MMT Hip and Knee

Question 1

Hip Flexion MMT

Answer 1

Muscle: Psoas Major (L2-L4)

Position: Sitting, holding onto plinth

Palpate: Distal to inguinal lig

Movement: bring Knee up, resist at distal femur

Stabilize: Ipsi pelvis

GR Position: Sidelying, leg supported by PT

Question 2

Hip Flexion, Abduction, ER MMT

Answer 2

Muscle: Sartorius (L2-L3)

Position: Siting, holding onto plinth

Palpate: Below ASIS

Movement: flex hip, ER, abduction; resist at distal thigh and ankle

Stabilize: N/a

GR Position: Supine, slide heel on shin of opposite leg

Question 3

Hip Extension MMT

Answer 3

Muscle: Glute max (L5-S2), Hamstrings (L5-s2)

Position: Prone, knee extended
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: Sidelying, knee extended

Question 4

Hip Extension isolating Gluteus Maximus MMT

Answer 4

Muscle: Glute max (L5-S2)

Position: Prone, knee flexed
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: Sidelying, knee flexed

Question 5

Hip Extension w/ Tight Hip Flexors MMT

Answer 5

Muscle: Glute max (L5-s2)

Position: Prone, bent over and holding plint, knee extended
-PT on contra side

Palpate: Glute max

Movement: Extend leg and resist distal femus

Stabilize: Pelvis

GR Position: N/a

Question 6

Hip Abduction MMT

Answer 6

Muscle: Glute Medius (S1-S2)

Position: Sidelying, testing knee extended

Palpate: Below iliac crest

Movement: Abduct hip, resist distal femur

Stabilize: Iliac Crest

GR Position: Supine, abduct while suine

Question 7

Hip Flexion w/ TFL MMT

Answer 7

Muscle: TFL (L4-s1)

Position: Sidelying, knee extended, hip flexed to 45

Palpate: TFL, supeprior lat glute

Movement: Lift leg, resist at distal femur

Stabilize: Iliac crest

GR Position: Longsitting

Question 8

Hip Adduction MMT

Answer 8

Muscle: Adductors (L2-L4)

Position: Sidelying on testing side, knees extended, PT suppporting higher leg

Palpate: Medial Thigh

Movement: Support non test leg and resist testing leg adduction at distal femur

Stabilize:

GR Position: Supine

Question 9

Hip ER MMT

Answer 9

Muscle: Piriformis (L4-S1)

Position: Sitting, knee flexed with towel

Palpate: Btwn sacrum and greater trochanter

Movement: Resist at outer knee and inner ankle

Stabilize: Outer knee

GR Position: Supine, knee extended

Question 10

Hip IR MMT

Answer 10

Muscle: Gluteus Min and FL (L4-S1)

Position: Sitting, knee flexed with towel

Palpate: Anterior glut/TFL

Movement: Resist at inner knee and outer ankle

Stabilize: inner knee

GR Position: Supine, knee extended

Question 11

Knee Flexion MMT

Answer 11

Muscle:
-Medial: semitendinosis
-Lateral: biceps femoris (L5-s2)

Position: Prone, flexed knee

Palpate: Hammies

Movement:
-Normal: resist distal tibia
-Medial: IR tibia and resist obliquely (lateral)
-Lateral: ER and resist obliquely (medially)

Stabilize: Pelvis

GR Position: Sidelying on test leg, PT in front of pt

Question 12

Knee Extension MMT

Answer 12

Muscle: Quads (L2-L4)

Position: Sitting, knee slightly flexed, hold plinth

Palpate: Mid quad

Movement: flex knee and resist distal tibia

Stabilize: Pelvis

GR Position: Sidelying on test limb