Execution
- 1Position the patient side-lying or supine according to the selected protocol.
- 2Move the test hip into adduction to place compression over the greater trochanter.
- 3Record whether passive ADD reproduces familiar lateral hip pain.
- 4Add resistance according to the ADD-R variant to combine compression with muscle contraction.
- 5Compare pain response with FADER, palpation, and single-leg stance findings.
Positive outcome
Reproduction of familiar lateral hip pain during hip adduction or resisted adduction-position loading is positive. The test aims to provoke gluteal tendon compression against the greater trochanter. Pain outside the lateral hip should be interpreted with caution.
Studies
| Study | Reliability | Sn | Sp | LR+ | LR− |
|---|---|---|---|---|---|
| Grimaldi et al. (2017) | NA | 41 | 86.7 | 3.08 | 0.68 |
| Grimaldi et al. (2017) — ADD-R | NA | 33 | 93.3 | 4.93 | 0.72 |
CommentADD and ADD-R are compression-based gluteal tendinopathy tests. Their specificity is more useful than their sensitivity, so a negative test should not exclude gluteal tendon pathology. The best clinical interpretation comes from a pattern of lateral hip pain on palpation, loading, and compression tests.
Moderate Clinical Value