This is a variation on the Lateral Step Down test. Add (in the video I say deduct, but scoring based on higher scores being worse) 1 Hands off hips 1 Trunk Shift 1 Pelvic Drop 1 Knee Drops Medial to 2nd Toe 1 Elevation of Medial Forefoot 1 Loss of Balance Scores x/6 0-1 is considered good quality movement 2-3 is considered medium quality movement 4 is considered poor quality movement Test originally found here Piva et al (2006) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1557500/ | Modern Manua

DECLINE-STEP DOWN TEST FOR PFPS On of the hallmark symptoms of patients with PFPS is anterior knee pain while descending stairs. In other videos on Facebook we have discussed diagnostic test clusters for the condition that have been shown to have little to know value. To evaluate treatment effects different patient related outcome measures such as the anterior knee pain scale have been described but they may not reflect disability of all patient populations. Therefore Ophey et al (2019) wanted t

1. Inside foot plant step ( attenuate load ) 2. Outside foot plant step strike 3. Redirect step ( foot under center of mass, essentially first step in new direction) | Michael Drach Training