Using the Modified Ober's Test to Assess TFL and ITB

Stuart Hinds demonstrates his modified Ober's Test

Notes to the Video Above:

The Ober's Test (and modifications) is used to evaluate a tight, contracted 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 Fasciae Latae (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 its 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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About the author

Stuart Hinds is one of Australia’s leading soft tissue therapists, with over 27 years of experience as a practitioner, working with elite sports athletes, supporting Olympic teams, educating and mentoring others as well as running a highly successful clinic in Geelong.

Stuart has a strong following of practitioners across Australia and globally who tap into his expertise as a soft-tissue specialist. He delivers a range of highly sought after seminars across Australia, supported by online videos, webinars and one-on-one mentoring to help support his colleagues to build successful businesses.

In 2016, Stuart was awarded a lifetime membership to Massage & Myotherapy Australia for his significant support and contribution to the industry.

This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.