Thomas Test

• Active

• Tests for hip flexor injury and flexibility

• Technique

  • Patient supine on examination table with buttocks at the edge of the end of the table

  • Patient hugs both knees into chest

  • Continuing to grasp the affected extremity knee, the unaffected leg is slowly extended fully

  • Continuing to grasp the unaffected extremity knee, the affected leg is slowly extended​

  • A positive result occurs when the maneuver elicits symptoms/pain in the anterior hip/thigh, or the thigh does not parallel or extend beyond parallel, when assessing for flexibility 

  • A negative result is when there is no pain with the maneuver, when evaluating for injury, or the thigh extends past parallel when assessing for flexibility

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Trendelenburg Test

• Active

• Tests for gluteus medius weakness

• Technique

  • Patient standing

  • The unaffected hip and knee are actively flexed, leaving the patient standing on the affected leg

  • A positive test occurs when the unaffected hip drops and the affected hip juts out or the patient leans to the unaffected side

  • A negative result occurs when the patient is able to stand on the affected leg and the hips stay parallel and the body straight upright

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Ober Test

• Passive

• Tests for iliotibial band syndrome/flexibility

• Technique

  • Patient side-lying facing away from the examiner with the affected extremity up, with knees bent

  • Examiner grasps the affected leg knee and ankle, and slowly flexes the hip, abducts and extends the hip in a fluid motion, while stabilizing the patient's hip with your hip, preventing it from rolling back 

  • A positive result occurs when the maneuver elicits symptoms/pain along the lateral hip/thigh, or the thigh does not drop to the level of the opposite knee

  • A negative result is when there is no pain with the maneuver, when evaluating for injury, or the thigh drops to the level of the opposite knee

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FABER Test

• Passive

• Tests for labral tear, femora-acetabular impingement, sacroiliac joint dysfunction

• Technique

  • Patient supine affected hip Flexed, ABducted, Externally Rotated.  Essentially, affected leg ankle crossed over the unaffected at the knee creating a "figure 4"

  • Examiner presses one hand on the flexed knee and pressing downward, while the other presses the pelvis att the opposite ASIS

  • A positive result occurs when the maneuver elicits symptoms/pain in the hip or SI joint

  • A negative result is when there is no pain with the maneuver

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Stinchfield Test

• Active

• Tests for intra-articular hip pathology (osteoarthritis, labral tear, etc.)

• Technique

  • Patient supine and performs an active straight leg raise with the affected leg

  • Examiner presses down on the leg when it is raised

  • A positive result occurs when the maneuver elicits symptoms/pain in the hip

  • A negative result is when there is no pain with the maneuver

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"C" sign

• When a patient describes the location of his/her hip pain by grasping the hip with the thumb and finger forming "C" 

• Has correlation with labral tear/femoro-acetabular impingement

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