Stinchfield Test
|
Examination type |
Ligamentous and boney stability
|
Patient & Body Segment Positioning |
The patient lies
supine on the examination table with both his hip, knee, and
ankle joints in their neutral positions.
|
Examiner Position |
The examiner
should be positioned on the side of the table beside the
patients injured hip. |
Tissues
Being Tested |
The test the
femurs integrity. The will also test the strength and
flexibility of the hip extensors and the integrity of their
tendons. |
Performing the Test |
The patient
flexes his hip with his knee straight and hip in 30 degrees of
flexion first against gravity then with the examiner applying
resistance. The examiner could also perform the test passively. |
Positive Test |
If groin or
thigh pain is elicited during either of the exercises the test
is positive. The test performed passively could elicit pain in
the sacroiliac region. |
Interpretation |
A positive test
could possibly indicates that there is a fracture to the
proximal femur. Iliopsoas tendonitis or abscess can also be
found in a positive test. |
Common errors in
performing exam |
Improper
positioning of the patient. The examiner positioning could also
be incorrect. Misinterpretation of where the pain is felt could
also mislead the examiner in his findings |
Factors possibly
resulting in misinterpretation |
Patients
own tolerance of pain. Muscular inflexibility of the hamstring
muscle group. Muscular strength in the quad muscle group may be
insufficient to lift the leg. This is when age could become a
factor. |
Related tests |
Straight Leg
Raise Test, Thomas Test |
References |
Hoppenfeld Physical Examination of the Spine &
Extremities, Athletic In jury Assessment Fourth Edition. |
Links: |
http://www.orthoassociates.com/hipfx.htm,
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