Ober's Test | Iliotibial Band Tightness
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Ober's test assess the tensor fascia latae and iliotibial band for tightness. Watch and learn from our tutor Kai!
According to a study by Willett et al. (2016), they "refute the hypothesis that the ITB plays a role in limiting hip adduction during either version of the Ober test and question the validity of these tests for determining ITB tightness. The findings underscore the influence of the gluteus medius and minimus muscles as well as the hip joint capsule on Ober test findings."
So be careful with your interpretation! This is the link to the free full-text article: www.ncbi.nlm.nih.gov/pubmed/2...
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You guys are saviors for PT students
True 😊
I swear.
Real
This is actually Modified Ober's Test
Ober's Test - 90° knee flexion (emphasize more anterior portion of the iliotibial tract)
Modified Ober's Test - extended knee,
10° to hip extension and abduction,
stabilizing the hip plate to isolate the hip joint movement,
then drop down,
everything below horizontal level (to adduction) is ok, but 10° to adduction should be the range.
Inclinometer could be used to quantify the result.
Tommorow is my viva watching your videos from Pakistan ...thanks for such short and best videos
Tomorrow is my ortho test and you guys saved my day, as always 😍 keep growing!
Once again, Physiotutors saves the day. Thanks Physiotutors!
I'm using this channel to watch the tests since the last 4-5 semesters and I learnt a lot. Excellent explanation ❤🎉
Great! But there’s so much more than tests 💜
Thank you ! Your videos are always helpful especially when you show and explain how the positive test might look.
دكتورة علاج طبيعي ،، مرت على هذي القناه عقبال ما اعالج كل انواع الناس
perfect videos and description than anyother,keep it up
boys...
This channel is a lifesaver, thank you so much!
Glad we can help!
Thanks for your videos! Really helpful
You guys are amazing!
the way we are being taught in the Netherlands is that let the case leg fall from behind (not on the table) to see how far is the leg being dropped
Have my postgrad OSCE tomorrow thank you!!
binge watching their vids a night before my oral revalida😭😭
Very helpful Thank you ❤
Good doctor .... we need a positive and negative results for each test
Thank you God
Love you guys
The pt's gaze at the camera shows that he's in pain... in the inside.
Thank you
I appreciate the note of discrepancy between literature knowledge and clinic use
best demonstrated vedios....
Thank so much
Süper teşekkür ederim 🤗
The best rescuers ever
The best on you tube
Thank you, sometimes at school we can't practice, so your videos are really useful
This is how our channel started! Thanks and glad these videos help you in your studies! Good Luck!
Thank you bro
Ur welcome Burak!
Thank you sir
Welcome
love it
Thanks heaps my massage therapist keeps telling me I have a super tight it band but when I did this test I passed it thanks for your informative videos
You’re welcome
Knee extended it is called modified Obers test
thank you for your useful videos
+mohannad al madanie Thank YOU for your kind comments :)
Thanks a lot for these helpful videos
Ur welcome, thanks for following us Imran!
Damn hes got a good Iliotibial band
This music is the intro to Eric Kanevsky's channel
we must flex knee joint 90 degree after passive abduction the hip joint.
There's two different versions. We have discussed this earlier in the comment section.
The video is very usefull, but other sources say:
- you have to fixate the pelvis (prevent lateral tilt) so the test does not become a false negative
- also bring the the hip into extension, so that the tibial band goes over the greater trochanter
I think these are important to keep in mind, because i tried your test and I was negative, but when i kept the above things in mind i was positive...
What do you say?
Best regards a young physical therapy student
We mention both of the points in the video as well - so yes, we agree!
THANKS KAI!!
No worries Joy, thanks for following us!
An amazing
That test isn't up-to-date. Studies show that cutting of the ITB, doesn't change the result.
Thats true, we have posted about the research on our social media
When i do this my hip popping everytime. U any exercise to recommend to me?
I Have the Same Problem
I think that results from a hip flexor tendon sliding over the greater trochator of the femur. Look up treatment for "dancers hip" or "snapping hip syndrome"
@@SayyedAsad I addressed the issue you're having a bit above
@@VinylUnboxings Brother Will you please Elaborate this...so i can understand more clearly.
🙌🇳🇬 ready for viva
Hey Netherbrothers! Then with a possitive test, how do you guys work the TFL tightness?
Thanks, love your work guys!
Hey Matias,
problem with the test is that it's validity is questionable to assess TFL tightness (see article in the description). Next question is if a short iliotibial band is necessarily a problem.
If we have someone with Iliotibial band friction syndrome, we'd focus on strengthening glute medius and maximus.
Additionally, one might motor control training for the abductors to achieve a good hip lock and decrease step length.
Aderem et al. (2015): www.ncbi.nlm.nih.gov/pubmed/26573859
Baker et al. (2016): www.ncbi.nlm.nih.gov/pubmed/26616177
And in the case of a throcanteric bursitis would you treat TFL tightness directly or you still do not focus on it?
Thanks guys for the fast and good answer!
(Sry my english haha)
+Matias del Marmol NSAIDs, cut down on provoking activities, avoid adduction for a short while and train hip abductors on the affected side
Cool bro! Thanks :)
Upper leg should be in lateral rotation ,
But i don't know why , can u plz explain
The TFL, in addition to abduction and hip flexion, also medially rotates the hip. To put it under even more tension you could additionally rotate it laterally for this test.
