Current hip examination tests for femoroacetabular impingement (FAI) or hip instability are passive tests done by the examiner and may not reproduce activity-related symptoms. Therefore, Ranawat et al. (2017 proposed the foot progression angle walking test. In their diagnostic study, the test was evaluated alongside the FADIR test for FAI and FABER test for hip instability and yielded a sensitivity of 61 % and specificity of 56% in the assessment of FAI as well as a sensitivity of 67% and specificity of 70% for hip instability, that translates to rather poor likelihood ratios and which is why until further validation occurs we also attribute a weak clinical value to this test.
To conduct the test the patient is asked to walk as they normally do so with a neutral foot angle. Then the patient is instructed to perform internal foot progression angle walking, so the leg is internally rotated. This to about 15° from their neutral gait.
This is followed by subsequent external foot progression angle walking.
The test is positive if pain is elicited with increased foot progression angle or if baseline pain is exacerbated.
This dynamic assessment aims to reproduce or exacerbate symptoms by gait manipulation. Using FPAW, foot progression is modified by internal or external rotation, which translates to directed forces across the hip that modify or exacerbate symptoms. The abutment of the head-neck junction with internal rotation would presumably be linked to symptomatic gait in patients with FAI, which coincided with their finding of a positive internal FPAW in the study group confirmed to have FAI morphology. In contrast, patients with symptomatic hip instability exhibited a positive test with external FPAW, which may reproduce instability or symptoms of under coverage.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common orthopedic tests to assess for FAI and/or labrum tears of the hip are:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
This content is for members
Create your free account to gain access to this exclusive content and more!
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.