SPECIAL TEST FOR HIP AND PELVIS CONDITIONS

NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

Neurological Involvement

Supine (+) Pain before 70°

→ Neurological
Straight Leg - Both hands sa paa You just passively Problem
Raising (heel & dorsum of raise the affected leg (+) Pain beyond 70°
(Lasè gue’s) Test the foot) with knee extended → Musculo
(Lumbar or SI jt
Pathology)

(+) Pain before 70°

- Foot Passively raise the → SI joint problem
Bilateral Straight Supine legs with knee
Leg Raising - posterior lower extended (+) Pain beyond
leg 70° → Lumbar
Problems

1st: Instruct the pt to (+) pag sa

raise the leg pangalawa nawala
yung pain and
2nd: Put a increase movement
compression force to → SI joint problem
the pelvis & instruct
Supine Active Supine 1st: Wala to raise again Yung 3rd pag
Straight Leg nagawa or nag
Raise Test 2nd: Pelvis 3rd (Optional - raise iimprove yung pag
leg with trunk raise ng leg, it
rotation or curls up, means pt will be
ex. Raise left leg responsive on
rotate the trunk rehabilitation
towards the left) (Muscle Contracting
- Improving)

1st: Wala 1st Instruct the pt to

2nd: Pelvis hyperextend the leg (+) Decrease pain &
(3rd - Raise the (raise) Increase Motion
Active Prone Hip Prone contralateral arm when you apply
Extension Test then PT resist it - 2nd: Put compression compression→ SI
indication same sa force in the pelvis & joint problem
supine) instruct to extend
again

SI Ligaments Involvement

Gapping - both hand sa ASIS Just put compression

(Transverse (hawak sa pelvis to the ASIS (+) Pag bumubuka
Anterior Stress muna then palpate ng malaki & with
or Distraction Supine anteriorly until (Yung hand ng PT pain → Anterior SI
Provocation) you feel the pwedeng pa X or ligament problem
Test patusok) normal lang)

♥ krnnlvc ♥
 NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

(+) Movement to SI
Sacroiliac Just passively lex the joint → Laxity
Rocking Supine - both hand nasa knee & hip then
(Knee-to-Shoulder) knee adduct (+) Pain → SI
Test problem

Standing & knee (+) Pain at the back

lex Just instruct the → SI joint problem
Flamingo Test or patient to stand on
(+) Pain sa puson
Maneuver Note: Kung saan Observation one leg na naka lex
(anterior) →
yung masakit or yung knee
Symphysis Pubis
affected ayun yung
problem
pang tayo

Side-lying or supine Side-lying Side-lying: after the pt (+) Pain at the back
(pili ka) - iliac crest hold the unaffected, → SI joint problem
- leg (just below hold the iliac crest then
(+) Pain at groin →
Note: Tested or the knee) leg to pull to
Hip problem
Affected leg on top hyperextend
Gaenslen’s Test Supine: Leg (knee to (+) Paresthesia,
Patient hold the Supine chest) another leh Tingling or
unaffected side
- observation nakalawit (affected) sa Numbness at
(knee to chest) for
table, then just push anterior thigh → L4
stabilization (ant.
the leg to nerve problem
Knee ang hawak)
hyperextension

Standing (+) Pag yung side na

Instruct the patient to
- Both hand sa PSIS SI joint ay minimal
bring knee up towards
Gillet Test Note: Yung naka (Palpate the pelvis ang galawan
the chest, while
knee to chest ang then just move compared sa kabila
palpating the PSIS then
affected or tinetest posteriorly onti) and with pain →
compare the left n
Both side gawin Hypermobile
right
yung test! ??????

