Post on 31-Dec-2015
PALPATION/MMT/SPECIAL TESTSHip and Thigh Musculature
PALPATIONS
Anterior Superior Iliac Spine (ASIS) Posterior Superior Iliac Spine (PSIS) Greater Trochanter
Hip Distraction
PURPOSE
Detect any muscle weakness or lack of ROM when compared bilaterally May indicated muscle strain or nerve damage
ALL MMT IS PERFORMED BILATERALLY
HIP FLEXION
Iliopsoas Ath position
Seated with knees over the side of the table Stabilize
Contralateral ASIS Resistance
Distal femur
HIP EXTENSION
Muscles being tested: When knee is extended : Hamstrings and Gluteus
Max When knee is flexed : Isolated Gluteus Max
Ath Position: Prone
Stabilizing: Posterior Pelvis /PSIS
Resisting: Posterior distal thigh
ADDUCTION
Adductor muscles: Adductor Magnus, Adductor Longus, Adductor
Brevis, Gracilis Ath position:
Side lying ON the side being tested, knees extended
Stabilize: Ath actively stabilizes pelvis and torso Hold non-testing leg under knee
Resistance: medial femur
ABDUCTION:
Abductor Muscles: Gluteus Medius and Gluteus minimus
Ath position: Side lying on OPPOSING side with top knee
slightly bent Stabilizing:
Pelvis and torso actively stabilized by ath Resistance:
Over lateral femoral condyle
INTERNAL ROTATION
Internal rotator muscles: Gluteus Minimus, TFL, Gluteus Medius
Ath position: Seated with knees flexed over table
Stabilization: Ath actively stabilizes themselves
Resistance: Lateral malleoli
EXTERNAL ROTATORS
External rotator muscles: Obturator internus, Obterator externus,
quadratus femoris, Piriformis, Gemellus inferior and superior, Gluteus maximus
Ath position: Seated with knees flexed over edge of table
Stabilizing: Ath actively stabilizes themselves
Resistance: Over medial malleoli
SPECIAL TESTS
Thomas Test for Hip Flexor Tightness https://www.youtube.com/watch?v=4mnjUi-41fI
Ely’s Test for Rectus Femoris Tightness https://
www.youtube.com/watch?v=FF7L_2QTUx8
Hip Scouring Test https://
www.youtube.com/watch?v=aHEDwyX8bHc