@@danpoel820 , thanks
Thanks Daniel, it's the best when followers can help other followers!
what's the sensitivity and specificity of this test?
Doesn't exist. But like mentioned it cannot be a valid test as it rather tests tightness of the hip joint capsule.
Do you also have a video of the Noble's test?
+Robin Oostdam hi Robin, not yet - we'll put it on our (endless) list of videos!;)
Did you go to school in Germany? If so was the school in German or English
Thanks !
We went to school in the Netherlands
Got our bachelors of science in an English program and masters of science in Dutch
Since the ITB attaches to the lateral epicondyle of the tibia, surely flexing the knee would provide more of a stretch?
Hey Brad, let us quote Melchion et al. (1993):
"During Ober's test, in which the knee is flexed to 90°, the patella is positioned distal to the anatomical position. According to a review of the literature by Brattsrom, at 90° of knee flexion, most of the compressive force at the patellofemoral
joint is concentrated at the lateral facets where they contact the lateral surface of the intercondylar groove of the femur. In this position, the lateral femoral condyle mechanically blocks lateral glide of the patella. Brattstrom indicates that the patella
is situated at the opening of the intercondylar groove in the beginning range of flexion. This would explain why more lateral glide can be elicited during physical examination when the knee is extended than when it is flexed. Since the ITB is attached to the
patella it is probably under greater tension during Ober's test than it would be if tested in positions that allowed for some lateral glide of the patella."
Here's the link if you're interested: www.ncbi.nlm.nih.gov/pubmed/8298633
Even more important is the paper of Willett et al. (2016): www.ncbi.nlm.nih.gov/pubmed/26755689
They did a cadaver study and concluded that the ITB does not play a role in limiting hip adduction, but rather the gluteus med/min and especially the hip capsule, which they all dissected one after another.
Wow I wasn't expecting such a quick reply! Thanks for the correction. Your videos are fantastic by the way.
+Brad Kadou No worries,it was a good question and got us wondering from an anatomical perspective! Thanks a lot for ur compliment and for following!
+Brad Kadou Hey Brad, actually re-read the article as I was studying kinematics of the patella. So the explanation from Melchion actually stresses that there is MORE stress during the original Ober's Test in 90° flexion compared to extension.
The reason they chose only slight flexion was that "1) it occurs during a common functional activity, and 2) in this position, the ITB is likely to be under some degree of tension when the hip is adducted."
So you were right, however the second study by Willet et al. (2016) still questions the validity of this test severely!
Very interesting. I'm only in 2nd year Physiotherapy so I was only questioning your method as we were taught 90° flexion in class. However, our lecturer didn't go into any anatomical reasoning as to why the knee was flexed, so I just referred to my anatomy notes.
I love the attention to detail you guys put into your videos and making sure that they're relevant according to recent studies!
I will continue to use your videos as a guideline during my Physio practise!
Keep up the good work.
🔥
More correlated with Gluteus mediums and gluteus minimum internal rotators
Exactly, hip capsule as well like we point out with a link in the description to the article from Willes et al. (2016) as well.
Physiotutors thanks for the reply. Sorry I missed that, it’s the same article I read. We are passing it around at our Chiropractic school. Are all of your videos cited with recent research studies?
Basically all of them unless there was really not literature available!
👌👍
Wie is hier door kine @ugent?
Are these done by european standards? I'm from Australia and was taught to do this differently?
+Luci Bloom Hi Luci, we base our videos on either the latest research articles that we can find or on David Magee - Orthopedic Assessment. So this would be Canadian standard in fact. How did you learn to do this test, I´m curious...
Cheers,
Kai
Physiotutors We learned it a different way, where you hold the leg up and allow the knee to drop, whilst holding onto the tibia, with the person lying to the side. If the knee drops without any trouble then the test is negative but if the knee doesn't drop then it is positive.
We call it the "drop bear" test as it's easy to remember when you think of a koala bear dropping from the tree, and rhymes with Ober's. :D That's how we were taught at Sage college in Melbourne. I shouldn't even be watching any outside versions, as it's not allowed. I was just curious.
+Luci Bloom At the end of the day you gotta know your anatomy and understand what you are testing. Then it doesn´t matter if you call it Ober´s or Koala bear or whatever!;)
Physiotutors Yes true...but if different schools are teaching different ways of doing the Ober's test, then that is confusing. I wasn't speaking so much about what we call it...it's still Ober's test, we just use other imaging to remember it (ie koala drop bear)
+Luci Bloom The way you explained it sounds quite similar to how we do it. In practice I find that patients often have a problem with relaxing and giving you the whole weight of the leg. So when I drop it, they basically hold it up in the air, although their tensor fasciae lata might not be short.
a-b-ducts??
Just to make it easier to differentiate from A-D-duction
💕💕💕💕💕💕💕💕💕💕🙏🙏🙏🙏🙏🙏
thats already a modified ober's test
That's ture Kippy! The ITB has a greater stretch on it in extension however.
Maybe should have mentioned that more precisely in the video.