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EE 1 > Hip and Knee MMT > Flashcards

Hip and Knee MMT Flashcards

1
Q

Hip Flexion Grades 0-2

A

Muscle: iliopsoas

Position: side lying on side being tested, flexion of hip (knee to chest)

Stabilization: support under non-test limb, holding underneath knee and lower leg

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2
Q

Hip Flexion Grades 0-2 (alternative)

A

non weight bearing on test leg
Muscle: iliopsoas

Position:
Grade 2: side lying on side NOT being tested, hip flexion with extended knee
Grades 0-1: supine, 90 degrees knee flexion, flexion of hip

Stabilization: support test limb, holding underneath knee and lower leg

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3
Q

Hip Flexion Grades 3-5

A

Muscle: iliopsoas

Position: sitting on edge of table (can hold onto sides of table), flexion of hip

Stabilization: ipsilateral iliac crest (making sure pt is not leaning back/moving pelvis)

Resistance: anterior, distal femur

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4
Q

Hip Extension Grades 0-2

A

Muscle:

  1. gluteus maximus
  2. biceps femoris
  3. semitendinous
  4. semimembranosus

Position: side lying on side being tested, extension of hip (knee extended)

Stabilization: support upper non-test limb, holding underneath the inner thigh, knee and lower leg

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5
Q

Hip Extension Grades 0-2 (alternative)

A 
*non weight bearing on test leg*
Muscle:
1. gluteus maximus
2. biceps femoris
3. semitendinous 
4. semimembranosus

Position:
Grade 2: side lying on side NOT being tested, hip extension with extended knee
Grades 0-1: prone, extension of hip

Stabilization:
Grade 2: support test limb, holding underneath knee and
lower leg
Grades 0-1: none

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6
Q

Hip Extension Grades 0-2 (gluteus maximus bias)

A

Muscle: gluteus maximus

Position: side lying on side being tested, extension of hip (knee flexed)

Stabilization:

  1. support upper non-test limb, holding underneath the inner thigh, knee and lower leg
  2. pelvis/gluteus maximus
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7
Q

Hip Extension Grades 3-5

A

Muscles:

  1. gluteus maximus
  2. biceps femoris
  3. semitendinous
  4. semimembranosus

Position: prone, extension of hip (knee extended)

Stabilization: ipsilateral posterior iliac crest of the pelvis (no lumbar extension)

Resistance: posterior aspect of distal femur

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8
Q

Hip Extension Grades 3-5 (alternative)

A 
*tight hip flexors*
Muscles:
1. gluteus maximus
2. biceps femoris
3. semitendinous 
4. semimembranosus

Position: prone with lower half of body off table, feet on ground (pillow under trunk), lift leg into extension

Stabilization: ipsilateral posterior superior portion of pelvis

Resistance: proximal to posterior knee (above popliteal fossa)

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9
Q

Hip Abduction Grades 0-2

A

Muscles: gluteus medius and gluteus minimus

Position: supine, slide leg into abduction (toes pointing up)

Stabilization: ipsilateral lateral pelvis

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10
Q

Hip Abduction Grades 3-5

A

Muscles: gluteus medius and gluteus minimus

Position: side lying on side NOT being tested (non-test leg in 90 degrees flexion), abduction of hip (knee extension)

Stabilization: ipsilateral iliac crest

Resistance: lateral/distal thigh, proximal to medial aspect of knee

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11
Q

Hip Adduction Grades 0-2

A

Muscles:

  1. adductor longus/brevis/magnus
  2. pectineus
  3. gracilis

Position: supine, slide leg into adduction (toes pointing up)

Stabilization: ipsilateral lateral pelvis

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12
Q

Hip Adduction Grades 3-5

A

Muscles:

  1. adductor longus/brevis/magnus
  2. pectineus
  3. gracilis

Position: side lying on side being tested (non-test leg abducted in air with slight knee flexion, supported by PT), adduction of hip (knee extended), hold in air

Stabilization: support non-test limb underneath inner thigh (30 degrees hip abduction) while also stabilizing anterior pelvis with elbow

