Manual Muscle Testing: Hip Adduction: Difference between revisions
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'''Original Editor '''- Claire Knott | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | |||
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== Muscles Involved: == | == Muscles Involved: == | ||
Adductor Magnus | * [[Adductor Magnus]] | ||
* [[Adductor Brevis]] | |||
Adductor Brevis | * Adductor Longus | ||
* Pectineus | |||
Adductor Longus | * [[Gracilis]] | ||
Pectineus | |||
Gracilis | |||
== Patient Positioning == | == Patient Positioning == | ||
* Grades 3 to 5 - Patient in side lying with top leg (non-test side) abducted | * Grades 3 to 5 - Patient in side lying with top leg (non-test side) abducted 25°. Test side is the bottom leg in side lying. | ||
* Grades 0-2 - Patient is supine (gravity | * Grades 0-2 - Patient is supine ('gravity minimal' position), non-test side is abducted 25°. | ||
== Therapist Position == | == Therapist Position == | ||
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* Patient actively adducts the hip | * Patient actively adducts the hip | ||
* For grades 4 and 5 provide resistance over the medial femur in the direction opposite to adduction<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 the medial femur in the direction opposite to adduction<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. | |||
{{#ev:youtube|v=Pvk5DCb-emY}} | {{#ev:youtube|v=Pvk5DCb-emY}} |
Latest revision as of 11:57, 19 December 2019
Original Editor - Claire Knott
Top Contributors - Claire Knott and Wanda van Niekerk
Muscles Involved:[edit | edit source]
- Adductor Magnus
- Adductor Brevis
- Adductor Longus
- Pectineus
- Gracilis
Patient Positioning[edit | edit source]
- Grades 3 to 5 - Patient in side lying with top leg (non-test side) abducted 25°. Test side is the bottom leg in side lying.
- Grades 0-2 - Patient is supine ('gravity minimal' position), non-test side is abducted 25°.
Therapist Position[edit | edit source]
- 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[edit | edit source]
- 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[edit | edit source]
- ↑ 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.