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Evaluation of the Knee Observation • Standing – anterior , lateral , posterior • Walking • Supine – swelling ,lumps ,deformity Palpation • • • • • • • • Compare with unaffected side Swelling Temperature Patella Tibial tuberosity Medial & lateral joint line Head of fibula Medial & lateral collateral ligaments Active Range of Movement • Flexion • Extension • Straight leg raise Passive range of movement & end feel • If the individual can perform full range of movement, apply gentle pressure at the end of range to determine end feel. • Knee flexion – soft end feel • Knee extension – tissue stretch Resisted movements • Resisted knee extension – sitting with legs over edge of plinth • Resisted knee flexion- Prone lying Manual Muscle testing • Flexors • Extensors Special Tests • Swelling – Swipe test • Stability test for the medial and lateral collateral ligaments of the Knee • Movements of the Hip joint and ankle • Evaluation of gait • Evaluation of balance/proprioception Stress test for the Medial Collateral ligament