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Table 1 Hip-muscle strength testing protocol

From: Targeted gluteal exercise versus sham exercise on self-reported physical function for people with hip osteoarthritis (the GHOst trial – Gluteal exercise for Hip Osteoarthritis): a protocol for a randomised clinical trial

Action

Participant position

Dynamometer placement

Moment arm

Abduction

Supine. Participant holds onto the side of the plinth to stabilise

5 cm proximal to the lateral malleolus

Greater trochanter to 5 cm proximal to lateral malleolus

Adduction

Supine. Contralateral hip and knee flexed, with foot placed flat on the plinth. Participant holds onto the side of the plinth to stabilise

5 cm proximal to the medial malleolus

Greater trochanter to 5 cm proximal to medial malleolus, measured along the lateral surface of the lower limb.

Internal rotation

Sitting over the edge of the plinth. Arms folded across chest

5 cm proximal to the lateral malleolus

Lateral knee joint line to 5 cm proximal lateral malleolus

External rotation

Sitting over the edge of the plinth. Arms folded across chest

5 cm proximal to the medial malleolus

Medial knee joint line to 5 cm proximal medial malleolus, measured along the lateral surface of the lower limb

Hip flexion

Sitting over the edge of the plinth. Arms folded across chest

5 cm proximal to the proximal border of the patella

Greater trochanter to 5 cm proximal to proximal border of patella, measured along the lateral surface of the lower limb

Hip extension

Prone. Testing knee flexed to 90°

Calcaneus

Greater trochanter to Lateral joint line

  1. Note: Resistance applied by the research assistant, with the exception of flexion and extension, where resistance is applied by a belt securing the dynamometer to an external anchor