FABER Test: Difference between revisions

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== Definition/Description  ==
== Definition/Description  ==


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The (Patrick’s) FABER Test stands for Flexion, Abduction and External Rotation. These three motions combined result in a clinical pain provocation test to find pathologies at the hip, lumbar and sacroiliac region. <ref>5</ref><br>


== Clinically Relevant Anatomy  ==
== Clinically Relevant Anatomy  ==

Revision as of 23:07, 31 January 2011

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editor - Tyler Shultz, Maxim De Clippele

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Search Strategy[edit | edit source]

Checking for useful (medical) articles on web of knowledge, PEDro and PubMed turned out to be very helpful. The best outcome was from web of knowledge and PubMed. I also used the university’s link to check if the found articles were available for me. Using the keywords FABER test and in combination with some additional words to specify like hip, Patrick’s test, pathology, clinical test, reliability and/or sensitivity I got some great articles that you can find under references. (eg. Faber test hip, faber hip, clinical test hip,…)

Definition/Description[edit | edit source]

The (Patrick’s) FABER Test stands for Flexion, Abduction and External Rotation. These three motions combined result in a clinical pain provocation test to find pathologies at the hip, lumbar and sacroiliac region. [1]

Clinically Relevant Anatomy[edit | edit source]

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Purpose
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This test is used to identify the presence of hip pathology.  The FABER test is also a screening tool for hip, lumbar, or SI joint dysfunction, or an iliopsoas spasm[2].

Technique[3]
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The patient is positioned in supine.  The leg is placed in a figure-4 position (hip flexed and abducted with opposite foot resting on the contralateral thigh just above the knee).  While stabilizing the opposite side of the pelvis, an external rotation and posteriorly directed force is then applied to the ipsilateral knee. A positive test is one that reproduces the patient's pain or limits their ROM.

Evidence[edit | edit source]

  • Sensitivity for identification of hip pathology identified with arthroscopy: 0.89[4]
  • Correlation of positive test with OA on radiographs: r = 0.54[5]

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources[edit | edit source]

add any relevant resources here


Clinical Bottom Line[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

  1. 5
  2. Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.
  3. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.
  4. Mitchell B, McCroy P, Brukner P, et al. Hip joint pathology: Clinical presentation and correlation between magnetic resonance arthrography, ultrasound, and arthroscopic findings in 25 consecutive cases. Clin J Sports Med. 2003;(13):152-156
  5. Theiler R, Stucki G, Schotz R, Hofer H, Seifert B. Parametric and non-parametric measures in the assessment of knee and hip osteoarthritis: interobserver reliability and correlation with radiology. Osteoarthritis Cartilage. 1996:35-42.



5. ↑ Martin RL, Sekiya JK. The interrater reliability of 4 clinical tests used to assess individuals with musculoskeletal hip pain. J Orthop Sports Phys Ther. 2008 Feb;38(2):71-7. Epub 2007 Sep 21.

6. ↑ Troelsen A, Mechlenburg I, Gelineck J, Bolvig L, Jacobsen S, Søballe K. What is the role of clinical tests and ultrasound in acetabular labral tear diagnostics? Acta Orthop. 2009 Jun;80(3):314-8.

7. ↑ Cattley P, Winyard J, Trevaskis J, Eaton S. Validity and reliability of clinical tests for the sacroiliac joint. A review of literature. Australas Chiropr Osteopathy. 2002 Nov;10(2):73-80.

8. ↑ Ross MD, Nordeen MH, Barido M. Test-retest reliability of Patrick's hip range of motion test in healthy college-aged men. J strength & cond resrch 17 (1) 156-161 Feb 2003

9. ↑ Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B.European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008 Jun;17(6):794-819. Epub 2008 Feb 8.

10. ↑ http://www.suite101.com/content/structure-and-function-of-the-hip-joints-a190399

11. ↑ FABER test video link http://www.myspace.com/video/vid/34178068
or http://www.youtube.com/watch?v=xcIQDMQZilM
or http://www.youtube.com/watch?v=XCOD1dkcVk0&feature=related

12. ↑ hip anatomy link see https://catalog.ama-assn.org/MEDIA/ProductCatalog/m890153/%20Function%20%20Anatomy%20Ch%207.pdf
or human anatomy http://www.innerbody.com/htm/body.html