CLIENT ASSESSMENT HIP

4) Internal rotators The tensor fascia latae, gluteus minimus and anterior fibres of gluteus medius internally rotate the hip. Like the external rotators, they can be tested in sitting (figure 13) with pressure applied on the outside of the ankle and inside of the thigh, or prone as in figure 14 with the pelvis stabilised.

5) Hip extensors Gluteus maximus - patient is prone with knee flexed to 90o

. Stabilise by

placing one hand on opposite posterior superior iliac crest. Other hand placed on posterior mid thigh of leg to be tested. Resist hip extension. Hamstrings are covered in section 8.

7) Quadriceps group Quadriceps - sit patient on edge of couch, start with knee at 90o

of flexion

and ask them to extend against your pressure applied onto the tibia.

Figure 18: Quadriceps muscle test Figure 15: Gluteus maximus muscle test Figure 13: Internal rotator test in sitting

6) Adductors Adductor magnus adducts and extends the hip. To test patient is in side-lying with the unaffected on top and flexed at the hip and knee. Apply resistance to adduction of the bottom leg.

8) Hamstring group Hamstrings – patient prone on couch, knee flexed to 20o

to 30o , ask to flex

against your resistance applied just above ankle.

Figure 14: Internal rotator test prone

Figure 19: Hamstring muscle test

Figure 16: Adductor magnus muscle

and internally rotated with stabilisation on opposite ilium. Resist movement in direction of hip adduction and flexion.

Adductor longus and brevis - flex the hip as well as adducting. Position for testing is again supine, hip flexed to about 25o

References 1. Watt JM. Patient Assessment: A Ready Reckoner sportEX dynamics 2007;11(Jan):8-9 2. Watt JM. Assessment of the Knee Joint. sportEX dynamics 2007;12(Apr):14-15 3. Watt JM. Assessment of the Ankle Joint. sportEX dynamics 2007;13(Jul):13:11-13

FURTHER READING

n Physical Assessment – Dr Nikita A. Vizniak. Professional Health Systems ISBN 0973274255 n Muscle Manual – Dr Nikita A Vizniak, Professional Health Systems, ISBN 9780973274226 n Principles of Manual Sports Medicine – Steven J Karageanes. Lippincott Williams & Wilkins ISBN 0781741890

THE AUTHOR

Joan Watt, MA, MCSP, MSMA is a chartered physiotherapist and sports massage practitioner. She has worked

Figure 17: Adductor longus and brevis muscle test

at numerous Olympic and Commonwealth games, travels widely as a practitioner as well as a manager and is currently manager of the GB Shooting team.

www.sportEX.net 21