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Hip Orthopaedic Test: Hip Quadrant Test

orthopaedic tests May 31, 2023
 

The Hip Quadrant Test is a physical examination test used to assess hip joint mobility and identify any restrictions in the hip joint's range of motion. 

Here is a step-by-step procedure for performing the Hip Quadrant Test:

  1. The patient should lie down on their back on an examination table or firm surface.
  2. The examiner stands at the foot of the table, facing the patient's feet.
  3. The patient's knee and hip on the side being tested should be flexed to 90 degrees.
  4. The examiner should place one hand on the patient's ankle and the other hand on the knee of the same leg.
  5. The examiner should gently rotate the hip inwards and outwards while maintaining the 90-degree flexion of the hip and knee.
  6. The examiner should feel for any resistance or restrictions in the hip joint's range of motion during this movement.
  7. The examiner should also observe the patient's face for any signs of pain or discomfort during the test.
  8. The same procedure should be repeated on the other side of the patient's body if necessary.

There is no specific "normal" result for this test, as the amount of hip joint motion can vary widely between individuals. However, if the test reveals significant resistance or restriction in hip joint motion, this may indicate the presence of hip joint pathology or dysfunction.

 

References:

  1. Reiman, M. P., & Thorborg, K. (2015). The diagnostic accuracy of clinical tests for hip labral pathology: a systematic review. Journal of Orthopaedic & Sports Physical Therapy, 45(10), 772-785. doi: 10.2519/jospt.2015.5882
  2. Qin, L., Huang, L., Cheng, W., Liang, Q., Zhang, Z., Wang, Y., & Zong, S. (2018). Hip Joint Mobilization: A Systematic Review and Meta-analysis. Journal of Manipulative and Physiological Therapeutics, 41(6), 527-537. doi: 10.1016/j.jmpt.2018.02.006
  3. Crossley, K. M., Vicenzino, B., & Pandy, M. G. (2002). Hip Joint Anatomy and Examination: A Review of the Literature. FP Essentials, 305, 28-37. PMID: 12201550
  4. Zein-Hammoud, A., & Standley, R. (2016). Hip Joint Mobilization: A Review of the Literature. International Journal of Therapeutic Massage & Bodywork, 9(4), 13-20. doi: 10.3822/ijtmb.v9i4.352
  5. Magee, D. J. (2014). Orthopedic Physical Assessment (6th ed.). Elsevier.

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