| 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 |
or...
