LONG SITTING

TEST

​• Test positioning

The client lies supine with both hips and knees extended and the therapist stands with the thumbs on the client's medial malleoli.

​• Action

The therapist passively flexes both knees and hips and then fully extends and compares the position of the medial malleoli relative to each other.

The client then slowly assumes the long-sitting position, and malleolar position is reassessed.

​• Positive finding

A leg that appears longer in supine position but shorter in long sitting is indicative of an ipsilateral anteriorly rotated ilium.

Conversely, a leg that appears shorter in supine position but longer in long sitting is indicative of an ipsilateral posteriorly rotated ilium.

​• Special considerations & comments

Marking the reference point of measurement on the malleolli with a pen may increase the reliability when comparing positions of leg length.