MMT for Hip Flashcards
Hip flexion muscles
Psoas major
Iliacus
Together called iliopsoas
Palpation for psoas major in hip flexion
Bend slightly forward
Place hand below rib and above iliac crest
Palpation for iliacus in hip flexion
Too deep
Hip flexion AG
Seated; hip flexed 90
5: lift leg 30°
4: lift leg mod
3: lift leg off table
Hip flexion GM
Sidelying; hip flexed 90
Hip flexion & abduction & lateral/external rotation (knee flexion) muscles
Sartorius
Palpation for sartorius
Below and medial to ASIS (crease of leg)
Hip flexion & abduction & lateral/external rotation (knee flexion) AG
Seated
Bring heal to opposite knee
Resistance: knee & medial malleolus
Hip flexion & abduction & lateral/external rotation (knee flexion) GM
Supine
Slide foot up opposite knee
Muscles for Hip Extension (to 125 degrees - from 90 to all the way back)
Gluteus maximus
Palpation for gluteus maximus
Between sacrum and greater trochanter
Hip extension AG
Standing and leaning over table, knee bent to 90 (or in prone)
Extend hip
Resistance: distal femur
Hip extension GM
Sidelying with power board
Hip Abduction muscles
Gluteus medius and Gluteus minimus
Palpation for gluteus medius
Lateral to crest of ilium or proximal to greater trochanter
Palpation for gluteus minimus
Too deep
Hip Abduction AG
Sidelying Testing leg on top Bottom leg knee bent to 90 Abduct the hip with no flexion or lateral rotation Resistance: mid-thigh
Hip Abduction GM
Supine
Slide to side
Hip flexion, abduction, medial rotation (& knee extension) muscles
Tensor fascia lata
Palpation for tensor fascia lata
Below and lateral to ASIS
Hip flexion, abduction, medial rotation (& knee extension) AG
Sidelying Testing leg on top Test leg at 45° hip flexion, knee extended Abduct hip with 45° hip flexion Resistance: mid-thigh
Hip flexion, abduction, medial rotation (& knee extension) GM
Semi-sitting
Hip flexed to 45°
Slide leg to side
Hip Adduction (extension) muscles
Adductor longus Adductor magnus Adductor brevis Gracilis Pectineus
Palpation for Adductor Longus
Medial side of the thigh, below pelvic arch
Palpation for Adductor Magnus
Too deep
Palpation for Adductor Brevis
Too deep
Palpation for Gracilis
Medial aspect of knee, round feeling
Palpation for Pectineus
Too deep
Hip Adduction (extension) AG
Sidelying
Testing leg on bottom
Non test limb supported in 25° of abduction
5: adduct hip toward non test limb aprox 25°
4: mod
3: full ROM
Hip Adduction (extension) GM
Supine
Non test limb abducted out of the way
2: 25° of adduction slide
1: trace
Hip Medial & Lateral Rotation muscles
Obturator Internus Obturator Externus Superior Gemellus Inferior Gemellus Quadratus femoris Piriformis
Palpation for obturator internus
Too deep
Palpation for obturator externus
Too deep
Palpation for superior gemellus
Too deep
Palpation for inferior gemellus
Too deep
Palpation for quadratus femoris
Too deep
Palpation for piriformis
Approaches greater trochanter posteriorly
Hip Medial & Lateral Rotation AG
Supine
Knee flexed over edge of table
Opposite leg bent at knee on mat
Lateral rotation must move past midline with resistance
Hip Medial & Lateral Rotation GM
Supine
Leg straight and hip medially rotate laterally rotate
Standing
With weight off (hanging from a stool)
