DynaMo Plus Test: Hip Strength Protocol – VALD Knowledge Base

Hip Extension
Standing (Long Lever) Compression

Patient position	Standing with both hands in contact with a fixed surface in front of them for support and the leg being tested in full extension, standing on their opposite leg.
Contact point	Posterior aspect of the patient's lower leg, just proximal to the ankle.
Device orientation	Horizontal, with the practitioner supporting the palm pad and the curved pad in contact with the patient.
Position of examiner	Kneeling behind the patient, supporting the DynaMo Plus with one hand and supporting the patient with the other.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Extension
Standing (Long Lever) Tension

Patient position	Standing upright, holding onto a fixed surface in front of them for support.
Contact point	Ankle strap, on the link closest to the anterior aspect of the ankle.
Device orientation	Horizontal, connected to the ankle strap at one end and attached to a fixed surface anterior to the patient.
Position of examiner	Standing next to the patient in position to instruct and demonstrate the movement.
Instruction	Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments	Ankle and cable strap.

Hip Extension
Standing (Short Lever) Compression

Patient position	Standing with both hands in contact with a fixed surface in front of them for support and the leg being tested bent to 90 degrees knee flexion, standing on their opposite leg.
Contact point	Posterior aspect of the patient's thigh, just proximal to the knee.
Device orientation	Horizontal, with the practitioner supporting the palm pad and the curved pad in contact with the patient.
Position of examiner	Kneeling behind the patient, supporting the DynaMo Plus with both hands.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

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	Palm pad supported by the examiner and the curved 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.
Attachments	Curved pad, palm pad.

Hip Extension
Prone (Long Lever) Compression

Patient position	In prone, with testing leg at 90 degrees knee flexion.
Contact point	Sole of the foot.
Device orientation	Vertical, in line with shank.
Position of examiner	Kneeling on the bed, able to brace the DynaMo Plus from above the sole of the patient's foot.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Extension
Prone (Long Lever) Compression

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

Hip Extension
Prone (Short Lever) Compression

Patient position	Prone on the table with leg being tested in 90 degrees of knee flexion.
Contact point	Posterior aspect of the patient's thigh, just proximal to the knee.
Device orientation	Vertical, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing adjacent to the table on the side of the tested leg, with two hands supporting the DynaMo Plus and resisting upward force.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Extension
Prone (90° Knee Flexion) Compression

Patient position	Prone on the table with leg being tested in 90 degrees of knee flexion.
Contact point	Plantar aspect of the patient's foot, just anterior to calcaneous.
Device orientation	Vertical, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing adjacent to the table on the side of the tested leg, with two hands supporting the DynaMo Plus and resisting upward force.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

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, and the foot of the opposite leg touching the floor and patient's body from hip crease upwards in contact with the table.
Contact point	Posterior thigh, just proximal to the knee.
Device orientation	Perpendicular to the patient's thigh, with the tester end up and the load end in contact with the patient.
Position of examiner	Adjacent to the patient, stabilizing the DynaMo Plus with both hands.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Flexion
Standing (Variant 1) Compression

Patient position	Standing with their contralateral hand in contact with a fixed surface for support, leg being tested bent to 90 degrees knee flexion and standing on their opposite leg.
Contact point	Anterior aspect of the patient's thigh, just proximal to the knee.
Device orientation	Horizontal, with the practitioner supporting the palm pad and the curved pad in contact with the patient.
Position of examiner	Kneeling in front of the patient, supporting the DynaMo Plus 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.
Attachments	Palm pad and curved pad.

Hip Flexion
Standing (Variant 2) Compression

Patient position	Standing with their contralateral hand in contact with a fixed surface for support, leg being tested in full extension and standing on their opposite leg.
Contact point	Anterior aspect of the patient's lower leg, just proximal to the ankle.
Device orientation	Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Kneeling in front of the patient, supporting the DynaMo Plus 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.
Attachments	Palm pad and curved pad.

Hip Flexion
Supine Compression

Patient position	Supine on the table with the leg being tested in full extension and the opposite leg bent in a hook-lying position.
Contact point	Posterior aspect of the patient's thigh, just proximal to the knee.
Device orientation	Vertical, the tester end up with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing besides the table with two hands supporting the DynaMo Plus.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Flexion
Supine (Long Lever) Compression

Patient position	Supine with the leg being tested in full extension and the opposite leg bent in a hook-lying position.
Contact point	Distal aspect of the anterior shank.
Device orientation	Vertical, with the curved pad in contact with the patient and the palm pad supported by the practitioner.
Position of examiner	Standing adjacent to the leg being tested, supporting the DynaMo with both hands.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Curved pad, Palm pad.

