PALPATIONMMTSPECIAL TESTS Hip and Thigh Musculature PALPATIONS Anterior
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PALPATION/MMT/SPECIAL TESTS Hip 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 Resistance � Distal femur ASIS
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 Ath position: � Seated with knees flexed over table Stabilization: � Ath Minimus, TFL, Gluteus Medius 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 Stabilizing: � Ath with knees flexed over edge of table actively stabilizes themselves Resistance: � Over medial malleoli
SPECIAL TESTS Thomas Test for Hip Flexor Tightness � https: //www. youtube. com/watch? v=4 mnj. Ui-41 f. I Ely’s Test for Rectus Femoris Tightness � https: //www. youtube. com/watch? v=FF 7 L_2 QTUx 8 Hip Scouring Test � https: //www. youtube. com/watch? v=a. HEDwy. X 8 b. Hc