Manual Muscle Testing: Hip Flexion: Difference between revisions

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== Muscles Involved: ==
== Muscles Involved: ==
Psoas Major
[[Psoas Major]]


Iliacus
[[Iliacus]]


Rectus femoris
[[Rectus Femoris|Rectus femoris]]


== Patient Positioning ==
== Patient Positioning ==
* Grades 3 to 5 - Patient is in short sitting with thighs supported
* Grades 3 to 5 - Patient is in short sitting with thighs supported
* Grades 0-2 - Patient is in side lying
* Grades 0-2 - Patient is in side lying ('gravity minimal' position)
 
== Joint start Position ==
The hip should be in a flexed starting position as patient is in sitting.


== Therapist Position ==
== Therapist Position ==
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* Patient actively flexes the hip
* Patient actively flexes the hip
* For grades 4 to 5 apply resistance over the distal femur in a direction opposite to flexion<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 over the distal femur in a direction opposite to flexion<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.


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Revision as of 12:11, 21 November 2018

Muscles Involved:[edit | edit source]

Psoas Major

Iliacus

Rectus femoris

Patient Positioning[edit | edit source]

  • Grades 3 to 5 - Patient is in short sitting with thighs supported
  • Grades 0-2 - Patient is in side lying ('gravity minimal' position)

Therapist Position[edit | edit source]

  • Therapist to stand next to test side
  • Palpation over hip flexors

To Test[edit | edit source]

  • Patient actively flexes the hip
  • For grades 4 to 5 apply resistance over the distal femur in a direction opposite to flexion[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]

  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.