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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
Observation- Posture
Pelvic alignment
Anteversion/retroversion—toe in/toe out
Anteversion: toe in
Retroversion: toe out
SLS
Pain, time
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
Muscle length tests
Thomas
iliopsoas and rectus
Ely’s
rectus
Ober
TFL/abductors
Hamstring
90-90
SLR
Fracture screening
pubic percussion
fulcrum test
Special tests for intra-articular pathologies
OA
FAI
Labral tears
Scour test
FABER
FADIR
Scour test
Axial loading
Looking for symptom provocation or mechanical disruption
OA, FAI, labral tear
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
FADIR
Flexion, Adduction and Internal rotation
+ anterior groin pain, C-sign
FAI and labral tears
Microinstability Tests
Log Roll Test
AB-HEER
Prone instability
HEER (hyperextension-External rotation)
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
Abduction-hyperextension-External rotation test
Passive abduction to 30-45 degrees
Extend hip and ER while anterior force is applied
Sn 81%, Sp 89%
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
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
Adductor squeeze
Adductor muscle involvement
Hips can be at 0,30, 45 or 90 degrees of hip flexion
+ pain reproduced in the groin