Flexion Adduction Internal Rotation Test Impingement Test

Indication: To identify the presence of hip pathology, or more specifically, labral tears.

Procedure: the examiner simultaneously flexes, internally rotates, and adducts the involved hip with the subject supine. Motion was continued with these 3 motions simultaneously until end range was achieved. At that point the test was recorded as positive when the subject reported that the test reproduced pain in any location and negative when it did not.

Evidence

Reliability

  • Martin (2008): kappa= 0.58

Validity

  • Burnett et al (2006) Accuracy=0.95 (63/66) Sn=0.95 (63/66) Sp=NC PPP=1.00 (63/63) NPP=0 (0/3) +LR=NC -LR=NC
  • Keeney et al (2004) Acc=0.91 (93/102) Sn=1.00 (93/93) Sp=0 (0/9) PPV=0.91 (93/102) NPV=NC +LR=1.00 -LR=NC
  • Beck et al (2004) Acc=1.00 (19/19) Sn=1.00 (19/19) Sp=NC PPV=1.00 (19/19) NPV=NC +LR=NC -LR=NC
  • Ito et al (2004) Acc=0.96 (24/25) Sn=0.96 (24/25) Sp=NC PPV=1.00 (24/24) NPP=0 (0/1) +LR=NC -LR=NC
  • Kassarjian et al (2005) Acc=1.00 (42/42) Sn=1.00 (42/42) Sp=NC PPV=1.00 (42/42) NPP=NC +LR=NC -LR=NC
  • Beaule et al (2005) Acc=0.97 (35/36) Sn=1.00 (35/35) Sp=0 (0/1) PPV=0.97 (35/36) NPP=NC +LR=1.00 -LR=NC
  • Leunig et al (2004) Acc=0.64 (18/28) Sn=1.00 (18/18) Sp=0 (0/10) PPV=0.64 (18/28) NPV=NC +LR=1.00 -LR=NC
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