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Manual Muscle Testing: Hip Extension

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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.^[1]

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

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