Special tests for HIP

Test Purpose Patient’s Examiner’s manouver Interpretation

position position
Straight Provoke/stretch supine Standing The supine patient’s leg is raised with the knee The test is positive when the angle is
Leg sciatic nerve beside the extended until the patient begins to feel pain and the between 30 degrees and 70 degrees and pain
Raising patient type and distribution of the pain as well as the angle is reproduced down the posterior thigh
of elevation are recorded. below the knee.

Braggard Provoke/stretch supine Standing After a positive straight-leg raise, the leg is dropped reproducing the leg pain
(Ankle sciatic nerve beside the to a nonpainful range, and the ipsilateral ankle is
dorsiflexion patient dorsi flexed
test )

After a positive straight-leg raise, the leg is dropped reproducing the leg pain
Provoke/stretch Supine Standing to a nonpainful range, and the big toes is dorsi
Sicard sciatic nerve beside the flexed
patient

Gaenslen Test for SI joint Supine Standing Flexes the ipsilateral knee and hip against the chest
with the aid of both hands clasped about the flexed The rotating force causes abnormal mobility
beside the accompanied by pain, either local or
knee.This brings the lumbar spine firmly in contact
patient referred on the side of the lesion.
with the table and fixes both the pelvis and lumbar
spine.The patient is then brought well to the side of
the table, and the opposite thigh is slowly
hyperextended with gradually increasing force by
pressure of the examiner’s hand on the top of the
knee. With the opposite hand, the examiner assists
the patient in fixing the lumbar spine and pelvis by
pressure over the patient’s clasped hands.The
 hyperextension of the hip exerts a rotating force on
the corresponding half of the pelvis in the sagittal
plane through the transverse axis of the sacroiliac
joint. The rotating force causes abnormal mobility
accompanied by pain, either local or referred on the
side of the lesion.

Pelvic Test for SI joint Supine Standing The examiner places both hands on the patient’s
Rock beside the anterior superior iliac spine (ASIS) and pressing
downward the hip at the same time
patient reproducing the pelvic pain

the thigh is flexed, abduct the hip, and externally

Patrick / Test for hip Supine Standing rotate. Extension of the leg is achieved with a
FABERE joint beside the downward force by the examiner
(flexi, patient Anterior hip pain is indicative of
abduction, intrarticular or periarticular hip pathology.
external
Posterior hip pain is indicative of a SI joint
rotasi) disorder

Contra Test for hip Supine Standing the thigh is flexed, adduct the hip, and internally
Patrick / joint beside the rotate.
FAIR (flexi, patient
Hip pain
adduction,
internal
rotasi)
To assess hip
flexion Standing
Thomas contracture Supine beside the
patient
Flex one hip maximally, bringing the knee to the
chest
Test for
if a contracture is present, the patient’s leg
contraction of Standing rises off the table.The angle of the
Ober the tensor Sidelying behind the contracture can be measured.
fascia patient Flex the knee to 90, the examiner grasps the ankle
lata/iliotibial lightly with one hand and steadies the patient’s hip
band tightness with the other.The upper leg is abducted widely and
extended so that the thigh is in line with the body. If there is an abduction contracture, the leg
will remain more or less passively abducted.
To
provoke/stretch Standing
Ely femoral nerve Prone beside the
patient Flexes the knee greater than 90 and extend the hip

Pain in the anterior thigh is positive for

To increase
femoral nerve irritation
intrathecal Standing in
Valsava/ pressure Sitting the front of Asking patient to hold their breath and exhale
Millgram down the patient