Test: Hip Adduction - Manual Testing

Video Link

Background/Purpose

Hip adduction is accomplished with the following muscles:
Adductor Magnus: originates on the ischial tuberosity and pubis and inserts onto the femur at the linea apsera, adductor tubercle on medial condyle. It is innervated from L2-4.
Adductor Brevis: Originates on the pubis and inserts on the femur at the linea aspera. Innervation: L2-4.
Adductor Longus: Originates on the pubis and inserts on the femur at the linea aspera. Innervation: L2-4.
Pectinius: Originates on the pubis and inserts on the posterior femur. Innervation: L2-4.
Gracilis: Originates on the pubis and inserts on tibia distal to the medial condyle. Innervation: L2-3.

Procedure

Subject is placed in a side-lying position with the limb to be tested resting on the table. The top limb is placed in 25 degrees of abduction and is supported by the clinician. The clincian stands behind the subject and support the thigh and knee off the top leg using their forearm and hand. The clinician instructs the patient "Lift your bottom leg up to your top one. Hold it. Don't let me push it down."
Grade 5: Complete ROM and hold against maximal resistance.
Grade 4: Complete ROM and holds against moderate resistance but end point may not be firm.
Grade 3: Completes ROM with no manual resistance.
Grade 2: Completes a partial ROM while side lying or a full ROM while supine.
Garde 1: The examiner can palpate a contractile response.
Grade 0: There is no palpable contractile response.

Performed: Unilaterally

Dialog

Hip adduction side lying.

Criteria

• Completes full ROM
• Completes against maximal resistance

Measurement

5.00

LOINC Code

0

Scale/Grading

Pass/Fail