Resisted Abduction Test
Other Names
- Passive Adduction With Resisted Abduction
- Resisted Hip Abduction Test
Purpose
- Help distinguish pain originating from Sacroiliac Joint from Hip Joint
Description
- The patient is supine
- The affected leg is passively abducted about 30-45°, slight flexion in the knee
- The patient is then asked to abduct against resistance from the examiner
- Positive Test:
- Pain will localizing to lower back suggests sacroiliac joint
Modified Version
- Can also adduct limb and have them abduct from this position
Pathology
- Hip Joint
- Sacroiliac Joint Pain
- Greater Trochanteric Pain Syndrome
- Gluteus Medius Tear
Evidence
- Broadhurst et al: When FABER Test, Resisted Abduction Test and Posterior Shear Test used in combination[1]
- Sensitivity: 77-87%
- Specificity: 100%
Gluteus Medius Tear
- Ortiz-Declet et al looking at Gluteus Medius Tears[2]
- Sensitivity: 73%
- Specificity: 87%
- PPV: 83%
- NPV: 78%
- Diagnostic Accuracy: 80%
Greater Trochanteric Pain Syndrome
- Kinsella et al: Systematic Review, Meta Analysis[3]
- Sensitivity: 59%
- Specificity: 90%
- LR+: 6:09
- LR-: 0.45
- Diagnostic OR: 13.39
See Also
References
- ↑ Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J. Spinal Disord. 11(4), 341-345 (1998).
- ↑ Ortiz-Declet, Victor, et al. "Diagnostic accuracy of a new clinical test (resisted internal rotation) for detection of gluteus medius tears." Journal of Hip Preservation Surgery 6.4 (2019): 398-405.
- ↑ Kinsella, Rita, et al. "Diagnostic accuracy of clinical tests for assessing greater trochanteric pain syndrome: a systematic review with meta-analysis." Journal of Orthopaedic & Sports Physical Therapy 54.1 (2024): 26-49.
Created by:
John Kiel on 8 August 2019 23:36:47
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Last edited:
10 August 2024 13:48:57
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