Noble’s Test | Noble Compression Test | ITBS / Runner’s Knee Assessment
Noble’s Test also known as Noble Compression Test is an orthopedic test for iliotibial band syndrome (ITBS) aka Runner’s Knee. ITBS is a common overuse injury typically seen in endurance athletes such as runners or cyclists and is thought to be caused by friction of the distal iliotibial band against the lateral femoral condyle, compression of the fat pad, and connective tissue deep to it, or inflammation of the bursa. A systematic review by van der Worp et al. (2012) reports that there is limited or conflicting evidence whether hip abductor weakness has a major role in causing these irritations though the kinetics and kinematics of the hip knee and or ankle and foot appear to be different in runners with ITBS compared to those without.
ITBS is usually diagnosed based on history taking and clinical presentation. The Noble compression test has not been subject to diagnostic accuracy studies which are why the clinical value remains questionable.
To conduct the test the patient’s knee is flexed to 90 then pressure is applied to the lateral epicondyle or a 1–2 cm proximal to it and then the knee is gradually extended. At 30 flexion the patient will complain of severe pain over the lateral epicondyle and describe the pain as having the same quality as that experienced when running. This is due to the fact that the ITB will move over the lateral femoral condyles at that angle.
LEVEL UP YOUR DIFFERENTIAL DIAGNOSIS IN RUNNING RELATED HIP PAIN - FOR FREE!
Another common test for ITBS is Renne’s Test. If you want to learn more about facts & fiction about ITBS click here.
If you are interested in a progressive rehab program for this condition, make sure to check out our article about ITBS rehab.
What others say about the Running Rehab Online Course
Ruba Al Barghouthi
Running Rehab: From Pain to Performance Very informative course. Highly recommended for every MSK Physiotherapist and any other health care providers who deal with runners.
Running Rehab: From Pain to Performance GREAT
A Great insight into running rehab. Everything you should know from injury to return to running.
Running Rehab: From Pain to Performance I have learned a lot. Perfect practical guidelines, as also the EBP is perfect integrated in the course. Exellent !! Go on…
Running Rehab: From Pain to Performance This course is perfect for any clinician working with runners.
The instructor is extremely knowledgeable, and the course offers clear and practical information to help clinicians be more confident and effective at treating the running population.
The course covers everything, from assessment to exercise prescription, and offers also several case studies to enhance the learning experience.
Definitely worth investing in!
Running Rehab: From Pain to Performance DO YOURSELF A FAVOUR IF YOU TREAT RUNNERS
This is a great course for any health professional who see individuals from the running population. The course has made my toolbox bigger in terms of broadening my assessment tools when assessing am injured runner and given me more strategies too use when it comes to treatment. The resources provided are very useful and I find myself using them on a regular basis.
Running Rehab: From Pain to Performance EXCELLENT, PRACTICAL AND BACKED WITH THE MOST UP TO DATE RESEARCH.
A really great course!. Providing excellent evidenced based presentations, also great practical value through the numerous videos and theory covering assessments and exercise prescription for running related injuries. I took a lot from the biomechanical gait analysis, and the various case studies presented. This course has helped me put the assessment tools, appropriate treatment strategies, and clinically reasoned protocols into place with the running population I work with.
Jane - Osteopath
Excellent, interactive, practical course "An excellent, interactive, practical course. It provides a way to view runner's that i have not come across before which can be replicated in any setting, no need for expensive equipment. Definitely worth the money, I use it the principles with all my rehab patients."
Great Value "Great value A must do course for anyone involved in lower limb rehab/sports rehab Great tutor"
Elaine - Physiotherapist
Practical, informative and enjoyable "Practical, informative and enjoyable. The assessment tools can be instantly and easily put into practice. Great ideas for treatment and treatment progression.”
Becky - Physiotherapist
Great and refreshing course “A really great and refreshing course, well evidenced, well presented, fun and enlightening. It will change the way I treat and assess runners and lower limb injuries.”
Running Rehab: From Pain to Performance A MUST IF YOU WANT TO TREAT RUNNERS!!!
I really enjoyed it, besides of running myself during years my knowledge about running injuries was lacking of structure. The course covers from the fundamentals of running to how use plyometrics and gait analysis in your treament. Benoy spends time on explaining the diferential diagnosis before jump on the managment of every injury including prognosis times and progresions during the rehab phases, everything is well documented from an evidence based point of view and there is a lot of content to use in the daily practice, workload tracker excell sheet, evaluation booklets, case study videos. In the end, I think this is a great course and I would highly recommend it to any heathcare provider who works with runners.
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