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