Lateral Step Down Test
Introduction[edit | edit source]
The lateral step-down test is a modification of standard step-down test in which the movement a lateral one versus anterior. It can be performed to assess hip and leg strength and endurance. eg in Anterior Knee Pain examination
Performing the Test[edit | edit source]
Instructions for the lateral step down test are as follows.
- Patient is to stand with involved leg on a 15 cm step. This will require most to bend the knee at about 60 degrees.
- Patients are asked to reach down and touch the opposite, non-involved heel to the ground, then return to the starting position.
Patient should be rated on the criterion listed in Table 1.
Scoring the Test[edit | edit source]
The test is scored according to 5 criteria:
|Arm Strategy||Subject used his arms in an attempt to recover balance||+1|
|Trunk Strategy||Trunk leaned to one side||+1|
|Pelvic Plane||Pelvis rotated or elevated||+1|
|Knee Position||Knee deviated medially and the tibial tuberosity is medial to second toes
Knee deviated medially and the tibial tuberosity is medial to medial boarder of foot
|Steady Stance||Subject stepped down on the non-tested side or became unsteady||+1|
- Total score of 0 or 1 was classified as good quality of movement
- Total score of 2 or 3 was classified as medium quality
- Total score of 4 or above was classified as poor quality of movement
References[edit | edit source]
- Manske RC, Davies GJ. Examination of the patellofemoral joint. International journal of sports physical therapy. 2016 Dec;11(6):831. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095938/(accessed 12.1.2022)
- Whiler L, Fong M, Kim S, Ly A, Qin Y, Yeung E, Mathur S. Gluteus medius and minimus muscle structure, strength, and function in healthy adults: brief report. Physiotherapy Canada. 2017;69(3):212-6.
- Piva SR, Fitzgerald K, Irrgang JJ, Jones S, Hando BR, Browder DA, Childs JD. Reliability of measures of impairments associated with patellofemoral pain syndrome. BMC musculoskeletal disorders. 2006 Dec 1;7(1):33.