Manual Muscle Testing: Hip Abduction: Difference between revisions

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== Patient Positioning ==
== Patient Positioning ==
* Grades 3 to 5 - Patient in side lying with test side up  
* Grades 3 to 5 - Patient in side lying with test side up  
* Grades 0-2 - Patient is supine (gravity eliminated)
* Grades 0-2 - Patient is supine ('gravity minimal' position)
 
== Joint start Position ==
Hip adduction, top thigh against bottom thigh in side lying position or thighs together in supine.


== Therapist Position ==
== Therapist Position ==
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* Patient actively abducts the hip
* Patient actively abducts the hip
* For grades 4 and 5 provide resistance over lateral knee in the direction opposite to abduction<ref>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.</ref>
* For grades 4 and 5 provide resistance over lateral knee in the direction opposite to abduction<ref>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.</ref>
 
* 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.
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Revision as of 12:05, 21 November 2018

Muscles Involved:[edit | edit source]

Gluteus Medius

Gluteus minimus

Patient Positioning[edit | edit source]

  • Grades 3 to 5 - Patient in side lying with test side up
  • Grades 0-2 - Patient is supine ('gravity minimal' position)

Therapist Position[edit | edit source]

  • Therapist stands behind patient in side lying or on test side in supine
  • Provide stabilization at the pelvis in side lying
  • Palpation over hip abductors in supine.

To Test[edit | edit source]

  • Patient actively abducts the hip
  • For grades 4 and 5 provide resistance over lateral knee in the direction opposite to abduction[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[edit | edit source]

  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.