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Special tests for hip and pelvis

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Test
What does it test for
Patient Position
clinician Position
Procedure
Positive Test
Hip scouring test   labrum   supine   along side the patient, fully flexing patients hip and knee   clinician applies pressure along the shaft of the femur compressing joint surfaces and internally and externally rotates hip   pain is felt, or symptoms in the hip are reproduced, meaning possible problems wiht articular cartilage of the femur or acetabulum  
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Kendals Test   Tightness of rectus femoris, ITB, illiopsoas   Supine, wih knees over edge of the table, bent   next to patient, one hand under lordotic curve   leg i actively pulled to patients chest   see thomas  
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Gaenslen's Test   Hip or SI joint disfunction   supine, laying close to the side of the table   Standing at side of the patient, one hand stabilizing at the ASIS, one hand near knee of side closest to them   slidepatient close to the edge of table, patient pulls far knee to their chest, near leg is allowed to hang over the edge of the table, clinician applies pressure to hanging lef making it hyperextend   Pain in the SI region  
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Hamstring contracture test   tight hamstring   seated, one knee flexed to chest one leg extended   standing next to patient   have patient touch their toes with both hands on the side of the flexed lef that the extended leg is on   cannot reach thier toes  
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90/90 SLT TEst   Hamstring tightness   supine one leg with 90 degrees of knee flexion   standing next to patient   have patient extend the bent leg   patient is unable to get withing 20 degrees of full extension  
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Piriformis Test   piriformis tightness   side-lying on edge of table, on side not be tested with him not be tested in 60 degrees of flexion   one hand stabilizing hip and the other hand on the knee   clinician applies an addcution force on the patients knee   pain in putt, and or shooting pain down the leg which means sciatic nerve impingement  
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Long Sit Test   anteior/posterior rotation of innominate bones   supine with heals off the table   holding feet with the thumbs over the medial malleoli, must pay close attention to position of malleoli through-out the entire test   clinician provides traction on legs while patient lifts butt off the table, clinician releases traction and then patiient goes from supine to long sit   *if the injured sides medial malleous goes from longer to a shorter position, then there is an anterior rotation there is an anterior rotation of the pelvis injured side mallelous goes fro shorter to longer position, a posterior rotation of illium  
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Trendelenburg   Gleteus Medius weakness   Standing-weight evenly distributed between both legs, pants should be low enough to reveal PSIS   Standing, sitting or kneeling behind patient   Patient lifts leg opposite of the one being tested   Pelvis lowers on the non-weight bearing side, implications for weight bearing side  
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Obers   ITB tightness-possible IT friction syndrome   side lying on side opposite of one being tested-knee on side being tested is flexed   Standing behind pt-one hand stabalizing the hip on the ASIS, one hand on the medial aspect of the proximal tibia   Clinician abducts and extends hip making sure TFL clears the greater trochanter, hip is then allowed to passively adduct   lef does not adduct past parallel  
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Thomas Test   tightness of rectus femoris, ITB, and illiopsoas   supine, with knees over edge of table   next to patient, puts one hand under lumbar lordotic curve   one leg is pulled ot the patients chest   ~left left on table goes into extension-tightness of rectus ~leg left on table rises off table-tightness of illiopsoas ~leg on table externally rotates or abducts-IT band tightness  
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Patrick(FABERS) test   Hip or SI pathology   supin, hip flexed, exernally roated, abducted and knee flexed-figure 4   on side being tested, one hand stabalizing ASIS, other on the medial aspect of flexed knee   pull into full exernal rotation by putting pressure on the medial aspect of the knee, while still stabilizing the ASIS   pain in the sacroilliac joint  
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Femoral stress fx test   stress fracture of the femur   seated with knees flexed to 90 degrees at the edge of table   arm under femur to creat a fulcrum   apply downward pressure on distal femur with opposite hand   pain along the shaft of the femur  
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Created by: jwebst1
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