Noble’s Test

Nobles Test

What is the "Noble's Test" used for?

  • Iliotibial Band Syndrome

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