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Grades 3 to 5 - Patient is in short sitting with thighs supported
Grades 0-2 - Patient is in side lying ('gravity minimal' position)
Therapist to stand next to test side
Palpation over hip flexors
Patient actively flexes the hip
For grades 4 to 5 apply resistance over the distal femur in a direction opposite to flexion
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.
↑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.
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