Forward Step Down Test
Other Names
- Eccentric Step Test
- Step-Down Test
- Forward Step Down Test
- Step Off Test
- Step-Down Test
- Single-Leg Step-Down Test
- Functional Step-Down Test
- Forward Single-Leg Step-Down
Purpose
- Evaluate the cause of a patients knee pain
Description
- The patient is stands on a ~20 cm box on affected leg
- Patient should stand with arms folded across chest
- Examiner instructs patient to squat down on one lower extremity 5-10 times consecutively
- Movement should be slow, controlled at a rate of 1 squat per 2 seconds
- Positive test
- Reproduction of patients pain
Pathology
Evidence
- Nijs et al[3]
- Sensitivity: 42%
- Specificity: 82%
- LR+: 2.3
- LR-: 0.7
- PPV: 72
- NPV: 56
See Also
References
- ↑ Park, Kyung-Mi, Heon-Seock Cynn, and Sung-Dae Choung. "Musculoskeletal predictors of movement quality for the forward step-down test in asymptomatic women." Journal of Orthopaedic & Sports Physical Therapy 43.7 (2013): 504-510.
- ↑ Nijs, Jo, Catherine Van Geel, and Bart Van de Velde. "Diagnostic value of five clinical tests in patellofemoral pain syndrome." Manual therapy 11.1 (2006): 69-77.
- ↑ Nijs, J., Van Geel, C., Van der Auwera, C., & Van de Velde, B. (2006). Diagnostic value of five clinical tests in patellofemoral pain syndrome. Manual Therapy, 11(1), 69e77.
Created by:
John Kiel on 16 February 2021 17:52:30
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Last edited:
14 November 2025 14:16:12
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