Manual Muscle Testing: Hip External Rotation: Difference between revisions

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== To Test ==
== To Test ==
* Patient actively externally rotates the hip
* Patient actively externally rotates the hip
* For grades 4 to 5 apply resistance through the medial ankle through range in a direction opposite to external rotation  
* For grades 4 to 5 apply resistance through the medial ankle through range in a direction opposite to external rotation<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>


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Revision as of 12:29, 14 November 2018

Muscles Involved:[edit | edit source]

Gluteus Maximus

Piriformis

Quadratus Femoris

Obturator Externus

Obturator Internus

Gemellus Superior

Gemellus Inferior

Patient Positioning[edit | edit source]

  • Grades 3 to 5 - Patient is in short sitting on plinth with test-side knee flexed to 90 degrees, Ideally the foot should be suspended off the floor i.e. sitting on edge of high plinth
  • Grades 0-2 - Patient is in prone with knee flexed to 90 degrees

Joint start Position[edit | edit source]

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

Therapist Position[edit | edit source]

  • Therapist to kneel beside the patient and stabilise at the distal thigh laterally.
  • Therapist to stand on test-side if in prone

To Test[edit | edit source]

  • Patient actively externally rotates the hip
  • For grades 4 to 5 apply resistance through the medial ankle through range in a direction opposite to external rotation[1]

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.