 With manual muscle testing of knee flexion, hip, internal and external rotation, the patient reports an increase in right SI joint pain to 8/10.,LEFT LOWER EXTREMITY:,Hip flexion 5/5, knee extension 5/5, knee flexion 4/5, hip internal and external rotation 4/5, with slight increase in pain level with manual muscle testing and resistance. 
With manual muscle testing of knee flexion , hip , internal and external rotation , the patient reports an increase in right SI joint pain to 8/10.,LEFT LOWER EXTREMITY:,Hip flexion 5/5 , knee extension 5/5 , knee flexion 4/5 , hip internal and external rotation 4/5 , with slight increase in pain level with manual muscle testing and resistance .