Orthopedic test : Hip and pelvic region

Post author:jadepark
Post published:October 5, 2021
Post category:Uncategorized
Post comments:2 Comments

SI joint
1. Anterior gapping test =distraction test= transverse anterior stress test
  - To assess anterior ligaments or SI joint pathology
2. Patrick test=FABER test= figure 4 test
  - To assess anterior ligaments or SI joint pathology
3. Posterior gapping test = sacroiliac compression test =squish test(supine)
  - To check posterior ligaments or SI joint pathology
4. Sacral thrust test
  - To check anterior and posterior ligaments or SI joint pathology
5. Thigh thrust test
  - To check anterior and posterior ligaments or SI joint pathology
6. Gaenslen’s test
  - To check anterior/posterior ligaments or SI joint pathology
7. Yeomen’s test
  - To check anterior/posterior ligaments or SI joint pathology
8. Gillet’s test
  - To assess the mobility of the SI joint
Hip joint
1. Hip quadrant = Scouring test
  - To assess for joint capsule tightness or other pathology at the hip
2. Faber test
3. Gaenslen’s test
Muscle test
1. Gluteus maximus
  - Strength test
2. Gluteus medius & minus
  - Trendelenburg’s test
    1. To assess the strength of the gluteus medius muscle
    3. The Trendelenberg Sign [HD] – YouTube
  - Strength test
    1. To assess Gluteus medius and minus
3. Psoas major and iliacus
  1. FABER test = patrick test = figure 4 test
    1. To assess the hip and psoa muscle, and SI joint
    2. Faber stands for Flexion, ABdunction and External Rotation
    4. IF the affected knee remains above the unaffected knee : hip joint pathology or shortened psoas muscle
    5. It has pain when push the affected knee in a posterior direction : SI joint dysfunction
  2. Thomas test
    1. To assess for hip flexor muscle shortness or contracture (picture B)
    3. To assess rectus femoris(Picture A) : if the knee extends
  3. Strength test for psoas major and iliacus
4. Rectus femoris or Quadriceps femoris
  1. Ely’s test
    1. To aseess for rectus femoris muscle shortness or contracture
  2. Quadriceps strength test
5. Hamstrings
  1. Strength test for hamstrings
    1. To differentiate between a strain of the medial hamstrings(semitendinosus and semimembranosus) and the lateral hamstring(biceps femoris) muscles
    2. medial hamstrings test : rotate femur slightly internally.
    3. lateral hamstring : rotate the femur slightly externally
  2. 90-90 test
    1. To assess hamstrings tightness
6. IT band and TFL
  1. Strength test for TFL
  2. Ober’s test
    1. To assess tightness of IT band and TFL
  3. Nobel’s test
    1. To assess IT band syndrome
7. Lateral rotator and Piriformis
  1. Piriformis length test
    1. To assess the lenght of piriformis
  2. Hibb’s test
    1. To assess strength of piriformis
  3. Piriformis and other lateral rotators strength test
  4. Pace abduction test
    1. To assess the strength of piriformis
8. Adductors
  1. Adductor length test
    1. To assess the length of the adductors
    2. supine, place the plantar surface of the client’s foot of the affected side on the medial aspect of the knee of the uninvolved side. the affected hip is now abducted, flexed and externally rotated, and the knee is flexed.
    3. stablize the unaffected anterior superior iliac spine with one hand
    4. with the other hand, apply posterolaterally directed pressure at the medial aspect of the affected knee.
  2. Hip adductor strength test
    1. supine, or side lying
    2. Adductor longus : place the femur in a neutral position, flex the hip, then apply pressure in the direction of abduction
    3. Pectineus : rotate the femur internally, flex the hip, then apply pressure in the direction of abduction
    4. Adductor magnus : rotate the femur externally, flex the hip, then apply pressure in the direction of abduction