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DynaMo Lite Test: Hip Strength Protocol

Liesl Thrum
  • Updated

Hip Extension

Hip Flexion

Hip Internal Rotation

Hip External Rotation

Hip Adduction

Hip Abduction

Hip Extension
Supine (Long Lever) Compression

Patient position Supine on the bed with leg being tested in full extension.
Contact point Posterior aspect of the patient's lower leg, just proximal to the ankle.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing adjacent to the bed on the side of the tested leg, with two hands supporting the DynaMo, resisting upward force.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Hip Extension
Prone (Long Lever) Compression

Patient position Prone on the bed with leg being tested in full extension.
Contact point Posterior aspect of the patient's lower leg, just proximal to the ankle.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing adjacent to the bed on the side of the tested leg, with two hands supporting the DynaMo Lite, resisting upward force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Extension
Prone (Short Lever) Compression

Patient position In prone, with testing leg at 90 degree knee flexion.
Contact point Posterior aspect of the patient's thigh, just proximal to the knee.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Kneeling on bed, so able to brace DynaMo Lite from above sole of patient foot.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Extension
Prone - 90° Knee Flexion Compression

Patient position Prone on the bed with leg being tested in 90 degrees of knee flexion.
Contact point Plantar aspect of the patient's foot, just anterior to calcaneus.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing adjacent to the bed on the side of the tested leg, with two hands supporting the DynaMo Lite, resisting upward force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Extension
Semi-Prone Compression

Patient position Patient lying in a semi-prone position with the leg being tested in 90 degree knee flexion and end range hip extension, with the patient's body, from the hip crease upwards, in contact with the bed.
Contact point Posterior thigh, just proximal to the knee.
Device orientation Horizontal, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Adjacent to the patient, stabilizing the DynaMo Lite with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Flexion
Seated Compression

Patient position Seated at the edge of the bed with feet touching the floor, their arms crossed and hands placed on opposite shoulder.
Contact point On the distal anterior thigh, just proximal to the patella.
Device orientation Horizontal, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Standing beside the patient, using both hands to hold the DynaMo Lite, applying downward pressure.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Flexion
Supine (Variant 1) Compression

Patient position Supine on the bed with the leg being tested in 90 degree hip flexion and knee flexion.
Contact point Posterior aspect of the patient's thigh, just proximal to the knee.
Device orientation Horizontal, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Standing besides the patient with two hands supporting the DynaMo Lite.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Flexion
Supine (Variant 2) Compression

Patient position Supine on the bed with the leg being tested in full extension and the opposite leg bent in a hook-lying position.
Contact point Just proximal to anterior ankle.
Device orientation Horizontal, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Standing besides the patient with two hands supporting the DynaMo Lite.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Flexion - Kicker
Standing Compression

Patient position Standing on the contralateral leg, with the involved leg in slight hip and knee flexion.
Contact point Dorsal aspect of the foot.
Device orientation Horizontal with one end attached to a fixed object directly posterior to the leg being tested, and the other end attached to the patient's leg via tension link and ankle strap.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Hip Internal Rotation
Seated Compression

Patient position Seated with the hip and knee at 90 degrees flexion.
Contact point Lateral ankle.
Device orientation Vertical, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Kneeling in front of the patient, supporting the DynaMo Lite with one hand and the patient with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Internal Rotation
Supine Compression

Patient position Supine on the bed with leg being tested in 90 degrees of hip and knee flexion.
Contact point Horizontal, consistent with the position of the patient's foot.
Device orientation Horizontal, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Standing in front of the patient, supporting the DynaMo Lite with one hand and the patient with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Internal Rotation
Prone Compression

Patient position Prone on the bed with leg being tested in 90 degrees of knee flexion.
Contact point Fixated to the lateral aspect of the patient's lower leg.
Device orientation Vertical, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Kneeling in front of the patient, supporting the DynaMo Lite with one hand and the patient with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip External Rotation
Seated Compression

Patient position Seated at the edge of the bed with their hips and knees both at 90 degrees flexion.
Contact point Fixated along the medial aspect of the patient's lower leg.
Device orientation Vertical, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Seated or kneeling in front of the patient, in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip External Rotation
Supine Compression

