hip/pelvis special tests
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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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
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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
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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
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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)
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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
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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)
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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
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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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Created by:
jocbutch
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