Understanding the Anterior Drawer Test: A Key to Knee Stability Physio 360.

INTRODUCTION;

When it comes to knee injuries, especially those involving the ACL (anterior cruciate ligament), one diagnostic tool continues to be trusted by physiotherapists and orthopaedic specialists alike — the Anterior Drawer Test. At Physio 360, we use this simple yet powerful test to assess ligament integrity and design personalised rehab strategies for fast and effective recovery.

If you've experienced a sports injury, a fall, or a sudden twist of the knee, here's what you need to know about the Anterior Drawer Test and how Physio 360 can help you regain strength and stability.

What Is the Anterior Drawer Test?

The Anterior Drawer Test is a clinical orthopaedic assessment used to evaluate the stability of the ACL (anterior cruciate ligament) — a major ligament that prevents the shinbone (tibia) from sliding too far forward concerning the thighbone (femur).

It’s most commonly performed after knee trauma, especially when there's swelling, instability, or a sensation of “giving way” in the joint.

How the Test Is Performed at Physio 360.

Here’s a step-by-step view of how we perform the test at Physio 360:

1. Positioning: The patient lies flat with the knee bent to 90 degrees and the foot flat on the examination table.

2. Stabilisation: The physio sits on the foot to secure it while gripping the upper part of the tibia.

3. Movement: The therapist gently pulls the tibia forward.

4. Observation: If the tibia moves forward more than usual compared to the other leg, or if the movement feels “soft” or “mushy,” it suggests an ACL injury.

At Physio 360, precision and gentle care are our utmost priorities, particularly when you're experiencing pain or discomfort.

Why the Anterior Drawer Test Matters.

• Quick Detection: Helps identify ACL tears without the need for immediate imaging.

• Guides Treatment: Confirms whether conservative rehab or surgical consultation may be needed.

• Functional Insight: Assesses the real-time stability of your knee during motion.

  
  

Limitations and Complementary Tests.

While the Anterior Drawer Test is valuable, it’s not the only tool. It can sometimes yield false negatives, especially when done too soon after injury or if muscle guarding occurs.

That’s why at Physio 360, we often combine it with other assessments like the Lachman Test or Pivot Shift Test for a more comprehensive picture.

How Physio 360 Helps After a Positive Anterior Drawer Test.

If your test results indicate an ACL tear or instability, don’t panic. At Physio 360, we focus on non-surgical and post-surgical rehabilitation, depending on your condition. Our approach includes:

• ACL strengthening protocols

• Proprioceptive training

• Sport-specific rehab

• Manual therapy and muscle activation

We tailor each treatment plan to your lifestyle, sport, and goals. Whether you're a footballer, a dancer, or someone who just wants to climb stairs pain-free, we’ve got you covered.

Real Stories from Physio 360.

Many of our patients come to Physio 360 with uncertain diagnoses. With the help of functional tests like the Anterior Drawer Test, we accurately identify the issue and start a structured rehab program, leading to faster recovery and restored confidence in movement.

Take the First Step Toward Recovery.

Knee instability shouldn’t be ignored. The earlier it’s assessed, the better your chances of a full recovery. If you’ve recently injured your knee or are struggling with knee pain, book an evaluation at Physio 360. Our expert team is trained in orthopaedic assessments, manual therapy, and rehabilitative exercise science.

Because at Physio 360, we don't just treat symptoms — we rebuild lives, one step at a time.

REFERENCE AND RESEARCH ARTICLE ;

1.Mechanics of the anterior drawer test at the ankle: the effects of ligament viscoelasticityhttps://doi.org/10.1016/j.jbiomech.2004.09.031.

2.Accuracy of Lachman and Anterior Drawer Tests for Anterior Cruciate Ligament Injurieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC4151408/