Manual Muscle Testing: Hip Adduction
Muscles Involved:[edit | edit source]
Adductor Magnus
Adductor Brevis
Adductor Longus
Pectineus
Gracilis
Patient Positioning[edit | edit source]
- Grades 3 to 5 - Patient in side lying with top leg (non-test side) abducted 25 degrees. Test side is the bottom leg in side lying.
- Grades 0-2 - Patient is supine (gravity eliminated), non-test side is abducted 25 degrees.
Joint start Position[edit | edit source]
The hip should be in a neutral position between the available range of abduction and adduction. This can sometimes be challenging to achieve.
Therapist Position[edit | edit source]
- Therapist stands behind patient in side lying with support given to the non-test side in abduction
- Therapist stands on the test side if testing in supine
- Provide stabilization at the pelvis in side lying
- Palpation over hip adductors in supine.
To Test[edit | edit source]
- Patient actively adducts the hip
- For grades 4 and 5 provide resistance over the medial femur in the direction opposite to adduction