HIP MMT Flashcards
Hip flexion
Muscles:
Innervation:
Client position/ stabilization:
palpation:
Muscles: psoas major and iliacus
Innervation: L2-L4
Client position/ stabilization: sitting ( clients stabilizes by holding onto plinth ) grades 3-5
sidelying for grades 0-2
palpation: distal to inguinal ligament , medial to sartorius
Hip flexion , abduction and ER MMT
Muscles:
Innervation:
Client position/ stabilization:
palpation:
Muscles: sartorius
Innervation: L2-3
Client position/ stabilization: sitting (client stabilizes by holding onto plinth) for grades 3-5
supine for grades 0-2 (slide heel on shin)
palpation: below ASIS
hip extension MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
resist:
Muscles: glute max, semitend, semimem, and biceps fem
Innervation: L5-S2
Client position/ stabilization: prone with tested knee extension for grades 3-5 (stabilize the pelvis )
Gravity reduced: sidelying with tested knee extended for grades 0-2
palpation: below ischial tub for hamstrings and then bottom for glute max
resist: distal femur
Hip extension to isolate glute max
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
resist:
Muscles: glute max
Innervation: L5-S2
Client position/ stabilization: prone with knee flexed to 90° for grades 3-5
Gravity reduces: sidelying with knee flexed to 90° for grades 0-2
palpation: over glute max
resist: distal femur
Hip extension with tight hip flexors
Muscles:
Innervation:
Client position/ stabilization:
palpation:
grades:
Muscles: glute max and hamstrings
Innervation: L5-S2
Client position/ stabilization: flexed over the table
palpation: none?
grades: 3-5 only
Hip abduction MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
resist:
Muscles: glute medius and minimus
Innervation: L4-S1
Client position/ stabilization: sidelying with tested knee extended (bottom knee can be flexed) from grades 3-5
Gravity reduces: supine for grades 0-2
palpation: below lateral iliac crest
resist: distal femur
hip flexion with TFL MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
resist:
Muscles: tensor fascia lata
Innervation: L4-S1
Client position/ stabilization: sidelying with tested knee extended and the hip flexed to 45° for grades 3-5
Gravity reduces: long sitting for grades 0-2
palpation: anterior /lateral thigh on the proximal femur
resist: distal femur
Hip adduction MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
resist:
Muscles: adductor magnus , brevis and longus , pectineus and gracilis
Innervation: L2-L4
Client position/ stabilization: sidelying with the tested knee extended for grades 3-5 (pt supports upper most leg)
Gravity reduces: supine for grades 0-2
palpation: medial thigh , 1/3 down from the pubic bone
Resist: distal femur
Hip ER MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
Muscles: Obturators internus and externus, gemellae superior and inferior, piriformis, quadratus femoris, gluteus maximus (lower fibers)
Innervation: L4-S2
Client position/ stabilization:sitting with knee flexed to 90° for grades 3-5 (towel under the thigh) have patient turn foot in
Gravity reduces: supine with knee extended for grades 0-2
palpation: piriformis (between sacrum and greater trochanter)
resist: ankle and distal femur
Hip IR MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
resist:
Muscles: Gluteus minimus, gluteus medius anterior fibers, TFL
Innervation: L4-S1
Client position/ stabilization: sitting with knee flexed to 90° for grades 3-5 (towel under thigh) have patient turn foot outwards
Gravity reduces: supine with knee extended for grades 0-2
palpation: anterior glut med fibers and TFL
resist: ankle and distal femur
Knee flexion MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
Muscles: Medial: Semitendinosus and semimembran. Lateral: biceps femoris
Innervation: L5-S2
Client position/ stabilization: prone with tested knee flexed to 90° for grades 3-5 (rotate lower leg internally to test medial H/S and rotate the lower leg externally to test lateral H/S)
Gravity reduces: sidelying with the tested leg being the under most leg with hip in neutral for grades 0-2
palpation: below ischial tub
knee extension MMT
Muscles:
Innervation:
Client position/ stabilization:
Gravity reduces:
palpation:
Muscles: Quadriceps femoris: rectus femoris, vastus lateralis, vastus medialis, vastus intermedius
Innervation: L2-L4
Client position/ stabilization: sitting with tested knee slightly flexed for grades 3-5 (client can stabilize by holding table)
Gravity reduces: sidelying with the tested leg being the under most leg with hip in neutral fro grades 0-2
palpation: mid quad
