Manual Muscle Testing: Hip Internal Rotation
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]
- ↑ 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.
