The Log Roll Test: Difference between revisions

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=== Purpose: ===
=== Purpose: ===
The Log Roll Test (or Passive Rotation Test) is a special test used to assess the integrity of the hip joint to look for potential hip pathology such as labral tears, ligament laxity, or impingement<ref name=":0">OrthoFixar. ''Log roll test''. (cited 3 May 2023). Available from: [[/orthofixar.com/special-test/log-roll-test/|https://orthofixar.com/special-test/log-roll-test/]] (accessed 8 March 2024).</ref>.
The Log Roll Test (or Passive Rotation Test) is a special test used to assess the integrity of the hip joint to look for potential hip pathology such as labral tears, ligament laxity, or impingement<ref name=":0">OrthoFixar. ''Log roll test''. (cited 3 May 2023). Available from: https://orthofixar.com/special-test/log-roll-test/ (accessed 8 March 2024).</ref>.


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

Revision as of 12:16, 19 March 2024

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Purpose:[edit | edit source]

The Log Roll Test (or Passive Rotation Test) is a special test used to assess the integrity of the hip joint to look for potential hip pathology such as labral tears, ligament laxity, or impingement[1].

Clinically Relevant Anatomy:[edit | edit source]

-

Summary of Potential Pathologies at the Hip:[edit | edit source]

-labral tears

-ligament laxity

-impingement

Technique:[edit | edit source]

To perform the Log Roll Test first place the patient in a supine position. Then gently roll the patient’s thigh towards internal rotation, then external rotation, using passive range of motion to end-range in both directions[2]. This will move the articular surface of the femoral head along the acetabulum. This test should not stress any of the surrounding extra-articular structures[3].

Positive Test Results: The log roll test is positive if there is pain, ligamentous or capsular laxity, clicking, or popping noted during the test. The presence of pain refers to the presence of an intra-articular pathology. The presence of a ligamentous or capsular laxity is demonstrated by the noticeable hyper-mobility or increased range of motion through hip internal rotation and external rotation. The presence of clicking and popping refers to an acetabular labral tear[1]. If the rotational mobility component of this test is restricted or painful this would indicate hip pathology[2].

Negative Test Results: The log roll test in negative if there is no symptoms present.

Evidence:[edit | edit source]

-reliability

-sensitivity

-specificity

Related Physiopedia Pages:[edit | edit source]

Hip Examination

Hip Anatomy

Reference:[edit | edit source]

  1. 1.0 1.1 OrthoFixar. Log roll test. (cited 3 May 2023). Available from: https://orthofixar.com/special-test/log-roll-test/ (accessed 8 March 2024).
  2. 2.0 2.1 Magee DJ., Orthopedic Physical Assessment, 6th edition, St. Louis: Elsevier Saunders, 2014.
  3. Byrd J.W. Evaluation of the hip: History and physical examination. North American Journal Of Sports Physical Therapy. 2007; 2:237.