Hip Assessment Lab

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15 Terms

1
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Observation- Gait

  • Pelvic drop?​

    • Pain and weakness in R hip, you'll see a left pelvic drop​

  • Limp?​

  • Step length​

    • They don't like SLS on the affected leg​

  • Hip ROM​

2
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Observation- Posture

  • Pelvic alignment​

  • Anteversion/retroversion—toe in/toe out​

    • Anteversion: toe in​

    • Retroversion: toe out​

  • SLS​

    • Pain, time

3
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Single leg stance- used for many types of assessment

  • Extra-articular

  • Intra-articular

  • Neuromuscular

  • Extra-articular​

    • GTPS---lateral hip pain​

    • 30”​

    • Glut med weakness​

  • Intra-articular​

    • Hip OA (up to 30”)​

      • Deep pain​

    • Fracture ​

  • Neuromuscular​

    • Balance​

    • Motor control

4
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Muscle length tests

  • Thomas

    • iliopsoas and rectus

  • Ely’s

    • rectus

  • Ober

    • TFL/abductors

  • Hamstring

    • 90-90

    • SLR

5
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Fracture screening

  • pubic percussion

  • fulcrum test

6
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Special tests for intra-articular pathologies

  • OA

  • FAI

  • Labral tears

  • Scour test

  • FABER

  • FADIR

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Scour test

  • Axial loading​

  • Looking for symptom provocation or mechanical disruption​

  • OA, FAI, labral tear

8
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Faber test

  • FAI, labral tears, hip OA, SIJ, gluteal tendinopathy​

  • Pain Location​

    • Groin/anterior hip​

    • SIJ​

    • Lateral hip ​

  • Distance from lateral condyle to surface​

    • Compared to contralateral side​

    • Could be indicative of hypomobility

9
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FADIR

  • Flexion, Adduction and Internal rotation​

  • + anterior groin pain, C-sign​

  • FAI and labral tears

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Microinstability Tests

  • Log Roll Test ​

  • AB-HEER ​

  • Prone instability​

  • HEER (hyperextension-External rotation)

11
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Log Roll

  • Patient in supine,therapist passively rolls both femurs into ER, the position of feet is noted ​

  • + Increased ER of involved femur indicates laxity of anterior capsuloligamentous structures

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Abduction-hyperextension-External rotation test

  • Passive abduction to 30-45 degrees​

  • Extend hip and ER while anterior force is applied​

  • Sn 81%, Sp 89%

13
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Prone Instability Test

  • Patient is in prone​

  • Therapist moves hip into ER and abduction, placing heel onto back of opposite knee​

  • Therapist then provides an anterior force through proximal femur ​

  • +anterior hip or groin pain,with/without apprehension

14
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Hyper Extension External Rotation (HEER)

  • Patient is supine,.​

  • Patient pulls non-testside knee to chest to stabilize the pelvis​

  • Therapist places force on the test side knee,placing the hip into a position of extension and ER

15
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Adductor squeeze

  • Adductor muscle involvement​

  • Hips can be at 0,30, 45 or 90 degrees of hip flexion​

  • + pain reproduced in the groin