The Importance of Correctly Interpreting Resisted Tests in Orthopaedic Medicine
Resisted tests are a cornerstone of the functional examination in orthopaedic medicine, especially within the Cyriax approach. When applied correctly, they help differentiate between contractile lesions (muscles and tendons) and non-contractile or inert structures (ligaments, joint capsules, etc.).
However, the true value of resisted testing lies not just in performing the test — but in interpreting it accurately.
A strong and painful contraction, for example, may indicate a minor muscle strain, while a weak and painless response could suggest a serious issue like a complete rupture or neurological deficit. Misinterpreting these subtle distinctions can lead to misdiagnosis, inappropriate treatment, or missed red flags.
Correct interpretation requires:
In short, resisted tests are only as reliable as the clinician’s reasoning. Developing precision in both execution and interpretation is essential for effective, evidence-informed clinical decision-making in musculoskeletal care.
