Manual Muscle Testing: Hip Internal Rotation: Difference between revisions

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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 supine


== Joint start Position ==
== Joint start Position ==
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== Therapist Position ==
== Therapist Position ==
* Therapist to kneel beside the patient in sitting position and stabilise at the distal thigh medially.  
* Therapist to kneel beside the patient in sitting position and stabilise at the distal thigh medially.  
* Therapist to stand on test side if in prone.
* Therapist to stand on test side if in supine


== To Test ==
== To Test ==
* Patient actively internally rotates the hip
* Patient actively internally rotates the hip
* For grades 4 to 5 apply resistance through the lateral ankle through range in a direction opposite to internal 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 lateral ankle through range in a direction opposite to internal 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>
{{#ev:youtube|v=UWi1wXBaav4}}


== References ==
== References ==
<references />
[[Category:Manual Muscle Testing]]
[[Category:Manual Muscle Testing]]
[[Category:Rehabilitation Foundations]]
[[Category:Rehabilitation Foundations]]

Revision as of 12:37, 14 November 2018

Muscles Involved:[edit | edit source]

Gluteus Minimus (anterior fibres)

Gluteus Medius (anterior fibres)

Tensor Fasciae Latae

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 supine

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 in sitting position and stabilise at the distal thigh medially.
  • Therapist to stand on test side if in supine

To Test[edit | edit source]

  • Patient actively internally rotates the hip
  • For grades 4 to 5 apply resistance through the lateral ankle through range in a direction opposite to internal 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.