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PALPATION/MMT/SPECIAL TESTS Hip and Thigh Musculature PALPATIONS Anterior Superior Iliac Spine (ASIS) Posterior Superior Iliac Spine (PSIS) Greater Trochanter Hip Distraction PURPOSE Detect any muscle weakness or lack of ROM when compared bilaterally May indicated muscle strain or nerve damage ALL MMT IS PERFORMED BILATERALLY HIP FLEXION Iliopsoas Ath position Stabilize Seated with knees over the side of the table Contralateral ASIS Resistance Distal femur HIP EXTENSION Muscles being tested: When knee is extended : Hamstrings and Gluteus Max When knee is flexed : Isolated Gluteus Max Ath Position: Stabilizing: Prone Posterior Pelvis /PSIS Resisting: Posterior distal thigh ADDUCTION Adductor muscles: Ath position: Adductor Magnus, Adductor Longus, Adductor Brevis, Gracilis Side lying ON the side being tested, knees extended Stabilize: Ath actively stabilizes pelvis and torso Hold non-testing leg under knee Resistance: medial femur ABDUCTION: Abductor Muscles: Ath position: Side lying on OPPOSING side with top knee slightly bent Stabilizing: Gluteus Medius and Gluteus minimus Pelvis and torso actively stabilized by ath Resistance: Over lateral femoral condyle INTERNAL ROTATION Internal rotator muscles: Ath position: Seated with knees flexed over table Stabilization: Gluteus Minimus, TFL, Gluteus Medius Ath actively stabilizes themselves Resistance: Lateral malleoli EXTERNAL ROTATORS External rotator muscles: Ath position: Seated with knees flexed over edge of table Stabilizing: Obturator internus, Obterator externus, quadratus femoris, Piriformis, Gemellus inferior and superior, Gluteus maximus Ath actively stabilizes themselves Resistance: Over medial malleoli SPECIAL TESTS Thomas Test for Hip Flexor Tightness Ely’s Test for Rectus Femoris Tightness https://www.youtube.com/watch?v=4mnjUi-41fI https://www.youtube.com/watch?v=FF7L_2QTUx8 Hip Scouring Test https://www.youtube.com/watch?v=aHEDwyX8bHc