Levers Test – Knee Screen

 In Knee

Levers Test:

The Levers Test is a newer screen which (similar to the Drawer Test Screen) tests the integrity of the Anterior Cruciate Ligament.

During today’s video, Bonnie leads us through the methodology for screening the ACL in the Lever’s Test and what this might mean for your client if they do test positively for this screen. As Pilates Therapists, we do not diagnose nor suggest that we replace the need for medical practitioners of any kind. Our role is to support these practitioners and use Pilates as a form of exercise to rehabilitate and facilitate movement once they have been medically cleared to do so.

Performing the Lever’s Test Screen:

Start by having your client in the supine position (laying on their back)

Place one fist under the proximal third of the calf, and then apply a downward pressure onto top of the distal third of the femur. The positioning of your hand under the calf is crucial, if it isn’t placed in the correct area then this will create a false positive so make sure that your fist is under the muscle belly of the calf.


Levers Test: Knee Ligaments - Pilates Therapy

A positive test…

What you’ll be looking for when you do this, is for the heel to lift up when you apply the downward pressure onto the femur. This would mean that the ACL is intact and is doing it’s job by restricting the tibia from translating forward.

However, if when you apply that downward pressure the heel doesn’t lift, it would indicate there is a laxity or a lack of connection to the tibia.

Once your client has seen a medical practitioner and has been cleared for Pilates exercise, there are many things you can do to help and potentially improve their condition. We delve deeper into this on our Knee and Foot courses and we still have a few spaces free should you wish to join us and learn more! So if you’re interested, please feel free to visit our Courses page or why not drop us an email at info@pilatestherapy.co.uk

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