Manual Muscle Testing: Hip Extension: Difference between revisions

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== Patient Positioning ==
== Patient Positioning ==
* Grades 3 to 5 - Patient in in prone - to test gluteus maximus and hamstrings - side-side knee in extension
* Grades 3 to 5 - Patient is in prone
                                                                        - to test gluteus maximus only - test-side knee flexed to 90 degrees,
** to test gluteus maximus and hamstrings - side-side knee in extension
* Grades 0-2 - Patient is in side lying with the knee flexed to 90 degrees and supported by the therapist
** to test gluteus maximus only - test-side knee flexed to 90 degrees
 
* Grades 0-2 - Patient is in side lying  


== Joint start Position ==
== Joint start Position ==
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== Therapist Position ==
== Therapist Position ==
* Therapist to stand on test side & stabilize the pelvis over the sacrum
* Therapist to stand on test side, stabilize the pelvis over the sacrum and palpate muscular recruitment


== To Test ==
== To Test ==

Revision as of 11:23, 14 November 2018

Muscles Involved:[edit | edit source]

Gluteus Maximus

Semitendinous

Semimembranous

Biceps Femoris

Patient Positioning[edit | edit source]

  • Grades 3 to 5 - Patient is in prone
    • to test gluteus maximus and hamstrings - side-side knee in extension
    • to test gluteus maximus only - test-side knee flexed to 90 degrees
  • Grades 0-2 - Patient is in side lying

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 to stand on test side, stabilize the pelvis over the sacrum and palpate muscular recruitment

To Test[edit | edit source]

  • Patient actively extends the hip
  • For grades 4 to 5 apply resistance through distal thigh in the direction opposite to hip extension.

References[edit | edit source]