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Hop Test

It is our mission to challenge sports and orthopedic physical therapists to become clinical experts by providing residency level education. Follow us! ✮ EMAIL: [email protected] ✮ BLOG: https://www.thestudentphysicaltherapi... ✮ INSTAGRAM:   / tsptofficial   ✮ FACEBOOK:   / tsptofficial   ✮ INSIDER ACCESS: https://insider.thestudentphysicalthe... For more advanced information, check out the Insider Access Page at www.thestudentphysicaltherapist.com Purpose: To assess for a fracture in the LE. Test Position: Standing. Performing the Test: Have the patient hop up and down on the affected limb several times barefoot. A large amount of pain in a localized area of the lower extremity is a positive test and may signify a fracture. Diagnostic Accuracy: Unknown. Importance of Test: Our bones are covered by a layer of tissue known as the periosteum. It is highly innervated and very sensitive to injury. When a bone is fractured, the periosteum is more easily stimulated and thus pain is experienced. By hopping on one leg, a large vibratory/compression force is sent through the limb that stimulates the injured site. It should be noted that the hop test can produce pain in non-musuloskeletal ailments as well, such as psoas abscess, appendicitis, etc. It is important to utilize your subjective history, tests and measures, and general systems screenings to triangulate your findings.