Hip Assessment
Physiotherapy · Subjective & Objective Examination
HIP
RightLeft
RightLeftBilat
1
Presentation & Red Flags
Red flags — screen & tick
Urgent review if any of:
No red flagsPain in the saddle areaSaddle tendernessUrinary or faecal incontinenceSignificant muscle lossSigns of infectionInability to walk
2
History
3
Pain
Mark pain location, type & radiation
No pain
Worst
0
1
2
3
4
5
6
7
8
9
10
Morning
Afternoon
Evening
Night
Plot key events along the line — injury, flare-ups, treatments, return to activity, milestones.
4
Lifestyle & Context
Sleep
Diet
Smoking
Alcohol
5
Clinical Reasoning Framework
Characterise the presentation — circle / annotate the relevant descriptors on each strip.
Diagnosis
Stage of disorder
Pain features
6
Flags & Whole-Person Considerations
7
Goals
8
Objective — Hip
Range of motion (A = Active P = Passive — note both if different)
| Movement | Right | Left | Norm / Notes |
|---|---|---|---|
| Flexion | |||
| Extension | |||
| Rotation (int / ext) | |||
| Quadrant — internal | |||
| Quadrant — external | |||
| Abduction | |||
| Adduction |
Strength record per movement
| Load (kg) | |
| Movement | |
| Patient position | |
| Angle / joint | |
| Result | |
| Laterality |
Neurovascular screen
Notes
Special tests — hip
| Special test | Right | Left | Finding / Notes |
|---|---|---|---|
| Thomas modified test | |||
| FABER | |||
| FADIR | |||
| Fulcrum test | |||
| Squeeze test | |||
| Straight leg raise (SLR) | |||
| HEER test hip extension, external rotation |
Sacroiliac joint
| Special test | Right | Left | Finding / Notes |
|---|---|---|---|
| Fortin finger test pain over SIJ | |||
| Heel drop test unilat. painful side |
Laslett's cluster — ≥ 2 of 4 positive implicates the SIJ
| Provocation test | Right | Left | + / − |
|---|---|---|---|
| Distraction | |||
| Thigh thrust | |||
| Compression | |||
| Sacral thrust |
Palpation (suggested points — adjust as needed)
Tick tender / relevant structures
Greater trochanterIschial tuberosityPSIS / SIJPubic symphysisAdductor originIliac crest
9
Functional Assessment
Static — loaded tasks
| Task | Right | Left | Observation / Notes |
|---|---|---|---|
| Squat | |||
| Split squat | |||
| Split squat — FFE front foot elevated | |||
| Bridge — bilateral | |||
| Bridge — unilateral | |||
| Hip thrust | |||
| Lateral lunges | |||
| RDL — unilateral | |||
| RDL — aeroplane | |||
| Cyclist wall — iso | |||
| Cossack squat | |||
| Quad stretch | |||
| Copenhagen plank | |||
| Lateral plank | |||
| Lateral plank — lift leg | |||
| KB flexor razor | |||
| 90/90 | |||
| Neutral pelvis standing extension | |||
| Bulgarian split squat | |||
| Others |
Dynamic — balance
| Task | Right | Left | Observation / Notes |
|---|---|---|---|
| Hold step up | |||
| Side step up | |||
| Single leg stance | Eyes open Eyes closed | Eyes open Eyes closed | |
| Aeroplane | |||
| Others |
Jump / plyometric
| Task | Right | Left | Observation / Notes |
|---|---|---|---|
| Jump — bilateral | |||
| Jump — unilateral | |||
| Side hop test | |||
| Figure-of-eight hop | |||
| Triple jump | |||
| Klatt test | |||
| Others |
Stability
| Task | Right | Left | Observation / Notes |
|---|---|---|---|
| Reaching-out plank anterior | |||
| Side abduction — on table lateral | |||
| McGill curl-up anti-flexion · anterior | |||
| McGill side plank anti-lateral flexion · lateral | |||
| McGill bird dog anti-rotation · rotational |
10
Adjacent Joints
Ankle
Weight-bearing lunge test (+++) · ROM active & passive · Biomechanics (pronation, flat / high arch)
Knee
Calf raise · ROM
Back
Mobility · Stability
11
Others
12
Retest
| Date | Test / measure | Result (R / L) | Notes |
|---|---|---|---|
13
Questionnaires
Patient-reported outcome measures — record the score at baseline and at each retest.
| Questionnaire | Date | Score | Notes / interpretation |
|---|---|---|---|
| Hip Disability and Osteoarthritis Outcome Score (HOOS) | |||
| Copenhagen Hip and Groin Outcome Score (HAGOS) | |||
| Lower Extremity Functional Scale (LEFS) |
14