Resistance: medial/distal thigh, proximal to medial aspect of knee

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13
Q

Hip Internal Rotation Grades 0-2

A

Muscles:

  1. TFL
  2. Gluteus maximus
  3. Gluteus minimus

Position: supine, rotate leg inward

Stabilization: anterior ipsilateral pelvis (prevent rocking)

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14
Q

Hip Internal Rotation Grades 3-5

A

Muscles:

  1. TFL
  2. Gluteus maximus
  3. Gluteus minimus

Position: sitting on edge of table (legs hanging off), foot moves laterally (internal rotation of hip)

Stabilization: medial aspect of knee

Resistance: lateral malleolus

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15
Q

Hip External Rotation Grades 0-2

A

Muscles:

  1. piriformis
  2. superior/inferior gemellus
  3. obturator internus/externus
  4. rectus femoris

Position: supine, rotate leg outward

Stabilization: anterior ipsilateral pelvis (prevent rocking)

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16
Q

Hip External Rotation Grades 3-5

A

Muscles:

  1. piriformis
  2. superior/inferior gemellus
  3. obturator internus/externus
  4. rectus femoris

Position: sitting on edge of table (legs hanging off), foot moves medially (external rotation of hip)

Stabilization: lateral aspect of knee

Resistance: medial malleolus

17
Q

Hip ER - Flexion/Abduction Grades 0-2

A

Muscles: sartorius

Position: supine, simultaneously flex/abduct/externally rotate hip and slide test leg up contralateral tibia through full range of combined motions

Stabilization: ipsilateral pelvis

18
Q

Hip ER - Flexion/Abduction Grades 3-5

A

Muscles: sartorius

Position: seated, simultaneously flex/abduct/externally rotate hip (can hold onto table) or ask patient to slide ipsilateral heel up contralateral shin

Resistance:

  1. adduction force at lateral knee
  2. internal rotation/extension at medial malleolus
19
Q

Knee Flexion Grades 0-2

A

Muscles:

  1. biceps femoris
  2. semitendinosus
  3. semimembranosus

Position: side lying on side being tested, start in knee extension and slide into knee flexion

Stabilization: support non-test limb underneath inner thigh (30 degrees hip abduction) while also stabilizing pelvis with trunk

20
Q

Knee Flexion Grades 0-2 (alternative)

A 
*non weight bearing on test side*
Muscles:
1. biceps femoris
2. semitendinosus
3. semimembranosus

Position:
Grade 2: side lying on side NOT being tested, start in knee extension and then flex knee
Grades 0-1: prone, flexion of knee

Stabilization:
Grade 2: support non-test limb underneath inner thigh
Grades 0-1: no support

21
Q

Knee Flexion Grades 3-5

A

Muscles:

  1. biceps femoris (foot turned out)
  2. semitendinosus (foot turned in)
  3. semimembranosus (foot turned in)

Position: prone, flexion of knee

Stabilization: ipsilateral iliac crest

Resistance: posterior, proximal ankle

22
Q

Knee Extension Grades 0-2

A

Muscles: vastus lateralis, intermedius, medialis

Position: side lying on side being tested, start in knee flexion/hip in a neutral position, and slide into knee extension

Stabilization: support non-test limb underneath inner thigh (30 degrees hip abduction) while also stabilizing pelvis with elbow

23
Q

Knee Extension Grades 0-2 (alternative)

A

non weight bearing on test side
Muscles: vastus lateralis, intermedius, medialis

Position:
Grade 2: side lying on side NOT being tested, start in knee flexion and then extend knee
Grades 0-1: supine, extension of knee (contract quadriceps)

Stabilization:
Grade 2: support non-test limb underneath knee and lower leg
Grade 0-1: posterior knee (between knee and table)

24
Q

Knee Extension Grades 3-5

A

Muscles: vastus lateralis, intermedius, medialis

Position: sitting on edge of table (towel under leg), extend knee

Stabilization: iliac crest/pelvis, pt stabilizes by holding onto table

Resistance: anterior tibia, in between knee and ankle

EE 1 (9 decks)

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