NOBLE

TEST

​• Test positioning

The client lies supine with the knee flexed up to 90-degrees.

The therapist stands on the involved side and places the thumb over the lateral epicondyle of the involved knee.

The other hand is placed around the client's ankle.

​• Action

The therapist passively flexes and extends the client's knee while maintaining pressure over the lateral epicondyle.

​• Positive finding

If pain is present under the therapist's thumb when the client's knee is positioned in 30-degrees of flexion, ITB friction syndrome is indicated.

​• Special considerations & comments

At 30-degrees of knee flexion, the ITB lies directly over the lateral epicondyle.

This is a passive, non-weight-bearing version of the Renne test.