viewVideo.ph p?video_id=159603&title=Hip_Scouring_T est&vpkey= Implications=Legg-Calvé-Perthes Disease, Slipped Capital Femoral Epiphysis, Torn Labrum
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Faber (Patrick’s Test) Flexion, ABD, ER Positive = hip or SI joint
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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
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Gaenslen’s 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
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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
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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
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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 Implication=Hip flexor tightness
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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 Implications=Hip flexor tightness
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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
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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
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Nobel’s Test Pt Position=Supine, Knee flexed 90 degrees Evaluation Apply pressure to lateral femoral condyle and extend knee Positive=Pain Implication=IT Band Tightness
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Renne’s Test Pt Position=Standing w/ weight on affected leg Evaluation Flex knee 30-40 degrees Positive=Pain at lateral femoral condyle Implication=IT Band tightness
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