Scour test
- used to detect DJD
- positive test with pain or apprehension within the hip, knee, or elsewere that is the pts main complaint
FABER
- used to identify hip mobility restrictions
- positive if pt is unable to assume relaxed position and or reproduction of painful symptoms.
FADIR
- used to identify labral lesions such as anterior-superior acetabular impingement, iliopsoas tendinopathy, and anterior labral tears.
- positive with reproduction of groin pain (with or without click)
pt and PT position for scours test
pt is supine with hip flexed to 90 and maximal knee flexion
PT applies a compressive force to the femur followed by sweeping and compression through IR and ER
pt and PT position for FABER
pt is supine passively flexed, abducted, and ER so that the leg is in a figure 4 position
PT stabilizes the contralateral hip and applies downward pressure to distal femur.
pt and PT position for FADIR
pt supine
PT takes the involved LE from full passive hip flexion, abduction, and ER to flexion, adduction, and IR position.
posterior labral tear test
- used to identify posterior labral tear, posterior inferior impingement, and anterior labral instability
- positive with groin pain, apprehension, reproduction of posterior hip symptoms.
pt and PT postion for posterior labral tear test
pt in supine.
PT passively move from full flexion, adduction, and IR to flexion, abduction, and ER
thomas test
- used to identify tight hip flexors, rectus femoris, and IT band
- positive if the straight lower leg flexes and or the pt is unable to remain flat on the table when the other is flexed
pt position for thomas test
pt is in supine with one leg maximally flexed to the chest and the other leg is off the edge of the table.
obers test
- used to identify tightness of the TFL/ITB
- positive if the uppermost limb remains above the horizontal
pt and PT position for the obers test
pt sidelying with lower leg flexed at the hip and knee.
PT passively extends and abduct the hip with knee flexed to 90 and slowly lower the limb toward the table
ely test
- used to identify tightness of the rectus femoris
- positive if the ipsilateral hip flexes
pt and PT position for ely test
pt prone
PT passively flex the knee
90/90 hamstring test
- used to identify tight hamstrings
- positive if the knee lacks 10 degrees or more of knee extension
pt and PT position for the 90/90 hamstring test
pt in supine with hip and knee supported in 90 degrees of flexion
PT passively moves the knee toward extension
FAIR test
- used to test for piriformis syndrome
- positive at the intersection of the piriformis and sciatic nerve
pt and PT position of the FAIR test
pt is sidelying involved side up with the pelvis level
PT move the pt into 90 degrees of hip flexion, maximal adduction, and IR to 45 degrees
trandelenburg sign
- identifies weak glut med
- positive with ipsilateral hip drop in SLS
Sign of buttock
- indicates a lesion in the area of the posterior axis of hip flexion and hip extension.
- passive hip flexion less then or equal to SLR
- refer out to physician
patellar pubic test
- used to test for a hip fx
- positive with decreases percussion noted on painful side compared to uninvolved side.
pt and PT position for patellar pubic test
- pt in supine
- PT taps each of the patella separately while auscultating the pubic synthesis with a stethoscope
fulcrum test
- identify femoral shaft fx
- positive with symptom reproduction, sharp pain and apprehesion
pt and PT postion for fulcrum test
pt seated
PT squatting next to the side that is to be tested. place forearm under involved leg on the distal femur, if symptoms are not reproduced move the forearm proximally.
