hip/pelvis special tests

Special Test	How it's done	Positive Sign	What it's for
Gaenslen's Sign	knee to chest,Shift to side of table,Allow unsupported leg to drop over edge of table	pain in the SI region	SI joint dysfunction
Ober Test	Pt. sidelyingPassively flex knee and hip bringing hip into ABD and extension so ITB clears greater trochanterAllow leg to slowly aDDuct	hip stays ABD or pelvis moves before hip is ADD	ITB tightness
Thomas Test	Athlete supine and ath. brings one knee to chest	involved thigh (opposite hip) flexes = tight hip flexors (iliopsoas)), opposite knee extends = tight rectus femoris	tight hip flexors and rectus femoris
Trendelenburg Test	Stand on one leg for approx. 10 seconds	NWB hip drops away from WB hip	Strength of gluteus medius (not able to support the torso in an errect position)
Piriformis Test	Side-lying on uninvolved side,Position top leg at 60 deg hip flexion,Apply downward pressure to knee over table	pain in piriformis	Piriformis tightness
Hip Scouring	Patient SupinePassively flex pt hip and kneeApply longitudinal pressure along shaft of femur as compress joint surfaceComplete with IR & ER of hip during multiple angles of hip flexion	pain or sypmtoms in hip reproduced	osteochondral defect ((defect in articular cartilage of femur or acetabulum)
Pelvic Rock (gap and compression)	gap-Sidelying,Cross hands over proximal iliac crestApply inward & downward force compression-Cross armsApply downward and outward pressure to each ASIS	gap-posterior pain at the SI joints (posterior sacroiliac ligament)compression-posterior pain at the SI joints (anterior sacroiliac ligament)	integrity of SI ligaments due to sprain/irritation
Patrick or FABER test	Supine with foot crossed to other knee, Stabilize ASISPassively move knee to table	thigh does not lower; posterior pain (SI) or anterior pain (inguinal/illopsoas)	Inguinal Pain- hip jt.pathology Posterior Pain - SI jonit dysfunciton

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