II. Indication
- Iliotibial Band Syndrome Evaluation
III. Technique
- Patient lies on side, unaffected side down
- Examiner places one hand on ankle and the other on the lateral hip over the iliac crest
- Step 1: Tensor fasciae latae test
- With the hip and knee both extended, allow the hip to adduct toward the table with gravity
- Step 2: Gluteus medius test
- With the hip extended at 0 degrees, flex the knee to 45-90 degrees
- Step 3: Gluteus maximus test
- Patient rotates upper torso with both Shoulders against the exam table
- Flex the hip and allow the leg to fall over the side of the table
- Extend the leg at the knee
IV. Interpretation
- Positive test if patient unable to undergo Passive Hip Adduction past the midline
- Causes
- External Snapping Hip
- Greater Trochanteric Pain Syndrome
- Findings suggestive of IT Band Syndrome
- Difficult adduction of affected knee
- Lateral Knee Pain on attempted adduction