Prone Hip Extension Test (Staheli test)

Prone Hip Extension Test Staheli test

What is the "Prone Hip Extension Test (Staheli test)" used for?

  • Sometime called Staheli test.
  • Prone Hip Extension Test is used to evaluate the hip flexion contracture. 
  • It can also be performed in patients with bilateral hip pathology.

How to perform the "Prone Hip Extension Test (Staheli test)"?

  • The prone hip extension test can be performed on a regular padded examination table.
  • The patient is positioned prone with both hips flexed comfortably over the end of the examination couch.
  • The patient is adequately undressed to allow visualization of the back.
  • The other limb can be held between the examiner’s knees, can be kept on a stool, or can be hung from the edge of the table.
  • The examiner slowly extends the thigh while placing the other hand over the pelvis.

What is the positive result?

  • The point at which the pelvis begins to rise denotes the termination of extension at the hip joint and the beginning of movement at the spine.
  • At this point, the angle between an imaginary horizontal line parallel to the trunk and thigh gives the value of hip flexion contracture.

References

  • Staheli LT. The prone hip extension test: a method of measuring hip flexion deformity. Clin Orthop Relat Res. 1977 Mar-Apr;(123):12-5. PMID: 852171.
  • Moon, Seung & Choi, Young & Chung, Chin & Sung, Ki & Cho, Byung & Chung, Myung & Kim, Jaeyoung & Yoo, Mi & Lee, Hyung & Park, Moon Seok. (2017). Normative Values of Physical Examinations Commonly Used for Cerebral Palsy. Yonsei Medical Journal. 58. 1170. 10.3349/ymj.2017.58.6.1170. Link