Single Leg Stance Test | Gluteal Tendinopathy (GTPS)

Single Leg Stance Test | Gluteal Tendinopathy (GTPS)
Gluteal tendinopathy which falls under the nowadays used umbrella term greater trochanteric pain syndrome or GTPS is part of the differential diagnosis in patients with lateral hip pain.
Grimaldi et al. (2016) conducted a diagnostic accuracy study on different diagnostic tests that were contrasted to MRI findings indicative of gluteal tendinopathy. The Single leg stance test was the most specific test in the study with a sensitivity of 38% and a specificity of 100%. In a different study by Lequesne et al. (2008) the test had 100% sensitivity and 97,3% specificity when applied in symptomatic and asymptomatic people.
Grimaldi’s study setup mimics clinical situations better as we don’t see the unsymptomatic patient and judging from their findings, a positive test can practically establish that Gluteal tendinopathy is present though excluding the condition with a negative test is not possible, which is why we give it a strong clinical value in including the condition.
To conduct the test, have the patient standing next to a wall with the affected leg furthest from the wall. The patient touches the wall with one finger of the unaffected side at shoulder height for balance. Then the patient raises the foot of the unaffected leg by flexing the knee to 90° keeping the hip of the unaffected leg in neutral position. This position is maintained for up to 30 seconds.
A positive test is the reproduction of the patient’s lateral hip pain in the region of the greater trochanter of at least 2/10 on the NPRS within the 30-second period.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other orthopedic tests that assess for gluteal tendinopathy are:
- Resisted External Derotation Test
- Greater Trochanter Palpation
- FADER / FADER-R / Modified Resisted External Derotation Test
- ADD / ADD-R/ Modified Ober’s Test
References
BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK
- 600+ Pages e-Book
- Interactive Content (Direct Video Demonstration, PubMed articles)
- Statistical Values for all Special Tests from the latest research
- Clinical Value Recommendation
- Detailed descriptions & searchable
- Currently on Version 6.0 – Free lifetime updates
- Available in 🇬🇧 🇩🇪 🇫🇷 🇪🇸 🇮🇹 🇵🇹 🇹🇷
- And much more!
ALL ORTHOPEDIC TESTS IN ONE PLACE
What customers have to say about the Assessment E-Book
- Vince199225/04/20The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!Simon Pagitz06/04/20The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys - Jordi Burrut27/10/19The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!Josh07/07/19The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
- Polo_soa15/02/19The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.