Manual Muscle Testing: Knee Extension

Muscles Involved:[edit | edit source]

Quadriceps

Patient Positioning[edit | edit source]

  • Grades 3 to 5 - Patient is in short sitting
  • Grades 0-2 - Patient is in side lying

Joint start Position[edit | edit source]

The knee should be in a neutral position between the available range of flexion and extension. This can sometimes be challenging to achieve.

Therapist Position[edit | edit source]

  • Therapist to kneel beside the patient and stabilise the femur on the test-side
  • If patient is in side lying, therapist to support the lower leg through movement as required.

To Test[edit | edit source]

  • Patient actively extends the knee
  • For grades 4 to 5 apply resistance through the distal tibia and fibula in a direction opposite to extension.[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