Lateral Step Down Test

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Introduction[edit | edit source]

The lateral step down test is used to assess quality of movement. The subject stands on a step in single limb support with his hands on his waist. The contralateral limb is over the floor with the knee extended. The subject is asked to bend the tested knee until the contralateral limb touches the floor and then to return to the starting position. The test is scored according to 5 criteria:

Criteria Interpretation Score
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

+1

+2

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[1][2]

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References[edit | edit source]

  1. 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.
  2. 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.