Manual Muscle Testing: Hip External Rotation: Difference between revisions
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== Muscles Involved: == | == Muscles Involved: == | ||
Gluteus Maximus | [[Gluteus Maximus]] | ||
Piriformis | [[Piriformis]] | ||
Quadratus Femoris | Quadratus Femoris | ||
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== Patient Positioning == | == Patient Positioning == | ||
* 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 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 | * Grades 0-2 - Patient is in prone with knee flexed to 90 degrees ('gravity minimal' position) | ||
== Therapist Position == | == Therapist Position == | ||
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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<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 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> | ||
* 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=4tGabKPRaIQ}} | {{#ev:youtube|v=4tGabKPRaIQ}} | ||
Revision as of 12:09, 21 November 2018
Muscles Involved:[edit | edit source]
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 ('gravity minimal' position)
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]
- 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.
