Ober’s Test

Physical Assessment | Lower Extremity Orthopaedics

Introduction

Ober’s Test is often used to to differentiate between Hip Joint Pathology and Trochanteric Bursitis. A modification of this test can be used to test for Iliotibial Band (ITB) Contracture. This test is called Modified Ober Test


Procedure

  1. Patient side-lying with affected lower extremity up.
  2. Examiner stabilises pelvis with one hand & grasps ankle & flexes patient’s knee to 90°, abducts & extends hip.
  3. Examiner then proceeds to internally rotate the hip (turn the patient’s ankle so the toes point up).
Ober's Orthopaedic test for hip

Examiner stabilises pelvis with one hand & grasps ankle & flexes patient’s knee to 90°, abducts & extends hip

Ober Orthopaedic test for hip pathology

Examiner then proceeds to internally rotate the hip (turn the patient’s ankle so the toes point up).

Modifications

  1. Ober’s Test can be modified to test for Iliotibial Band (ITB) Contracture. This test is called Modified Ober Test
  2. Examiner may also palpate the greater trochanter while rotating the thigh to possibly further irritate the trochanteric bursa.

Interpretation

Ober’s Test can be used to differentiate between hip joint pathology and trochanteric bursitis.

Positive Ober’s Test

There are two signs to show a positive Ober’s test.

  1. Hip Pain: Typically indicates hip joint pathology
  2. Trochanteric Pain: Trochanteric bursitis

Clinical Notes

Clinician should use caution when performing this test on individuals with known knee pathologies as this test may increase stress on the knee.