Noble’s Test
What is the "Noble's Test" used for?
How to perform the "Noble's Test"?
- The patient is supine or side-lying with the injured side up.
- With one hand grasp just above the ankle and slowly bend the knee back and forth several times from 0-90°,
- while palpating and applying firm pressure on the lateral epicondyle of the femur for crepitus with the thumb of the other hand.
What is the positive result?
- Palpable snapping, rubbing or “squeaky hinge-like” crepitus or localized pain that increases with pressure at or above the epicondyle (often at 30° of flexion) indicates ITB syndrome.
References
- Clinical Tests for the Musculoskeletal 3rd Ed. Book
- Noble's Test | Orthofixar
- Rosenthal, Michael. (2008). Clinical Testing for Extra-Articular Lateral Knee Pain. A Modification and Combination of Traditional Tests. North American journal of sports physical therapy : NAJSPT. 3. 107-9. Link
- Read more about Iliotibial Band Syndrome