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Hip/Pelvis Special T

hip/pelvis special tests

Special TestHow it's donePositive SignWhat 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
Created by: jocbutch