Orthopedic Tests: Hip and Pelvis

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Orthopedic Tests: Hip and Pelvis
2014-05-12 22:41:53
UCMT MBP Massage

Orthopedic tests for the hip and pelvis
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  1. Anterior and Posterior Innominate Rotation Test
    • Explanation: check for anterior and posterior pelvic tilt (compare ASIS and PSIS)
    • Tests: pelvic rotation
  2. Modified Thomas Test
    • Explanation: client leans on table without fully sitting, brings opposite knee to chest and rolls back onto table.
    • Tests: hypertonicity of the iliopsoas

    • horizontal or above=hypertonicity
    • below horizontal=normal parameters of flexibility
  3. Lateral Pelvic Tilt Test
    • Explanation: compare the top of iliac crests or the ASISs
    • Tests: lateral pelvic tilt
  4. Supine-to-Sit Test
    • Explanation: With client supine on table the practitioner grasps the client's ankles and provides a slight traction on both legs to make sure they are fully extended.  The practitioner then examines the position of the client's medial malleoli in relation to one another.  The client is then asked to sit up and the medial malleoli are again compared.  If the malleoli are uneven suspect lateral pelvic tilt.
    • Tests: lateral pelvic tilt
  5. Piriformis Test (FAIR)
    • Explanation: With the client lying on the unaffected side and close to edge of table so the upper leg can be dropped past edge of table, the practitioner brings the client's hip into at least 60o of flexion and then into full adduction with the knee flexed.
    • Tests: piriformis syndrome
  6. Pace Abduction Test
    • Explanation: With the client seated on edge of table with hips partially abducted the practitioner places each hand on the lateral sides of the client's knees.  The client is instructed to hold this position while the practitioner attempts to press the client's knees together.
    • Tests: piriformis syndrome
  7. Gapping (Distraction) Test
    • Explanation: The client is supine on the table and the practitioner places the flat aspect of each palm on the client's ASISs.  A moderate amount of pressure is applied in a posterior and lateral direction (down and out)
    • Tests: anterior sacroiliac ligaments and joint surface
  8. Thigh Thrust Test
    • Explanation: The client is supine on table, hip is brought to 90o of flexion.  The practitioner then applies a posterior force to the SI joint by pressing down toward the table.  Pressure is increase gradually until moderate force is reached.
    • Tests: posterior sacroiliac ligament and SI joint surface
  9. Compression Test
    • Explanation: With the client in side-lying on table the practitioner places both hands on the lateral sides of the client's pelvis over the upper iliac crest.  Moderate pressure is gradually applied directly down toward table.  Pressure is held for a few moments to identify client's pain.
    • Tests: sacrospinous ligament, sacrotuberous ligament, and joint surface
  10. Gaenslen's Test
    • Explanation: The client lies on the side opposite being tested and brings the thigh closest to the table into full flexion near the chest.  The practitioner uses one hand to stabilize the pelvis and the other hand to bring the upper leg into full hyperextension.  Repeat on other side to compare symptoms.
    • Tests: Specific test for joint surface
  11. FABER (Patrick's) Test
    • Explanation: With client is supine on table the hip on the affected side is brought into flexion, abduction, and external rotation with the knee flexed and the foot resting on opposite distal thigh.  The practitioner places one hand on the medial side of the client's knee and the other on the opposite ASIS.  A slight amount of pressure is applied to the knee on the test side so the thigh is pushed away from the opposite side ASIS.
    • Tests: joint capsule, joint surface, anterior sacroiliac ligament, and posterior labrum