MMT for Hip

Question 1

Hip flexion muscles

Answer 1

Psoas major
Iliacus
Together called iliopsoas

Question 2

Palpation for psoas major in hip flexion

Answer 2

Bend slightly forward

Place hand below rib and above iliac crest

Question 3

Palpation for iliacus in hip flexion

Answer 3

Too deep

Question 4

Hip flexion AG

Answer 4

Seated; hip flexed 90

5: lift leg 30°
4: lift leg mod
3: lift leg off table

Question 5

Hip flexion GM

Answer 5

Sidelying; hip flexed 90

Question 6

Hip flexion & abduction & lateral/external rotation (knee flexion) muscles

Answer 6

Sartorius

Question 7

Palpation for sartorius

Answer 7

Below and medial to ASIS (crease of leg)

Question 8

Hip flexion & abduction & lateral/external rotation (knee flexion) AG

Answer 8

Seated
Bring heal to opposite knee
Resistance: knee & medial malleolus

Question 9

Hip flexion & abduction & lateral/external rotation (knee flexion) GM

Answer 9

Supine

Slide foot up opposite knee

Question 10

Muscles for Hip Extension (to 125 degrees - from 90 to all the way back)

Answer 10

Gluteus maximus

Question 11

Palpation for gluteus maximus

Answer 11

Between sacrum and greater trochanter

Question 12

Hip extension AG

Answer 12

Standing and leaning over table, knee bent to 90 (or in prone)
Extend hip
Resistance: distal femur

Question 13

Hip extension GM

Answer 13

Sidelying with power board

Question 14

Hip Abduction muscles

Answer 14

Gluteus medius and Gluteus minimus

Question 15

Palpation for gluteus medius

Answer 15

Lateral to crest of ilium or proximal to greater trochanter

Question 16

Palpation for gluteus minimus

Answer 16

Too deep

Question 17

Hip Abduction AG

Answer 17

Sidelying 
Testing leg on top
Bottom leg knee bent to 90
Abduct the hip with no flexion or lateral rotation
Resistance: mid-thigh

Question 18

Hip Abduction GM

Answer 18

Supine

Slide to side

Question 19

Hip flexion, abduction, medial rotation (& knee extension) muscles

Answer 19

Tensor fascia lata

Question 20

Palpation for tensor fascia lata

Answer 20

Below and lateral to ASIS

Question 21

Hip flexion, abduction, medial rotation (& knee extension) AG

Answer 21

Sidelying
Testing leg on top
Test leg at 45° hip flexion, knee extended
Abduct hip with 45° hip flexion
Resistance: mid-thigh

Question 22

Hip flexion, abduction, medial rotation (& knee extension) GM

Answer 22

Semi-sitting
Hip flexed to 45°
Slide leg to side

Question 23

Hip Adduction (extension) muscles

Answer 23

Adductor longus
Adductor magnus
Adductor brevis
Gracilis
Pectineus

Question 24

Palpation for Adductor Longus

Answer 24

Medial side of the thigh, below pelvic arch

Question 25

Palpation for Adductor Magnus

Answer 25

Too deep

Question 26

Palpation for Adductor Brevis

Answer 26

Too deep

Question 27

Palpation for Gracilis

Answer 27

Medial aspect of knee, round feeling

Question 28

Palpation for Pectineus

Answer 28

Too deep

Question 29

Hip Adduction (extension) AG

Answer 29

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

Question 30

Hip Adduction (extension) GM

Answer 30

Supine Non test limb abducted out of the way 2: 25° of adduction slide 1: trace

Question 31

Hip Medial & Lateral Rotation muscles

Answer 31

``` Obturator Internus Obturator Externus Superior Gemellus Inferior Gemellus Quadratus femoris Piriformis ```

Question 32

Palpation for obturator internus

Answer 32

Too deep

Question 33

Palpation for obturator externus

Answer 33

Too deep

Question 34

Palpation for superior gemellus

Answer 34

Too deep

Question 35

Palpation for inferior gemellus

Answer 35

Too deep

Question 36

Palpation for quadratus femoris

Answer 36

Too deep

Question 37

Palpation for piriformis

Answer 37

Approaches greater trochanter posteriorly

Question 38

Hip Medial & Lateral Rotation AG

Answer 38

Supine Knee flexed over edge of table Opposite leg bent at knee on mat Lateral rotation must move past midline with resistance

Question 39

Hip Medial & Lateral Rotation GM

Answer 39

Supine Leg straight and hip medially rotate laterally rotate Standing With weight off (hanging from a stool)