Please input the patient's sex... MALE FEMALE
Ms. Miss Mr. Mrs.

First name.. Last name..

Date of Examination...
Side of Dominance..Right Handed Left Handed

 

 

Left Side Muscle testing

Right Side Muscle testing

Psoas Major / Iliacus

Quadriceps Femoris

Obturators/ Quad Femoris

 

 

Left Side Muscle testing

Right Side Muscle testing

Gluteus Minimus

Tensor Fascia Lata

Tensor Fascia Lata

 

Gluteus Medius

 

 

 

 

 

 

Gluteus Maximus

 

 

 

 

 

 

 

 

Left Side Muscle testing

Right Side Muscle testing

Biceps Femoris

 

 

 

 

 

 

Semitendinosus Semimembranosus

 

 

 

 

 

 

Adductor Pectinus/ Gracilis

 

 

 

 

 

 

 

 

Left Side Muscle testing

Right Side Muscle testing

Tibialis Anterior

 

 

 

 

 

 

Extensor Hallucis Longus