Introduction to Leg Length Differential Assessment

Studies show that 10-14% of the population have a leg-length difference of 9-10mm or more (Giles & Taylor,1985; Rock, 1988).

Daw data provided in the radiological studies calculations shows that differences in leg-length of 5mm or more are found in around 55% of the general population.

The assumption has been that differences less than 10mm are unlikely to be significant. This is a false assumption as it has been found as little as 2mm leg-length difference as profound effects on posture.

Leg Length

Standing and Supine Position

  1. Greater trochanter
  2. Tibial tuberocity
  3. Medial malleolus
  4. Heel pads

Confirmation Tests

  1. Forward Bend Test
  2. Long seated position
  3. Medial malleolus
  4. Heel pad
  5. Supine Bent Knee
  6. Patella
  7. Prone Bent Knee
  8. Heel Pad

Additional Tests

Sacral Iliac Assessment

  1. Forward Bend Test
  2. Single Leg Lift

Lumbar Facet Joint

  1. Forward Bend
  2. Lateral Side Bend