Manual Muscle Testing: Hip Adduction

Muscles Involved:

Adductor Magnus

Adductor Brevis

Adductor Longus

Pectineus

Gracilis

Patient Positioning

  • Grades 3 to 5 - Patient in side lying with top leg (non-test side) abducted 25 degrees. Test side is the bottom leg in side lying.
  • Grades 0-2 - Patient is supine ('gravity minimal' position), non-test side is abducted 25 degrees.

Therapist Position

  • Therapist stands behind patient in side lying with support given to the non-test side in abduction
  • Therapist stands on the test side if testing in supine
  • Provide stabilization at the pelvis in side lying
  • Palpation over hip adductors in supine.

To Test

  • Patient actively adducts the hip
  • For grades 4 and 5 provide resistance over the medial femur in the direction opposite to adduction[1]
  • To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) OR maintain an end point range (break testing) against maximum resistance.

References

  1. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.