Hip Flexion
Seated Compression

Patient position	Sitting off the edge of the bed with feet not touching the floor, their arms crossed and hands placed on the opposite shoulder.
Contact point	On the distal anterior thigh, just proximal to the patella.
Device orientation	Vertical, with the tester end up and palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing beside the patient, using both hands to hold the DynaMo Plus, applying downward pressure.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Curved pad, palm pad.

Hip Flexion - Kicker
Standing Tension

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	Pull against the DynaMo as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments	Tension links, Carabiners, Ankle strap.

Hip Internal Rotation
Seated Compression

Patient position	Sitting off the end of the table with their hips and knees both at 90 degrees flexion.
Contact point	Lateral aspect of the patient's lower leg, just proximal to the lateral malleolus.
Device orientation	Horizontal, with the palm pad 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 Plus 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.
Attachments	Palm pad and curved pad.

Hip Internal Rotation
Seated Tension

Patient position	Seated on the edge of the table, with feet not in contact with the ground and hands clasped together.
Contact point	Lateral aspect of the ankle attachment, at the hook closest to the lateral malleolus.
Device orientation	Horizontal, linked to the ankle strap at one end and anchored to a fixed surface by the cable strap with the other, lateral to the patient's hip being tested.
Position of examiner	Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction	Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments	Ankle attachment, cable strap.

Hip Internal Rotation
Supine Compression

Patient position	Supine on the table with leg being tested in 90 degrees hip and knee flexion.
Contact point	Lateral aspect of the patient's lower leg, just proximal to the lateral malleolus.
Device orientation	Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing besides the table with one hand supporting the DynaMo Plus and the other supporting the patient's leg, just proximal to their knee.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Internal Rotation
Supine Tension

Patient position	Supine, with the leg being tested in 90 degrees hip and knee flexion, other leg remaining extended.
Contact point	Ankle attachment, at the medial aspect of the ankle, just proximal to the medial malleolus.
Device orientation	Horizontal, with one end connected to the ankle attachment and the other to a fixed surface medial to the leg being tested.
Position of examiner	Seated next to the patient in a position to instruct and demonstrate the movement.
Instruction	Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments	Ankle attachment, cable strap.

Hip Internal Rotation
Prone Compression

Patient position	Prone on the table with the leg being tested in 90 degrees of knee flexion.
Contact point	Lateral aspect of the patient's lower leg, just proximal to the lateral malleolus.
Device orientation	Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing adjacent to the table on the side of the tested leg, hand supporting the DynaMo Plus and resisting.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip External Rotation
Seated Compression

Patient position	Sitting off the end of the table with their hips and knees both at 90 degrees flexion.
Contact point	Lateral aspect of the patient's lower leg, just proximal to the medial malleolus.
Device orientation	Horizontal, with the palm pad 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 Plus 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.
Attachments	Palm pad and curved pad.

Hip External Rotation
Seated Tension

Patient position	Seated on the edge of the table, with feet not in contact with the ground and hands clasped together.
Contact point	Medial aspect of the ankle attachment, at the hook closest to the medial malleolus.
Device orientation	Horizontal, linked to the ankle strap at one end and anchored to a fixed surface by the cable strap with the other, medial to the patient's hip being tested.
Position of examiner	Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction	Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments	Ankle attachment, cable strap.

Hip External Rotation
Supine Compression

Patient position	Supine on the table with leg being tested in 90 degrees hip and knee flexion.
Contact point	Medial aspect of the patient's lower leg, just proximal to the medial malleolus.
Device orientation	Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing besides the table with one hand supporting the DynaMo Plus and the other supporting the patient's leg, just proximal to their knee.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip External Rotation
Supine Tension

Patient position	Supine, with leg being tested in 90 degrees hip and knee flexion, other leg remaining extended.
Contact point	Ankle attachment, at the lateral aspect of the ankle, just proximal to the medial malleolus.
Device orientation	Horizontal, with one end connected to the ankle attachment and the other to a fixed surface lateral to the leg being tested.
Position of examiner	Seated next to the patient in a position to instruct and demonstrate the movement.
Instruction	Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments	Ankle attachment, cable strap.

