Manual Muscle Testing: Hip External Rotation
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
