Hip

Movement Impairment Syndromes according to Sahrmann

1. Femoral Anterior Glide
– Posterior tilt
– Hip extension
Knee hyper extension
– Glute atrophy

2. Femoral Anterior Glide + Medial rotation.
– Posterior tilt
– Hip extension
– Knee hyper extension
– Glute atrophy
Medial rotation

3. Femoral Anterior Glide + Lateral rotation.
– Posterior tilt
– Hip extension
– Knee hyper extension
Lateral rotation

4. Hip Adduction
– Increased hip adduction
– Habit of SLS

5. Hip Adduction + Medial rotation.
– Increased hip adduction
– Habit of SLS
– Medial rotation

6. Femoral Lateral Glide
– Hip adduction
Snapping hip

7. Hip Extension + Knee Extension (Hamstring strain)
– Hip Extension
– Knee hyper extension on heel strike – midstance
Swayback Posture

8. Hip Extension + Medial rotation (Hamstring strain)
– Hip extension
– Hip medial rotation
– Knee hyper extension
– Foot pronation
Biceps femoris hyperactivity (tibfem rotation)
Postural bow legs 

9. Femoral Hypomobility + Superior Glide (Osteoarthritis)
– Glute atrophy
– Anterior tilt
– Hip flexion
– Possible pelvic rotation

10. Femoral Accessory Hypermobility
– Knee hyper extension heel strike – mid stance
– Hypertrophied quads and hams.

11. Hip Lateral Rotation (Shortened piriformis)
– Hip lateral rotation
– LLD
– Sciatica


An introduction to variations of Hip Structures and their implications for movement:

https://www.youtube.com/watch?v=IxAVJkbTf0M&feature=youtu.be

Joint Testing:

Hip Quadrant Test- similar to scour, compression in peripheral movements.

FABER Test

FAIR Test – Sciatic stress via piriformis tension

Sign of the Buttock – Negation of hamstring or sciatic involvement by going from SLR to ‘FLR’

Craig’s Test – Clinical measurement of femoral neck ante version.
Dial Test – To assess for laxity of the anterior hip capsule and iliofemoral ligament.

Fitzgerald’s Test – From flexion/IR/add to extension/ER/abduction –  tests but reversing between postions to look for impingements ant/post.
Hop Test –  fracture testing from stress
Labral Anterior Impingement Test – See Fitz
Labral Posterior Impingement Test – thomas test position – See fitz
Long-Axis Femoral Distraction Test – traction in loose packed position
Noble Compression Test – To assess for contributions of the IT Band to the patient’s symptoms – 30′ flexion arc
Percussion Test – fracture, thump under patients foot
Trendelenburg Test – compensated/uncompensated

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