(+) Pain at the back

- Pelvis (for Ipa dequatro si → SI joint problem
stabilization) patient then
Patrick Test Supine Just push down the (+) No pain but
- Knee (for knee towards the bed can’t push down the
maneuver) knee → Muscle
spasm - iliopsoas

1st when you palpate

the PSIS the the lower (+) Pag tumaas
Piedallu’s Sign Sitting - Palpate the PSIS one is the painful then yung side na
ask the patient to mababa kanina →
bend forward SI joint problem

Supine → Sitting - Foot ( thumb mo 1st: From the knee

(+) Long in supine
nasa med.malleoli) lex, ideretso mo yung
shorter in shitting
knee, then check
Before the test Note: To know kung → Anterior
length of malleoli
Perform bridging mahaba or maikli innominate
Supine-to-Sit
maneuver (supine, mag base kung saan syndrome
(Long Sitting) 2nd: Instruct the pt to
instruct the pt to yung masakit, pain (+) Shorter in
Test sit then check the
bend knee while on right then supine, longer in
you hold the foot compare it to left so malleoli again
sitting → Posterior
then itaas yung you can determine if Innominate
pelvis at ibaba lang it is long or short syndrome
- to reset the pelvis AILSSUP | PISSUP

♥ krnnlvc ♥
 NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

(+) Pain at the back

- knee → SI joint pathology
Yeoman’s Test Prone Just lex the knee then (+) Tusok tusok or
- malleolus hyperextend the hip numbness anteriorly
→ Femoral nerve
stretch

Other Test

(+) Pain to 1st &

1st: Passively lex the 2nd test →
hip with knee Ischiogluteal
- foot extended (limited hip Bursitis
Sign of the Supine lexion go to 2nd)
Buttock Test - lower leg (+) Hip lexion
2nd: Passively lex the increase when knee
hip with knee lex is lex → Lumbar
or Hip problem

Observation (+) Yung

nakatayong side if
Note: pag naka tayo Just instruct the bumagsak yung
Trendelenburg Standing ang right leg patient to stand on opposite → Gluteus
Test or Sign bumagsak ang left one leg Medius Weakness
pelvis ang problem
ay sa right

For Hip Pathology

Just palpate the ASIS (+) If may nawala

Bryant’s → Greater trochanter or di naka buo ng
Supine Palpation
Triangle (then imaginary line triangle → Possible
to the ground) fracture

Once palpated check

Prone, nakalawit the greater trochanter Adult: 8-15°
yung knee sa - Palpate Greater if balance, (normal)
Craig’s Test treatment table, trochanter (how? If paling yung lower
then ipa bend yung Perform to RI & ER, leg get gonio (+) Greater than 15°
knee na itetest patusok siya) F- midpoint of patella → Anteversion of
PA/SA - ⊥ to the loor hip
DA/MA - tibial crest

(+) Excessive
Passively lex → movement → SCFE
Drehmann Sign Supine - knee abduct then external
- distal lower leg rotate the hip (need further
diagnostic imaging
to con irm)

Just adduct → lex (+) Pain inside the

- both hand nasa then abduct the hip joint, parang may
Hip Scour Test Supine knee (parang iniikot mo) nagkikiskisan →
Arthritis

♥ krnnlvc ♥
 NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

(+) Pain or limited →

Just external rotate Arthritis
and internal rotate the (+) Clicking sound →
Log Roll Supine, knee - distal lower leg hip Labral Tear
(Passive Supine extended
- knee (+) Excessive
Rotation) Test (do this on both side External rotation →
ha) Laxity of
Iliofemoral lig

Patrick Test Same lang doon sa taas na ulit lang

For Hip Impingement

Anteroposterior Supine - posterior ng knee Just passively (+) Pain → Hip

Impingement Starting position: internal rotate and Dysplasia
Test Hip lex at 90° - foot adduct the hip (Anteroposterior
impingement)

Supine with the leg

dangling at the
Posteroinferior edge of the bed - knee Just passively (+) Pain →
Impingement extended and external Posteroinferior
Hawak ni pt yung
Test - distal lower leg rotate the hip impingement
(untested or
unaffected leg for
stabilization)

For Hip Labral Lesion

Supine
- knee Just passively extend, (+) Clicking & Pain
Anterior Labral Starting Position: adduct, Internal rot → Anterior Labral
Tear Test FABER ( lex, abd, - distal lower leg (EXADIR) Tear
ext rot)

Supine
- knee Just passively extend, (+) Clicking & Pain
Posterior Labral Starting position: abduct and external → Posterior
Tear FADIR ( lex, abd, - distal lower leg rot (EXABER) Labral Tear
int rot)

