Hip special Test Table (2).docx

Hip Special Test Clarification Special Test Result Age Structures implicated Craig’s test Limited ER correction< 8d Retroversion Excessive ER correction >15d= Anteversion Across multiple age ranges. Hip Anteversion Retroversion Thomas Test Gives information about Psoas, rectus, TFL, or Adducto...

Hip Special Test Clarification Special Test Result Age Structures implicated Craig’s test Limited ER correction< 8d Retroversion Excessive ER correction >15d= Anteversion Across multiple age ranges. Hip Anteversion Retroversion Thomas Test Gives information about Psoas, rectus, TFL, or Adductor Tightness Muscle inflexibilities Slump Test Reproduction of neurological symptoms or sharp pain in a radicular pattern Lumbopelvic nerve impairments STLR Test Reproduction of neurological symptoms or sharp pain in a radicular pattern Lumbopelvic nerve impairments involving Sciatic Nerve (lumbar radiculopathy) Femoral Nerve Tension Test Reproduction of neurogenic symptoms in femoral region Part of the assessment for Meralgia Paresthetica FADDIR Test Limited motion with or w/o pain 20-40 y/o FAI Limited motion and/or pain 50 y/o or older OA (follow up with scour and capsular mobility evaluation) Normal motion and potentially increased mobility but pain 20-40 y/o Labral symptoms (follow up with FAIR) Scour Test Pain, Clicking, Popping 50 y/o or older OA (follow up with and capsular mobility evaluation FABRE TEST Limited mobility 20-40 y/o Muscle hypertonicity, SIJD, capsular mobility limitations Limited Mobility 50 y/o or older OA Pain provocation only Across age range but typically 40 and up Greater Trochanteric Pain Syndrome (GTPS) (follow up with palpation over the great trochanter and potentially De-rotation test to confirm) Resisted STLR Test Pain provocation Across age ranges but typically older patients OA but also intraarticular hip pathology ( follow up with other intraarticular hip test based on age) FAIR Test Pain provocation, clicking, popping Younger patients Labral pathologies but also could detect FAI (If no popping/clicking denoted) Fulcrum Test & Patellar-Pubic Percussion Test Pain provocation and limited percussion noted through stethoscope Typically, younger patients Stress fracture in femur hip region Barlow and Ortolani Sign Clunking after flexion adduction or extension abduction Pediatric patients Hip Dysplasia Resisted Sit Up test Pain provocation in lower abdominal/groin region Typically, younger adult Athletic Pubalgia Adductor Squeeze Test Pain provocation in the pubic symphysis Typically, younger adult Osteitis Pubis (follow-up with spring test of pubis) Pain provocation in the lower abdominal region Athletic Pubalgia (follow-up with resisted sit up test) Pain in the adductor tendon/groin Adductor tendinopathy (follow-up with MMT of adductors) Snapping Hip test Reproduction of superficial clicking popping Younger patient Snapping hip syndrome De-rotation Test Pain provocation Typically, patient over 40 Greater Trochanteric Pain syndrome (follow up with palpation over lateral greater trochanter (tenderness also called “jump sign”) Pain provocation and more pronounced weakness Gluteal Tear (follow up with MMT of gluteal muscles specifically resisted hip abduction test) Resisted Hip abduction Test Pain provocation and weakness Typically, patient is over 40 y/o Gluteal Tear (compare bilaterally) Sign of the buttock Limited hip flexion after knee flexion from an original STLR/hamstring length evaluation position Red flag for non-mechanical causes of hip pathology. Refer out