Reduced hip flexion is common with which tests?
Positive articular tests (e.g.: FADDIR).
What does the Modified Thomas Test assess?
Test muscle length of iliopsoas, rectus femoris & TFL/ITB.
Describe how to conduct the Modified Thomas Test.
- Patient towards the end of the bed, opposite knee is flexed to stabilise lumber spine.
- Should achieve 10° of hip extension (Lx neutral) .
- Flex knee to test rectus femoris and adduct leg to test TFL/ITB.
How do you assess hamstring flexibility in supine?
- Hip at 90 °
- Extend knee.
- Measure distance from full knee extension.
How do you assess hamstring flexibility in sitting?
- Patient sitting in lumbar lordosis (upright), how far can they extend their knee.
- Patient sitting in slump (with cervical flexion), how far can they extend their knee.
(Useful differentiation between hamstring tightness and neural dynamic issue).
Describe FADDIR Test.
- Full knee flexion.
- Flex the hip and then adduct and internally rotate the hip.
(Sensitivity 94%, specificity 8%).
Describe the FABER Test.
- Patient rests their foot on the opposite distal thigh.
- Examiner stabilises pelvis and puts gentle downward pressure on the flexed knee.
- The leg should be horizontal or below.
~ If it is painful confirm the location of pain.
(Sensitivity 82%, specificity 25%.)
What does the FABER Test assess?
- Hip joint
- Anterior hip muscles
- SIJ
What does the FADDIR Test assess?
Hip joint pathology.
Describe the Quadrant/hip scour test.
- Full hip flexion.
- Scoop into adduction and abduction maintaining flexion.
(Sensitive but poor specificity.)
What does the Quadrant/hip scour test assess?
Hip joint pathology.
What are some functional questionnaires for the hip used for outcome measures?
- Hip Outcome Score (HOS).
- Lower Extremity Functional Scale (LEFS).
- Oxford Hip Score.
- WOMAC questionnaire.
- The Copenhagen Hip and Groin Outcome Score (HAGOS).
