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Manual Muscle Testing: Hip Adduction

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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 degrees. Test side is the bottom leg in side lying.
Grades 0-2 - Patient is supine (gravity eliminated), non-test side is abducted 25 degrees.

Joint start Position[edit | edit source]

The hip should be in a neutral position between the available range of abduction and adduction. This can sometimes be challenging to achieve.

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

References[edit | edit source]

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