Patient position Supine with hip being tested at 90 degrees of flexion and knee flexed to 90 degrees.
Contact point Fixated along the medial aspect of the patient's lower leg.
Device orientation Horizontal, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Seated at the foot of the bed, medial to the leg being tested, in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip External Rotation
Side Lying Compression

Patient position Side lying in a hook position, with both hips and knees at 90 degrees of flexion.
Contact point Lateral thigh.
Device orientation Vertical, with the practitioner supporting the flat surface and the pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with both hands holding the DynaMo Lite and resisting posterior force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip External Rotation
Prone Compression

Patient position Prone on the bed with leg being tested in 90 degrees of knee flexion.
Contact point Fixated along the medial aspect of the patient's lower leg.
Device orientation Vertical, with the examiner supporting the flat surface and the pad in contact with the patient.
Position of examiner Sitting adjacent to the bed on the side of the tested leg, in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Adduction
Standing Compression

Patient position Standing with arms supported by a stable surface.
Contact point Medial aspect of the patient's lower leg, just proximal to the medial malleolus.
Device orientation Horizontal, with the flat surface supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated or kneeling in front of the patient, lateral to the leg being tested, with one hand supporting the DynaMo and resisting lateral force, with the other hand supporting the patient's upper leg to ensure minimal movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Hip Adduction
Supine Compression

Patient position Supine on the bed with leg being tested in full extension and opposite leg in a hook-lying position.
Contact point Medial aspect of the patient's lower leg, just proximal to the medial malleolus.
Device orientation Horizontal, with the flat surface in contact with the fixed surface and pad in contact with the occiput.
Position of examiner Standing besides the bed with one hand supporting the DynaMo Lite and the other supporting the patient's leg, just proximal to the hip of their leg being tested.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Adduction
Supine - 45° Knee Flexion Compression

Patient position Supine on the bed with leg being tested at 45 degrees knee flexion in a hook-lying position and the opposite leg fully extended.
Contact point Medial aspect of the patient's knee.
Device orientation Horizontal, with the flat surface in contact with the fixed surface and pad in contact with the occiput.
Position of examiner Standing besides the bed, opposite the side being tested, with one hand supporting the DynaMo Lite and the other supporting the patient's hip of their leg being tested.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Adduction
Supine - 90° Knee Flexion Compression

Patient position Supine on the bed with leg being tested at 90 degrees hip and knee flexion and the opposite leg fully extended.
Contact point Medial aspect of the patient's knee.
Device orientation Horizontal, with the flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing besides the bed, opposite the side being tested, with one hand supporting the DynaMo Lite and the other supporting the patient's hip of their leg being tested.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Adduction
Side Lying Compression

Patient position Side-lying on the bed with leg being tested in full extension and opposite leg in hook-lying position.
Contact point Medial ankle.
Device orientation Horizontal, with the practitioner supporting the flat surface and the curved pad in contact with the patient.
Position of examiner Standing besides the table, opposite the side being tested, with one hand supporting the DynaMo Lite and the other supporting the patient's leg.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Abduction
Standing Compression

Patient position Standing with arms supported by a stable surface.
Contact point Lateral aspect of the patient's lower leg, just proximal to the lateral malleolus.
Device orientation Horizontal, with the flat surface supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated or kneeling in front of the patient, lateral to the leg being tested, with one hand supporting the DynaMo and resisting lateral force, with the other hand supporting the patient's upper leg to ensure minimal movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Hip Abduction
Supine Compression

Patient position Supine on the bed with leg being tested in full extension and opposite leg in a hook-lying position.
Contact point Lateral aspect of the patient's lower leg, just proximal to the lateral malleolus.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing besides the bed, on the same side as the leg being tested with one hand supporting the DynaMo Lite and the other supporting the patient's leg, just proximal to the hip of their opposite leg.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Hip Abduction
Side Lying Compression

Patient position Lying on non-testing side, with non-testing leg in 45 degrees hip and knee flexion and testing leg in neutral.
Contact point Lateral aspect of lower leg, just proximal to lateral malleolus.
Device orientation Vertical, the tester end up with the flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing at the side of the bed, posterior to the patient, with one hand supporting the DynaMo Lite and the other hand supporting the patient's hip of the leg being tested.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

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