Hip External Rotation
Prone Compression

Patient position	Prone on the table with leg being tested in 90 degrees of knee flexion.
Contact point	Medial aspect of the patient's lower leg, just proximal to the lateral malleolus.
Device orientation	Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing adjacent to the table on the side of the tested leg, hand supporting the DynaMo Plus and resisting.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Adduction
Supine Compression

Patient position	Supine on the table 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 palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing besides the table with one hand supporting the DynaMo Plus 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.
Attachments	Palm pad and curved pad.

Hip Adduction
Supine (45° Knee Flexion) Compression

Patient position	Supine on the table 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 palm pad supported by the practitioner 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 Plus 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.
Attachments	Palm pad and curved pad.

Hip Adduction
Supine (90° Knee Flexion) Compression

Patient position	Supine on the table with leg being tested at 90 degrees flexion and the opposite leg fully extended.
Contact point	Medial aspect of the patient's knee.
Device orientation	Horizontal, with the palm pad supported by the practitioner 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 Plus 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.
Attachments	Palm pad and curved pad.

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 palm pad 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.
Attachments	Curved pad, palm pad.

Hip Abduction
Supine Compression

Patient position	Supine on the table 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	Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Standing besides the table, on the same side as the leg being tested with one hand supporting the DynaMo Plus 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.
Attachments	Palm pad and curved pad.

Hip Abduction
Supine (45° Knee Flexion) Compression

Patient position	Supine on the table with leg being tested at 45 degrees knee flexion in a hook-lying position and the opposite leg fully extended.
Contact point	Lateral aspect of the patient's knee.
Device orientation	Horizontal, with the palm pad supported by the practitioner 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 Plus and the other supporting the patient's hip of their opposite leg.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Abduction
Supine (90° Knee Flexion) Compression

Patient position	Supine on the table with leg being tested at 90 degrees knee flexion in a hook-lying position and the opposite leg fully extended.
Contact point	Lateral aspect of the patient's knee.
Device orientation	Horizontal, with the palm pad supported by the practitioner 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 Plus and the other supporting the patient's hip of their opposite leg.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad and curved pad.

Hip Abduction
Side Lying Compression

Patient position	Lying on the side of their leg that is not being assessed, with that leg in 45 degrees hip and knee flexion, and the leg being assessed in full extension.
Contact point	Lateral aspect of lower leg, just proximal to lateral malleolus.
Device orientation	Vertical, the tester end up with the palm pad supported by the practitioner and the curved 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 Plus 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.
Attachments	Palm pad and curved pad.

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 palm pad 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.
Attachments	Curved pad, palm pad.

Hip Extension

Hip Flexion

Hip Internal Rotation

Hip External Rotation

Hip Adduction

Hip Abduction

Hip ExtensionStanding (Long Lever) Compression

Hip ExtensionStanding (Long Lever) Tension

Hip ExtensionStanding (Short Lever) Compression

Hip ExtensionSupine (Long Lever) Compression

Hip ExtensionProne (Long Lever) Compression

Hip ExtensionProne (Long Lever) Compression

Hip ExtensionProne (Short Lever) Compression

Hip ExtensionProne (90° Knee Flexion) Compression

Hip ExtensionSemi-Prone Compression

Hip FlexionStanding (Variant 1) Compression

Hip FlexionStanding (Variant 2) Compression

Hip FlexionSupine Compression

Hip FlexionSupine (Long Lever) Compression

Hip FlexionSeated Compression

Hip Flexion - KickerStanding Tension

Hip Internal RotationSeated Compression

Hip Internal RotationSeated Tension

Hip Internal RotationSupine Compression

Hip Internal RotationSupine Tension

Hip Internal RotationProne Compression

Hip External RotationSeated Compression

Hip External RotationSeated Tension

Hip External RotationSupine Compression

Hip External RotationSupine Tension

Hip External RotationProne Compression

Hip AdductionSupine Compression

Hip AdductionSupine (45° Knee Flexion) Compression

Hip AdductionSupine (90° Knee Flexion) Compression

Hip AdductionStanding Compression

Hip AbductionSupine Compression

Hip AbductionSupine (45° Knee Flexion) Compression

Hip AbductionSupine (90° Knee Flexion) Compression

Hip AbductionSide Lying Compression

Hip AbductionStanding Compression

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