Development of Clinical Rating Criteria for Tests of Lumbopelvic Stability
Table 2
Rating criteria for dip test: good and poor stability.
Dip Test
Good
Poor
1. Overall Impression
Smooth, good-quality movement General control Controlled change-over between repetitions
Staggered movement Increased speed to attempt to control movement Effort to control movement Trunk “wobble”
2. Weight Distribution
Minimal weight on back leg Back leg remains oriented in the sagittal plane (i.e. no movement in frontal plane) Upright trunk
Excessive weight on back leg Abduction of back leg Trunk leaning forward or to side
3. Lumbar and Pelvic Alignment
Minimal movement in all three planes Frontal plane: ASIS level Sagittal plane: minimal A-P tilt, rotation Lateral view: stable lordosis, minimal trunk flexion
Discernible movement with pelvis tilting up or down, rotating toward or away from weightbearing leg, tilting in anterior or posterior direction
4. Leg Alignment
Minimal movement out of the starting plane of movement. This takes into account the alignment of the limb, influenced by pelvic width, and Q angle at the knee
Discernible movement out of the starting plane of movement
5. Foot Alignment
Neutral foot position—remains stable during movement
Excessive pronation of foot during squat descent Externally rotated starting position of lower leg/foot