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Single Leg Stance Test

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Other Names

Single Leg Stance Test
Illustration of the single leg stance test[1]
A) Failure during single leg stance due to trendelenburg position. B) Failure of single leg stance due to compensated Trendelenburg posture[2]
  • One Legged Stance Test
  • SLS Test
  • Fatigue Trendelenburg test
  • Sustained single leg stance test
  • Single Leg Stance Test​
  • Single-limb Stance Test

Purpose

  • Evaluate the gluteal muscles, trochanteric bursa as a cause of hip pain

Description

  • Physician asks patient to stand on ipsilateral leg for 30 seconds
  • Positive test
    • Reproduction of patients pain
    • No hip drop should be present until patient fatigues

Pathology


Evidence

Greater Trochanteric Pain Syndrome

  • When compared to MRI confirmed findings[3]
    • Sensitivity: 38%
    • Specificity: 100%
    • PPV: 100%
    • NPV: 32.6%
    • LR+: 12.2
    • LR-: 0.62
  • Kinsella et al: Systematic Review, Meta Analysis[4]
    • Sensitivity: 94%
    • Specificity: 99%
    • LR+: 87.75
    • LR-: 0.07
    • Diagnostic OR: 1354.81

See Also


References

  1. Picot, Brice, et al. "Which functional tests and self-reported questionnaires can help clinicians make valid return to sport decisions in patients with chronic ankle instability? A narrative review and expert opinion." Frontiers in sports and active living (2022): 198.
  2. Carroll, Lindsay A., et al. "The single leg squat test: a “top-down” or “bottom-up” functional performance test?." International journal of sports physical therapy 16.2 (2021): 360.
  3. Grimaldi A, Mellor R, Nicolson P, Hodges P, Bennell K, Vicenzino B. Utility of clinical tests to diagnose MRI-confirmed gluteal tendinopathy in patients presenting with lateral hip pain. Br J Sports Med. 2017;51(6):519-524. doi:10.1136/bjsports-2016-096175
  4. Kinsella, Rita, et al. "Diagnostic accuracy of clinical tests for assessing greater trochanteric pain syndrome: a systematic review with meta-analysis." Journal of Orthopaedic & Sports Physical Therapy 54.1 (2024): 26-49.
Created by:
John Kiel on 23 August 2020 19:38:20
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Last edited:
10 July 2025 15:47:37
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