Purpose: To assess for pathological conditions of hip joint, iliiopsoas spasm, or sacroiliac joint dysfunction.
Patient/Therapist Position: Pt is lying supine, untested leg is lying straight, tested leg is brought into hip flexion, abduction and external rotation by PT.
Procedure: The PT stabilizes contralateral (straight) leg’s ASIS. The PT then tries to passively lower the tested leg to the table. 1
Interpretation: + indication when pain is reproduced with comparable symptoms and/or when the tested leg's knee remains above the leg that is straight out.
*Note- Unaffected side should always be tested first.
Statistics: Sensitivity 82%, Specificity N/A , +LR .46, -LR N/A
Magee, David and Sueki, Derrick. Orthopedic Physical Assessment Atlas and Video: Selected Special Tests and Movements. Musculoskeletal Rehabilitation Series. 2011.
Maslowski E, et. Al. “The diagnostic validity of hip provocation maneuvers to detect intra-articular hip pathology.” American Academy of Physical Medicine and Rehabilitation. Volume 2, Number 3. March 2010. Pgs. 174-181