Test library › Hip, groin & thigh
Long stride walking test
For: Ischiofemoral impingement
Pinching of the quadratus femoris muscle in the narrow space between the sitting bone (ischium) and a bony knob on the inner upper thigh bone. Causes deep buttock pain, often on long strides.
Useful in both directionsWhat the numbers mean
- Positive result: a moderate rule-in: a positive result makes the diagnosis clearly more likely.
- Negative result: a strong rule-out: a negative result makes the diagnosis very unlikely.
Source
Gómez-Hoyos J, Martin RL, Schröder R, Palmer IJ, Martin HD. Accuracy of 2 Clinical Tests for Ischiofemoral Impingement in Patients With Posterior Hip Pain and Endoscopically Confirmed Diagnosis. Arthroscopy. 2016;32(7):1279–1284. PubMed · single study
Figures as they will appear in Rule It In, Rule It Out (Trokos, forthcoming). If a newer or better study changes them, this page changes with the book. Figures last updated from the book on 2 October 2026.
Get the book for telling the hip joint from the lateral hip, and ruling out the runner's stress fracture first
This page gives the published figures. Rule It In, Rule It Out adds how to do this test, what counts as positive, how to read the result, and, where studied, whether combining it with other tests helps.
Coming in late 2026 as a PDF and a paperback. Join the list to hear when it's out
One study, one test, once a month
Rule It In is a free evidence letter for musculoskeletal clinicians: one recent study explained, one examination test with its real numbers. From Trokos, publisher of Rule It In, Rule It Out.