For Femoral Neck Stress Fracture

- hold the toes (+) Pain at groin →

Heel Strike Test Supine Just strike the heel fracture on
- pomelo yung (paluuin lang talaga) femoral neck

- put the
Supine stethoscope sa Tap mo lang yung (+) Kung saan yung
Patellar-Pubic symphysis pubis patella on both side mahina ang tunog →
Percussion Sign (we need steth) ha fracture sa femur
- pang tap

♥ krnnlvc ♥
 NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

For Pediatric Patient

Supine
Ortolani Test / - thumb sa knee, (+) Click and may
Relocatable Test This 2 ST is for middle inger sa Pull and in of the hip pumasok → Hip is
DDH greater trochanter dislocated
(Developmental
Dysplasia of Hip or
CHD - Congenital - thumb sa knee,
Barlow Test / Hip Dysplasia) middle inger sa Down and out the hip (+) Click sound and
Dislocatable greater trochanter may lumabas → hip
Test Note: For infant is dislocated

Supine Just knee lex and hip (+) Kung sino

Galeazzi / Allis lex at 90° then just maikli → Hip
Test For 3-18 months Observation observe kung ano ang Dislocation
mas mababang tuhod

Telescoping Sign
(Piston or Supine with hip Push down and up (+) Pag bumaba at
Dupuytren’s and knee lex - leg of the child lang yung leg bumalik → Hip
Test) Dislocation

For Leg Length

Supine Ocular inspection Front View - Height

Measurement of tibia
Do the bridging Pag ka reset ng pelvis
maneuver (supine, 1st: iliac crest → Lateral View -
check kung may Height of the femur
Weber-Barstow instruct the pt to greater trochanter→ maikli, then ipatiklop
bend knee while Lateral femoral Measurement???
Maneuver condyle (lateral
ulit yung knee then
you hold the foot
knee joint), from look sa harap and 1st: C. Vara or Valga
then itaas yung
pelvis at ibaba lang medial knee joint → gilid 2nd: Femur
- to reset the pelvis medial malleolus 3rd: Tibia

For Muscle Tightness Pathology

(+) Less than 90° →

Abduction Supine Observation You level or balance Adduction
Contracture Test the pelvis of the pt contracture
and imagine straight
line to see if you can
Observation form 90° (+) Greater than 90°
Adduction Supine → Abduction
Contracture Test contracture

- make a ist then

Adductor put it between the Instruct the patient to (+) Pain at groin →
Squeeze Test Supine knee of pt bend the knee and adductor
(Fist Squeeze squeeze your ist tendinitis or
Test) possible mild tear

Note: (+) Pain sa may

Beatty’s Test or Mm: piriformis Instruct the pt to pwetan → problem
Maneuver Side-lying strain abduct the leg and to piriformis
Neurological - Sciatic hold it for 10 seconds (strain)
nerve affectation

♥ krnnlvc ♥
 NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

- knee Just passively (+) Pain sa may

Freiberg’s Supine perform internal pwetan →
Maneuver - distal lower leg rotation with knee Piriformis strain
extended
(+) Tingling,
paresthesia or
Pace’s (Pace and - lateral aspect of Instruct the patient to numbness →
Nagle) Maneuver Sitting knee abduct then you just Sciatic affectation
resist it (Piriformis
syndrome)

Side-lying, top leg - Pelvis (to Just push down the (+) Paresthesia,
neka lex ang hip at stabilize) knee toward the tingling → Sciatic
Piriformis Test knee (Parang letter ground (yung knee ni nerve damage
P) - Knee pt nakalawit dapat sa (Piriformis
table) syndrome)

(+) Umangat yung

opposite leg →
Instruct the patient to Iliopsoas tightness
Thomas Test Supine Observe sa HIP bring the knee to
chest (YUNG (+) Pag nag abduct
NORMAL) → Tightness of
Iliotibial band

Supine with knee Instruct the patient to (+) Pag umangat sa

Modi ied lex at the edge of Observe sa HIP pull the knee towards bed yung opposite
Thomas Test the bed the chest (yung hip → Iliopsoas
normal) tightness

(+) Pag nag extend

or guumalaw yung
Supine with knee Instruct the patient to opposite leg →
Kendall Test lex at the edge of Observe sa KNEE pull the knee towards Tightness of
the bed the chest RECTUS FEMORIS

