ADD (Adduction) / ADD-R / Modified Ober’s Test | Gluteal Tendinopathy

Execution:

  1. Have the patient in diagonal side-lying position on their unaffected side with the hip and knee flexed to 80-90°
  2. The examiner supports the affected upper leg with the knee extended and the hip in neutral position so that the leg is in line with the trunk. The anterior superior iliac spines are perpendicular with the treatment table
  3. Whilst stabilizing the hip, the patient’s leg is moved into end of range adduction with overpressure
  4. Subsequently, the patient is asked to perform isometric hip abduction against resistance

 

Positive Outcome: Reproduction of the patient’s lateral hip pain in the region of the greater trochanter of at least 2/10 on the NPRS

Study

Reliability Sn Sp LR+ LR-

Grimaldi et al. (2017): ADD (Adduction) Test

NA 20 86.7 1.5

0.92

Grimaldi et al. (2017): FADER-R NA 38 93.3 5.7

0.66

Ganderton et al. (2017) NA 12.5 97.5 5.6

0.9

Comment: The ADD (Adduction) Test should be used with resistance in order to help in the confirmation of the diagnosis of GTPS.