Hip Restriction - Modified Ober's Test

Modified Ober's Test - Stuart Hinds

Notes to the Video Above:

The Ober's Test (and modifications) is used to evaluate a tight, contracted or inflamed tensor fasciae latae and iliotibial band. Any form of hip restriction is often a strong indicator of trigger point activity.

TFL and ITB

The Tensor Fascia Lata (TFL) is one of our hip flexors. This muscle sits laterally on our hips, attaching to the  Anterior Superior Iliac Spine (ASIS).

The TFL then runs inferiorly and blends into the Iliotibial Tract (ITB). Muscles generally have a tendon at each end which attaches them from one bone to another.

The TFL is one of a few exceptions as it blends into the ITB rather than its own tendon. It also shares the ITB with the Gluteus Maximus which has a similar blending of some of it’s fibers into the ITB.

The TFL flexes the hip as well as abducts the thigh and medially rotates the thigh. The ITB is a non contractile piece of tissue.

This means it can’t become ‘tight’ of its own accord. However with the TFL attaching into it, if the TFL becomes tight, it will pull on the ITB and hence tighten it (note that the Gluteus Maximus also does this).

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