(+) Pag umangat

yung hip (kung saan
Ely’s Test Prone - distal lower leg Just passively lex the ka nag test) →
knee Tightness of
rectus femoris

Sitting Instruct the patient sit

Hamstring with knee lex against (+) Hindi nagawa →
Contracture Test Note: Wag the knee then ask the Tightness of
(Method 2) ipapagawa if the pt Observation patient to reach the hamstring
is endomorph toes with LE extended

90-90 Straight Supine with 90° Landmark of gonio: Instruct the patient to (+) Pag hindi
Leg Raising Test knee and hip lex F - Lateral condyle extend the knee while diretso or kinapos
(Hamstrings SA/PA - Greater naka hip lex (measure) greater
Contracture, trochanter than 20° →
Method 1) MA/DA - Lateral Hamstring tightness
malleoli

♥ krnnlvc ♥
 NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

Instruct the patient to

Hip Lag Sign Side lying - pelvis for abduct and hold the (+) Pag bumaba →
stabilization position for 10 Gluteus medius
seconds tear

Just pull the knee (+) Pag nagulat at

Tripod Test Sitting with hands - distal lower leg toward extension napatalikod yung
on the lap back → Tightness
of hamstring

1st: Instruct the (+) Increase abd

patient na bumukaka with knee lex →
then if limited do 2nd Gracilis tightness
Phelp’s Test Prone Observation
2nd: Flex the knee to (+) No increase abd
90 °then ipabukaka ROM w/ knee lex→
ulit all adductors are
tight

Just instruct the

“Taking off the patient to remove (+) Pain while
Shoe” Test Standing Observation his/her shoes yung doing this → Biceps
pang tamad way Femoris Tear

Give compression sa
Noble lat knee then instruct
Compression Supine with knees - lateral aspect of the pt extend the knee (+) Pain → ITB
Test bend at 90° the knee while u give Friction syndrome
compression

(+) Pag naka angat

Side lying, hip and - Iliac crest (for parin → Tight ITB
knee lex ng onti stabilization) Passively abduct and (iliotibial Band)
Ober’s Test (yung hindi extend the hip then let
itetest) - for - Lower leg go Pag bumagsak
stabilization normal

Other Special Test

Standing shempre Instruct the patient to More than 24

Note: Start ang stand up then punta seconds → High
Timed “Up and timer pag go mo Put chair then cone sa cone at umikot don risk matumba
Go” Test or TUG then stop the timer sa dulo (3 meters then balik sa upuan
Test pag dumikit na or 9.8 feet away) ng pinakamabilis na Less than 24
likod ni pt sa kaya niya seconds - low risk
upuan matumba

♥ krnnlvc ♥
 STRAIGHT LEG RAISING TEST AND ITS MODIFICATION

SLR 1 SLR 2 SLR 3 SLR 4 SLR 5 (Cross Well Leg)

Hip Flexion & Adduction Flexion Flexion Flexion & Medial Rot Flexion

Knee Extension Extension Extension Extension Extension

Ankle Dorsi lexion Dorsi lexion Dorsi lexion Plantar lexion Dorsi lexion

Foot Eversion Inversion Inversion

Toes Extension

Nerve na stretch Sciatic Nerve* Tibial Nerve Sural Nerve Common Peroneal Nerve Root (Disc
Nerve Prolapse)

Loc. of the nerve Posterior thigh Posterior leg pa Cutaneous nerve for Branch ni sciatic → Contralateral (unaffected
continuation is the medial → tarsal postero-lateral hip deep (front) & or well ayun yun
Tibial nerve going sa foot nerve super icial (lateral) gagalawin)
(lumala ang numbness
SLR 1 - 4 → Test to ipsilateral (kung ano yung affected ayon gagalawin) sa affected side → (+)
nerve root affectation or
Note: Pag masakit na wag ituloy! Pag umabot sa paa and di pa masakit do head lexion secondary to
Pt’s c/c here - tusok tusok, numbness, paresthesia HERNIATED NUCLEUS
PULPOSUS (problem sa
lumbar spine)

♥ krnnlvc ♥