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Wednesday, February 17, 2021

Ober's test (Ober's abduction sign)

A clinical test for contraction of the fascia lata in sciatica or low back pain.

Ober's test
Ober's test

Pierre Sterckx submitted this description: The patient lies on the uninvolved side with the lower knee flexed to help reduce lumbar lordosis. The examiner lifts the upper flexed or extended leg at the ankle while stabilizing the pelvis with the other hand, then abducts and extends the hip allowing the iliotibial band (ITB) to move posteriorly over the greater trochanter. The examiner then slowly lowers the upper leg. If the leg drops to the table, the test is negative; if it remains abducted, the test is positive. It is extremely important in performing this test to hold the patient's pelvis and keep it at a right angle to the table while moving the involved side.

More details:  📖 Musculoskeletal Diseases 2013-2016: Diagnostic Imaging

F. R. Ober: The role of the iliotibial band and fascia lata as a factor in the causation of low-back disabilities and diabilities and sciatica. Journal of Bone and Joint Surgery, Boston, 1936, 18: 105-110.


Frank Roberts Ober (1881 - 1960), American orthopaedic surgeon.

Frank Ober
Frank Ober

Frank Ober was born at Mt. Desert, Maine, June 1, 1881, and died in Boston on December 26, 1960. Of Down-East Yankee stock, his 80-year life was a kind of Horatio Alger success story, compounded of native ability, ingenuity, hard work, and devotion to duty.

References

1: Park JH, Kang SY, Choung SD, Jeon HS, Kwon OY. Effects of tibial rotation on
Ober's test and patellar tracking. Knee. 2016 Aug;23(4):600-3. doi:
10.1016/j.knee.2015.09.012. Epub 2016 May 28. PMID: 27242281.



2: Herrington L, Rivett N, Munro S. The relationship between patella position
and length of the iliotibial band as assessed using Ober's test. Man Ther. 2006
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16867314.



3: Tenney HR, Boyle KL, Debord A. Influence of Hamstring and Abdominal Muscle
Activation on a Positive Ober's Test in People with Lumbopelvic Pain. Physiother
Can. 2013 Winter;65(1):4-11. doi: 10.3138/ptc.2011-33. PMID: 24381375; PMCID:
PMC3563370.



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5: Ganderton C, Semciw A, Cook J, Pizzari T. Demystifying the Clinical Diagnosis
of Greater Trochanteric Pain Syndrome in Women. J Womens Health (Larchmt). 2017
Jun;26(6):633-643. doi: 10.1089/jwh.2016.5889. Epub 2017 Mar 6. PMID: 28263673.



6: Alejo T, Shilhanek C, McGrath M, Heick JD. THE EFFECTS OF AN AQUATIC MANUAL
THERAPY TECHNIQUE, AQUASTRETCH™ ON RECREATIONAL ATHLETES WITH LOWER EXTREMITY
INJURIES. Int J Sports Phys Ther. 2018 Apr;13(2):214-228. PMID: 30090680; PMCID:
PMC6063057.



7: Getka A. Patellar hypomobility and the flexibility of the iliotibial band and
the femoral quadriceps. Ortop Traumatol Rehabil. 2005 Dec 30;7(6):656-9. PMID:
17611431.



8: Puniello MS. Iliotibial band tightness and medial patellar glide in patients
with patellofemoral dysfunction. J Orthop Sports Phys Ther. 1993
Mar;17(3):144-8. doi: 10.2519/jospt.1993.17.3.144. PMID: 8472078.



9: Noble HB, Hajek MR, Porter M. Diagnosis and Treatment of Iliotibial Band
Tightness in Runners. Phys Sportsmed. 1982 Apr;10(4):67-74. doi:
10.1080/00913847.1982.11947203. PMID: 29265972.


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