{"id":159156,"date":"2026-07-20T12:02:08","date_gmt":"2026-07-20T12:02:08","guid":{"rendered":"https:\/\/pabau.com\/?p=159156"},"modified":"2026-08-13T11:36:53","modified_gmt":"2026-08-13T11:36:53","slug":"duck-walk-test","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/","title":{"rendered":"Duck Walk Test"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"Duck Walk Test: Clinical Assessment Template & Documentation Guide\",\"description\":\"Step-by-step clinical guide and downloadable Duck Walk Test assessment template for physiotherapists and sports medicine professionals to evaluate meniscal pathology and document test results accurately.\",\"url\":\"https:\/\/pabau.com\/templates\/duck-walk-test\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Clinical Assessment\",\"Orthopedic Special Tests\",\"Clinical Documentation\",\"Physical Therapy\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"mainEntity\":{\"@type\":\"DigitalDocument\",\"name\":\"Duck Walk Test\",\"description\":\"A clinical assessment form documenting patient positioning, test procedure, positive signs (joint line pain, clicking, inability to squat), and interpretation for meniscal pathology screening.\",\"encodingFormat\":\"application\/pdf\",\"url\":\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/duck-walk-test\/duck-walk-test.pdf\",\"inLanguage\":\"en\",\"isAccessibleForFree\":true,\"offers\":{\"@type\":\"Offer\",\"price\":\"0\",\"priceCurrency\":\"GBP\",\"availability\":\"https:\/\/schema.org\/InStock\"},\"hasDigitalDocumentPermission\":{\"@type\":\"DigitalDocumentPermission\",\"permissionType\":\"https:\/\/schema.org\/ReadPermission\"},\"author\":{\"@type\":\"Organization\",\"name\":\"Pabau\",\"url\":\"https:\/\/www.pabau.com\"},\"datePublished\":\"2026-07-20\"},\"datePublished\":\"2026-07-20\",\"dateModified\":\"2026-07-20\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key Takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key Takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The duck walk test is a clinical special test used to screen for meniscal tears and assess knee joint stability during weight-bearing squat movement<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A positive test is indicated by joint line pain, clicking, or inability to complete the full squat-walk sequence, suggesting posterior horn meniscal pathology<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Published sensitivity and specificity range from 66-82%, making it useful as a screening tool but not diagnostic on its own; always follow positive results with imaging or complementary tests<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau streamlines documentation of duck walk test findings with digital forms and clinical records, creating searchable assessment archives for ongoing patient care<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Download your free duck walk test<\/h2>\n\n\n\n<div style=\"background: linear-gradient(135deg, #E2F2FD 0%, #DFE3FD 100%); border-radius: 16px; padding: 40px; margin: 32px 0;\">\n<h2 style=\"margin: 0 0 12px 0; font-size: 22px; color: #121d36;\">Duck walk test<\/h2>\n<p style=\"margin: 0 0 20px 0; color: #444; font-size: 15px;\">A ready-to-use assessment form documenting patient positioning, test procedure, positive signs (joint line pain, clicking, inability to complete squat), clinical findings, and referral recommendations for meniscal pathology screening.<\/p>\n<a style=\"display: inline-block; background: #037CD2; color: #fff; padding: 14px 28px; border-radius: 8px; text-decoration: none; font-weight: 600; font-size: 15px;\" href=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/duck-walk-test\/duck-walk-test.pdf\" target=\"_blank\" rel=\"noopener\">Download template<\/a>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The duck walk test, also called the Childress test or Childress sign, is a clinical assessment tool for screening meniscal pathology during weight-bearing knee movement. Physiotherapists, sports medicine practitioners, and orthopedic clinicians use it as part of a routine knee examination. This guide covers the complete procedure, positive interpretation criteria, and best practices for documenting findings in clinical records.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the duck walk test (Childress test)?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The duck walk test is a functional movement screening tool that assesses the knee&rsquo;s response to weight-bearing squat mechanics, specifically targeting the posterior horn of the meniscus. Also known as the Childress test, after the clinician who first described it, the test loads the knee joint through a full squat with internal or external tibial rotation. This creates mechanical stress that provokes pain or clicking when meniscal pathology is present.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unlike imaging studies like MRI or arthroscopy. It provides immediate clinical feedback and helps guide referral decisions for further diagnostic testing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The test is widely used in preparticipation physical examinations (PPE), sports physicals, and routine orthopedic screening because it is quick, non-invasive, and requires no special preparation or instrumentation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to perform the duck walk test: Step-by-step procedure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Performing the duck walk test correctly requires clear patient instruction and careful observation of movement quality and patient response.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Patient positioning:<\/strong> Ask the patient to stand with feet shoulder-width apart in a neutral, upright stance facing the clinician.<\/li><li><strong>Instruct the squat:<\/strong> Direct the patient to slowly lower into a full squat position, bringing the hips down toward the heels while keeping the torso upright. The patient&rsquo;s knees should bend to approximately 90 degrees or deeper.<\/li><li><strong>Internal rotation component:<\/strong> Once in the full squat, instruct the patient to walk forward in short, deliberate steps for 4-6 meters (or until symptoms appear). Some clinicians emphasize internal tibial rotation by instructing the patient to \u00ab\u00a0point toes inward\u00a0\u00bb during the walk to increase mechanical stress on the posterior medial meniscus.<\/li><li><strong>Observe movement quality:<\/strong> Watch for symmetry, fluidity, and any signs of pain, hesitation, or inability to maintain the squat position.<\/li><li><strong>Document response:<\/strong> Note whether the patient completes the movement painlessly or reports joint line pain, clicking, or inability to continue.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">The entire procedure typically takes 30-60 seconds. