Physical examination maneuver
Physical Exam
Hip Strength
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Video coming soon
How to Perform
With the patient seated, test hip strength against resistance in flexion, extension, abduction, adduction, and internal and external rotation. For each movement, compare both sides before moving to the next. Grade strength and note any pain or give-way weakness.
How to Interpret
Showing 9 of 14 findings
Cushing Syndrome
Proximal muscle weakness
Rule in
Somewhat helpfulDerived CI
Rule out
Not helpfulDerived CI
Evidence:Moderate
Functional Neurologic Disease
Give-way (collapsing) weakness on resisted strength testing
Rule in
Very helpfulNo CI
Rule out
Somewhat helpfulNo CI
Evidence:Moderate
Gluteal Tendinopathy
Lateral hip pain reproduced on the resisted external-derotation test
Rule in
Very helpfulDerived CI
Rule out
HelpfulDerived CI
Evidence:ModerateResearch in progress
Lateral hip pain (with or without weakness) reproduced on resisted hip abduction
Rule in
InconclusiveWide CI
Rule out
Somewhat helpful
Evidence:ModerateResearch in progress
Hip Osteoarthritis
Active hip extension causes hip pain
Rule in
Somewhat helpfulWide CI
Rule out
Minimally helpful
Evidence:Moderate
Active hip flexion causes lateral hip pain
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:Moderate
Lumbosacral Plexopathy
Unilateral hip and leg weakness
Rule in
Somewhat helpfulDerived CI
Rule out
Somewhat helpfulDerived CI
Evidence:Moderate
Bilateral hip and leg weakness
Rule in
HelpfulDerived CI
Rule out
Somewhat helpfulDerived CI
Evidence:Moderate
Lumbosacral Radiculopathy
Hip abductor weakness in a patient with foot drop
Rule in
Very helpfulDerived CI
Rule out
HelpfulDerived CI
Evidence:Moderate