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Orth.Test - Hip

Orthopedic tests of the hip joint

Test NameMechanicsPerform+ signindicatesAdditional
Passive Extension & Medial Rotation of Ilium passive movement of innominate for general mobility ct sidelying on non-test side, place one hand on ASIS & one on PSIS & sacrum, pull ilium forward @ ASIS & push with other hand, test bilaterally affected side moves less hypomobility & POST rotated ilium, outflare aka "The Steering Wheel Test"
Passive Flexion & Lateral Rotation of Ilium passive movement of innominate for general mobility ct sidelying on non-test side, place one hand on ASIS & other on PSIS & sacrum, pull ilium POST & pull with other hand, test bilaterally affected side moves less hypomobility & ANT rotated ilium, inflare aka "The Steering Wheel Test"
Gapping stresses ANT SI lig ct supine, therapist crosses arms & pushes ASIS away from each other & toward table, ask client where pain felt if pain is reported unilatereal glut OR POST leg pain sprain ANT SI lig
Gaenslen's stresses SI jt - EXT hip & moves innominate into counter-nutation ct sidelying on unaffected side, therapist asks ct - FLEX hip & knee on table, passive EXT hip (stabilize pelvis) pain ipsilateral SI jt lesion, hip pathology, L4 nerve root lesion
Yeoman's stresses SI jt ct prone, FLEX knee 90* & EXT hip pain @ SI jt, pain @ lumbar spine ANT SI lig, lumbar involvement/nerve stretch
Leg Length nutation of ilium decreases leg length; counter-nutation increases it, measurement required for true leg length ct supine, measure ASIS to one of the malleoli, test bilaterally difference 1-1.3cm (0.5-1") normal if difference in normal range - due to position of innominate
Trendelenburg's Test/Sign tests strength of glut med (with stabilized pelvis) ct standing, therapist asks ct to stand on one leg ct observed for pelvic drop on non-weight-bearing side weak glut med on weight-bearing side
Sacroiliac Rocking stresses sacrotuberous lig ct supine, therapist flexes ct knee & hip fully, adducts hip ct knee moved toward opposite shoulder pain in SI jt sprain sacrotuberous lig both hip & knee must be healthy
Prone Gapping stresses POST SI lig ct prone, therapist stabilizes pelvis, FLEX knee, move hip into MED rotation, palpate same side SI jt for movement, test bilaterally decreased movement on one side, pain restriction from POST SI lig, sprain POST SI lig hips must have full range
Superoinferior Symphysis Pubis Stress stresses SUP & INF aspects of pubic symphysis ct supine, therapist places one hand on SUP ramus & other contralateral INF ramus, approximate hands pain @ pubic symphysis malalignment of pubic symphysis, lig of jt sprained
Gillet's assesses movement between sacrum & ilium ct standing, thumb on one PSIS, palpate sacrum with other thumb, ct bring knee to chest (hip FLEX), palpate movement of PSIS & sacrum deccreased or superior movement hypomobile SI jt, fixation of sacrum PSIS should move POST & sacrum rotate to the same side
Straight Leg Raise stresses SI jt - flexes hip & moves innominate into nutation ct supine, therapist passively FLEX hip with knee straight, can test both sides @ once pain, stretch sensation, decrease in pain symptoms after 70* - jt pain (in hypermobile, may be after 120*) - unilateral test, before 70* - SI jt problems - bilateral test, decreased pain - ANT torsion, increased pain - POST torsion may also test for short hamstrings or neurological trauma
Created by: candice2010
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