FADER Test: Difference between revisions
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== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
'''Gluteus medius:''' | '''Gluteus medius'''<ref name=":1">Sunil Kumar, Karadi Hari, et al. “[https://link.springer.com/article/10.1007/s00167-020-06354-1 Pathogenesis and Contemporary Diagnoses for Lateral Hip Pain: A Scoping Review.]” ''Knee Surgery, Sports Traumatology, Arthroscopy'', vol. 29, no. 8, 19 Dec. 2020, pp. 2408–2416, <nowiki>https://doi.org/10.1007/s00167-020-06354-1</nowiki>. | ||
'''Gluteus minimus:''' | </ref>''':''' It originates from the gluteal fossa, the gluteal aponeurosis and the postero-inferior iliac crest, and inserts onto the lateral aspect of the greater trochanter. It is responsible for abduction and internal rotation of the hip. It also acts as a stabiliser of the pelvis. | ||
'''Gluteus minimus'''<ref name=":1" />''':''' It originates from the ilium between the anterior and inferior gluteal lines, and inserts onto the anterior aspect of the greater trochanter. It assists in hip abduction and internal rotation and stabilises the pelvis with gluteus medius. | |||
More detailed information of the hip anatomy can be found [[/www.physio-pedia.com/Hip|here]]. | More detailed information of the hip anatomy can be found [[/www.physio-pedia.com/Hip|here]]. | ||
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== Purpose == | == Purpose == | ||
The FADER test aims to provoke symptoms in a position that increases tensile and compressive stress of the tendons of the | The FADER test aims to provoke symptoms in a position that increases tensile and compressive stress of the tendons of the gluteal muscles, i.e., the gluteus medius and gluteus minimus<ref name=":0" />. The FADER-R test is performed to further increase tensile and compressive load by adding in the component of active internal rotation<ref name=":0" />. A positive test result suggests gluteal tendinopathy may be indicated.<ref name=":0" /><br> | ||
== Technique<ref name=":0">Grimaldi, Alison, et al. “[https://bjsm.bmj.com/content/51/6/519 Utility of Clinical Tests to Diagnose MRI-Confirmed Gluteal Tendinopathy in Patients Presenting with Lateral Hip Pain].” ''British Journal of Sports Medicine'', vol. 51, no. 6, 15 Sept. 2016, pp. 519–524, <nowiki>https://doi.org/10.1136/bjsports-2016-096175</nowiki>. | == Technique<ref name=":0">Grimaldi, Alison, et al. “[https://bjsm.bmj.com/content/51/6/519 Utility of Clinical Tests to Diagnose MRI-Confirmed Gluteal Tendinopathy in Patients Presenting with Lateral Hip Pain].” ''British Journal of Sports Medicine'', vol. 51, no. 6, 15 Sept. 2016, pp. 519–524, <nowiki>https://doi.org/10.1136/bjsports-2016-096175</nowiki>. | ||
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Description[edit | edit source]
FADER test stands for Flexion, Adduction, External Rotation test. This is a pain provacation test of the hip for assessing lateral hip pain for gluteal tendinopathy.
Clinically Relevant Anatomy[edit | edit source]
Gluteus medius[1]: It originates from the gluteal fossa, the gluteal aponeurosis and the postero-inferior iliac crest, and inserts onto the lateral aspect of the greater trochanter. It is responsible for abduction and internal rotation of the hip. It also acts as a stabiliser of the pelvis.
Gluteus minimus[1]: It originates from the ilium between the anterior and inferior gluteal lines, and inserts onto the anterior aspect of the greater trochanter. It assists in hip abduction and internal rotation and stabilises the pelvis with gluteus medius.
More detailed information of the hip anatomy can be found here.
Purpose[edit | edit source]
The FADER test aims to provoke symptoms in a position that increases tensile and compressive stress of the tendons of the gluteal muscles, i.e., the gluteus medius and gluteus minimus[2]. The FADER-R test is performed to further increase tensile and compressive load by adding in the component of active internal rotation[2]. A positive test result suggests gluteal tendinopathy may be indicated.[2]
Technique[2][edit | edit source]
FADER:
- Patient lies in supine.
- Bring the hip into passive flexion to 90°.
- Then passively adduct and externally rotated the hip to end range position.
Interpretation: Pain reproduction indicates a positive test result. Otherwise, the test can be continued on by adding resisted isometric internal rotation. This is called the FADER-R test.
FADER-R:
- Patient lies supine in the FABER's position.
- Patient isometrically resist against internal rotation.
Interpretation:Pain reproduction indicates a positive test result.
Evidence[edit | edit source]
Provide the evidence for this technique here
Clinical Relevance[edit | edit source]
Resources[edit | edit source]
add any relevant resources here
References[edit | edit source]
- ↑ 1.0 1.1 Sunil Kumar, Karadi Hari, et al. “Pathogenesis and Contemporary Diagnoses for Lateral Hip Pain: A Scoping Review.” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 29, no. 8, 19 Dec. 2020, pp. 2408–2416, https://doi.org/10.1007/s00167-020-06354-1.
- ↑ 2.0 2.1 2.2 2.3 Grimaldi, Alison, et al. “Utility of Clinical Tests to Diagnose MRI-Confirmed Gluteal Tendinopathy in Patients Presenting with Lateral Hip Pain.” British Journal of Sports Medicine, vol. 51, no. 6, 15 Sept. 2016, pp. 519–524, https://doi.org/10.1136/bjsports-2016-096175.
