ROM and MMT

Question 1

Hip Flexion
Patient position
Palpatory landmarks

Answer 1

Supine
Axis = greater troch
Stationary arm = midaxillary line
Moving arm = parallel to femur in line with lateral epicondyle

Question 2

Hip Flexion Norm

stabilization

Answer 2

120 degrees

No stabilization necessary

Question 3

Hip Abudction
Patient position
Palpatory landmarks

Answer 3

Supine
Axis = ASIS
Stationary = in line with opposite ASIS
Moving arm = along midline of femur (towards center of knee joint)

Question 4

Hip abduction norm

stabilization

Answer 4

40 degrees

Stabilize ipsilateral hip (innominate bone)

Question 5

Hip ER/IR
Patient position
Palpatory landmarks

Answer 5

Sitting with 90 degrees knee flexion with towel under distal femur
Axis = tibial tubersity
Stationary = perpendicular to floor, parallel to supporting surface
Moving = Anterior midline of lower leg with tibial crest as landmark

Question 6

Hip ER/IR norm

stabilization

Answer 6

45 degrees

Stabilize distal end of femur

Question 7

MMT for iliopsoas

Answer 7

Have patient supine
Abduction a little
ER (knee extended)
Stabilize on opposite side

Question 8

MMT for TFL

Answer 8

Have patient supine
Abduction a little
IR (knee extended)
Stabilize on opposite side 
Force down and in toward the table

Question 9

MMT for Quadriceps

Answer 9

Patient in sitting
Knee into slight extension (10 or 15 degrees)
Apply pressure at ankle (place other hand other thigh for support)

Question 10

MMT for glut max

Answer 10

prone
Knee extended for ROM testing and then put into flexion for the MMT (to shorten hamstring and take them out)
Apply pressure onto hamstring
If patient can’t extend at hip, you can have them prone with feet on the floor (bent over the table)

Question 11

MMT for Abductors

Answer 11

Side lying with neutral spine and straight into abduction
Get patient close to you and make sure bottom leg is fixed
(make sure to diff with glut med - slight ER, slight ext, and abduction - push down and into flexion, down and forward)

Question 12

MMT for Adductors

Answer 12

Side lying with arms crossed in btw the legs applying pressure above or below knee joints

Question 13

MMT for Medial Hamstrings

Answer 13

Prone
Internal rotation at hip and tibia
Ask patient to hold those positions and then push at ankle region down toward extension

Question 14

MMT for lateral hamstrings

Answer 14

Prone
External rotation at hip and tibia
Knee in slight flexion
Resist at tibia - frog looking? Press downward

Question 15

MMT for hip rotators

External Rotators

Answer 15

Seated
ER, Thigh is rolled out into ER and leg is turned in
Pressure at outer thigh and medial ankle to derotate
Sartorius, Quad femoris, gemellis, obturator, piriformis

Question 16

Internal Rotators

Answer 16

Seated
IR, Thigh is rolled inward, leg is turned out, Pressure at inner thigh and outer ankle
TFL, Pectineus, Adductor magnus