Test: Lateral Tibial Glide for Ankle Mobility and Knee Stability

Video Link

Background/Purpose

Procedure

This test assesses the lateral glide of the tibia on the talus. The test is useful if if patient has loss of ankle mobility with concurrent genu valgus during single limb squat or hop. Start by placing the patient on the table in a supine position with their knees flexed and their feet flat on the table. Next, have the patient drop the testing leg to the side and assess normal hip ROM. The hip should rotate to at least 45 degrees in order to perform the second part of the test (Jansen’s test). If the patient is unable to achieve 45 degrees of motion, there may also be some hip pathology involved. For the second part of the test, stabilize the foot at the first cuneiform and proximal 1st metatarsal. Then have the patient externally rotate the hip again and assess for pain and ROM. Ideally the patient can achieve 30-40 degrees of external rotation. Look for asymmetries from Left to Right as well as reduced ROM.
Performed: Unilaterally

Dialog

Patient lays supine with knees bent and feet flat on table. Clinician stabilizes calcaneus and foot and has patient externally rotate hip.

Criteria

• 30-40 degrees of patient active hip abduction
• both sides are symmetrical and pain free

Measurement

30.00 degrees

LOINC Code

0

Scale/Grading

Pass/Fail