p alpation /mmt/s pecial t ests hip and thigh musculature
TRANSCRIPT
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PALPATION/MMT/SPECIAL TESTSHip and Thigh Musculature
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PALPATIONS
Anterior Superior Iliac Spine (ASIS) Posterior Superior Iliac Spine (PSIS) Greater Trochanter
Hip Distraction
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PURPOSE
Detect any muscle weakness or lack of ROM when compared bilaterally May indicated muscle strain or nerve damage
ALL MMT IS PERFORMED BILATERALLY
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HIP FLEXION
Iliopsoas Ath position
Seated with knees over the side of the table Stabilize
Contralateral ASIS Resistance
Distal femur
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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
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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
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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
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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
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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
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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