Manual Muscle Testing: Hip Flexion

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

Joint start Position[edit | edit source]

The hip should be in a flexed starting position as patient is in sitting.

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]

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.