TESTS OF HIP ASSESSMENT
· Hip Scouring\Quadrant Test
Patient position: Supine
Purpose: of this test is to determine any hip pathology or degeneration or dysfunction.
Method: Examiner passively flexes knee and hip joint of patient then adducts and provide compression and moves thigh to abduction in arc.
· Trendelenburg Test
Patient position: Standing position
Purpose: Used to assess hip dysfunction and positive test indicates weakness in hip abductors-gluteus medius and minimus
Method: Ask the pt. to flex the leg of affected side and therapist observes that pelvis tilts upward on non-weight bearing side
- Ely`s Test
Patient position: Prone position
Purpose: Used to assess spasticity of rectus femoris
Method: Ask the pt. to flex his knee and if test is positive then hip flexion also occurs with knee flexion
· Thomas Test
Patient position: Prone position
Purpose: Used to assess iliopsoas tightness and other hip flexors flexibility including rectus femoris, pectineus, gracillis and tensor fascia lata.
Method: Ask pt. to bend his leg to chest and observe opposite leg. Test will be positive if opposite leg lifting off the table or if opposite leg abduction occurs it mean there is problem in iliotibial tract.
· Kendall Test
Patient position: Supine position with both legs hanging off the table
Purpose: Used to assess rectus femoris contracture
Method: Ask the pt. to bend his leg to chest and observe the opposite hanging leg if it goes to extension from right angle flexion it means test is positive.
·
Obers Test
Patient position: Side laying position with hip and knee flexion
Purpose: Used to assess tensor fascia lata and iliotibial band tightness
Method: Examiner stabilizes pelvis with one hand and holds the upper leg with other arm and abduct it and brings it into extension then slowly lowers leg to table. Test will be positive if upper leg stays in air and does not fall down to table due to tightness of IT Band.
· Piriformis Test
Patient position: Side laying position
Purpose: Used to assess piriformis syndrome or tightness
Method: Examiner flexes upper leg of pt. while lower leg remains extended and apply downward pressure on knee while opposite hand stabilizing the pelvis. Test will be positive if pain arises in buttock region or radiate to backside of leg.
· Phelps Test
Patient position: Prone position
Purpose: Used to assess gracilis contracture
Method: Examiner adducts pt. legs then ask pt. to flex his knees then further abduct the legs
Further abduction indicates gracilis leg.
· Bend Knee Stretch Test
Patient position: Supine position
Purpose: Used to assess proximal hamstring tightness
Method: Examiner bends the knee of pt. then extends it
· FADDIR Test
Patient position: Supine position
Purpose: To assess hip impingement
Method: Examiner flexes the knee of pt. then adducts it and internally rotate hip. Pain indicates hip impingement.
· Heer Test
Patient position: Supine position with legs hanging off the table
Purpose: Used to assess anterior joint stability or hip microinstability
Method: Ask the pt. to flex unaffected leg and then examiner extends and externally rotates the knee downward. Anterior hip pain reproduction indicates that test is positive.
· Ab Heer Test
Patient position: Side laying position
Purpose: used to assess hip micro instability
Method: Examiner abducts the affected leg then extends and externally rotates it while stabilizes greater trochanter of femur through other hand. Anterior hip pain reproduction indicates that test is positive.
· Prone Instability Test
Patient position: Prone position
Purpose: To assess hip micro instability
Method: Flex the affected leg of pt. and externally rotate it while applying downward pressure on greater trochanter of femur.
