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Related Experiment Videos

The supine hip extensor manual muscle test: a reliability and validity study.

Jacquelin Perry1, Walter B Weiss, Judith M Burnfield

  • 1Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA 90242, USA. pklab@larei.org

Archives of Physical Medicine and Rehabilitation
|August 6, 2004
PubMed
Summary

The supine manual muscle test (MMT) reliably and validly assesses hip extensor strength. This study defined strength values for supine MMT grades, comparing them to isometric torque measurements.

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Area of Science:

  • Biomechanics
  • Musculoskeletal assessment
  • Rehabilitation science

Background:

  • Manual muscle testing (MMT) is crucial for assessing muscle strength.
  • Traditional prone MMT for hip extensors can be challenging.
  • A supine MMT offers a potentially more accessible alternative.

Purpose of the Study:

  • To quantify the hip extensor muscle strength values corresponding to the four grades of the supine manual muscle test (MMT).
  • To compare these supine MMT strength grades with isometric hip extension joint torque.
  • To establish the reliability and validity of the supine MMT for hip extensor strength assessment.

Main Methods:

  • Compared four grades of supine MMT with isometric hip extension torque in adult volunteers.
  • Assessed interrater reliability using the kappa statistic.

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  • Analyzed differences in torque between MMT grades using analyses of variance.
  • Main Results:

    • Excellent interrater reliability (82%) was observed for the supine MMT.
    • Significant differences in mean isometric torque were found between supine MMT grades in both healthy adults and individuals with hip extensor weakness.
    • Specific torque values (Nm) were identified for grades 2, 3, 4, and 5.

    Conclusions:

    • The supine manual muscle test (MMT) is a reliable method for assessing hip extensor strength.
    • The supine MMT is a valid tool, correlating well with objective isometric torque measurements.
    • This supine MMT provides a dependable clinical method for evaluating hip extension strength.