Modified Ober’s Test

Indications

The Modified Ober test is also known as Posterior Adduction test and Iliotibial Band (ITB) Stretch test. It is used to asses the iliotibial band (ITB), a positive test can indicate an ITB contracture or strain. The original Ober Test, is used to examine hip joint pathology and trochanteric bursitis

Procedure

  1. Patient side-lying with affected lower extremity up.
  2. Examiner stabilises the patient’s pelvis and adducts affected leg behind opposite leg, observing for pain, discomfort, range of movement and end feel.
Modified Ober's Test for ITB contractor and strain

Examiner stabilises the patient’s pelvis and adducts affected leg behind opposite leg, observing for pain, discomfort, range of movement and end feel.

Modified Schober Test

  1. Patient is standing, examiner marks both posterior superior iliac spine (PSIS) and then draws a horizontal line at the centre of both marks
  2. A second line is marked 5 cm bellow the first line.
  3. A third line is marked 10 cm above the first line.
  4. Patient is then instructed to flex forward as if attempting to touch his/her toes, examiner remeasures distance between the top and bottom line.

Interpretation

A restriction in movement typically suggests an ITB contracture. If pain is present use Ober’s Test to determine if the cause is due to hip joint pathology or trochanteric bursitis.

Positive Modified Ober’s Test

    Decreased range of movement/pain: iliotibial band contracture and/or strain.

Clinical Notes

This maneuverer may also be used as a stretch for the iliotibial band.