Table 2.
Special Tests for Ruling out Lumbar Spine and Pelvic Girdle Contributions to Hip pain.
Special Test | Performance | Positive Result |
---|---|---|
Lumbar Spine Radiculopathy | ||
Repeated Motion | The athlete is standing (loaded spine) or prone/supine (unloaded spine). Athlete is asked to perform repeated flexion and extension motions of the lumbar spine. May also require repeated side‐bending. | Repeated motion in one direction causes pain to centralize (move to the center of the spine) and repeated motion in another direction causes pain to peripheralize (move further down the involved leg). |
Straight Leg Raise Test | The athlete is supine with legs relaxed. Clinician passively flexes, slightly adducts and internally rotates leg to be assessed while maintaining knee in extension. | Reproduction of athlete's concordant pain that is relieved by decreasing hip flexion, but then increased by passive head/neck flexion |
Lumbar Spine Facet Joint Dysfunction | ||
Seated Extension‐Rotation | The athlete is seated as clinician stabilizes their sacrum as athlete moves into end‐range lumbar spine extension and rotation. If no pain, clinician can provide overpressure into further extension and rotation motion. | Reproduction of athlete's concordant pain either with active motion or passive overpressure. |
SI Joint Dysfunction | ||
Thigh Thrust Test | The clinician places their caudal hand under the sacrum of the supine athlete and flexes the side to be assessed to 90° hip flexion. The clinician provides longitudinal load force through the femur for up to 30 seconds; if no pain 3‐5 thrusts can be implemented. | Reproduction of athlete's concordant pain either with longitudinal overpressure load or thrust(s). |