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Interpreting a positive duck walk test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A positive duck walk test is indicated by one or more of the following clinical findings:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Joint line pain:<\/strong> Tenderness or pain localized to the medial or lateral knee joint line, often described as a \u00ab\u00a0catching\u00a0\u00bb sensation<\/li><li><strong>Painful clicking or crepitus:<\/strong> An audible or palpable click or grinding sensation during the squat-walk movement<\/li><li><strong>Inability to complete the movement:<\/strong> The patient cannot maintain the squat position or walk the prescribed distance due to pain or mechanical restriction<\/li><li><strong>Posterior knee pain:<\/strong> Pain in the back of the knee joint, suggestive of posterior meniscal involvement<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A positive test suggests meniscal pathology but does not confirm a meniscal tear on its own. The posterior horn of the meniscus is the most commonly affected region when this test is positive, due to the loading mechanics of the full squat position with tibial rotation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Occupational therapists often score assessments like this directly inside <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy software<\/a>, keeping results attached to the treatment plan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnostic accuracy: Sensitivity and specificity<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Published peer-reviewed studies have evaluated the duck walk test&rsquo;s ability to detect meniscal tears confirmed by <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5670062\/\" target=\"_blank\" rel=\"nofollow noopener\">MRI or arthroscopy<\/a>. The following table summarizes diagnostic accuracy data from clinical research:<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Diagnostic Measure<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:center;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Reported Range<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical Interpretation<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Sensitivity<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">66-82%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">If meniscal tear is present, the duck walk test will detect it 66-82% of the time<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Specificity<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">70-92%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">If meniscal tear is absent, the duck walk test will be negative 70-92% of the time<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Positive Likelihood Ratio (LR+)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">2.3-5.8<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A positive test modestly increases the probability of a meniscal tear; follow-up imaging is recommended<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Negative Likelihood Ratio (LR\u2212)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">0.2-0.4<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A negative test reduces the probability of a meniscal tear; further investigation may not be necessary<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">These data underscore that the duck walk test is a useful screening tool but should never be relied upon in isolation. A positive test warrants additional clinical assessment and imaging referral.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Who is the duck walk test helpful for?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The duck walk test is valuable for multiple clinical settings and professional groups:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Physiotherapists and physical therapists:<\/strong> Use the duck walk test during initial patient assessment to screen for meniscal pathology and guide treatment planning.<\/li><li><strong>Sports medicine practitioners:<\/strong> Include the test in pre-season athlete evaluations, preparticipation physicals, and return-to-sport clearance examinations.<\/li><li><strong>Orthopedic clinicians:<\/strong> Incorporate the duck walk test into structured knee examination protocols to support diagnostic decision-making.<\/li><li><strong>Chiropractic and osteopathic practitioners:<\/strong> Screen for meniscal involvement when evaluating knee complaints and referred joint pain.<\/li><li><strong>Athletic trainers and strength coaches:<\/strong> Use the test to identify athletes at risk of meniscal injury before symptoms worsen.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Benefits of using the duck walk test in clinical practice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The duck walk test offers several practical advantages in clinical settings. It requires no equipment, can be performed in any clinic environment, and takes less than one minute to complete. Results are immediately available and provide clear clinical direction: if positive, further diagnostic testing is warranted; if negative, the clinician can rule out meniscal pathology with reasonable confidence and pursue alternative diagnoses.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The test also educates patients about their knee mechanics and helps them understand the relationship between movement patterns and symptoms. When documented in clinical records, the duck walk test result becomes part of the patient&rsquo;s assessment narrative and supports clinical decision-making at future visits.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Documenting the duck walk test in clinical records<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Accurate documentation of the duck walk test is essential for clinical continuity, referral communication, and compliance with documentation standards. Clinicians should record the following elements in the patient&rsquo;s assessment note:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Test name and alternate names:<\/strong> \u00ab\u00a0Duck Walk Test (Childress Test)\u00a0\u00bb ensures clarity across settings.<\/li><li><strong>Patient positioning and instructions:<\/strong> Document whether the patient performed full squat, the distance walked, and any modifications made due to patient limitations.<\/li><li><strong>Positive findings:<\/strong> Note specific observations: \u00ab\u00a0joint line pain at 5\/10 severity,\u00a0\u00bb \u00ab\u00a0audible click during squat-walk,\u00a0\u00bb or \u00ab\u00a0unable to squat below 45 degrees due to pain.\u00a0\u00bb<\/li><li><strong>Test result (positive\/negative\/equivocal):<\/strong> A clear binary or descriptive outcome statement.<\/li><li><strong>Clinical correlation:<\/strong> Link the test result to other examination findings (e.g., \u00ab\u00a0Positive duck walk test with positive McMurray test and joint line tenderness supports meniscal pathology hypothesis\u00a0\u00bb).<\/li><li><strong>Next steps:<\/strong> Document recommended follow-up: \u00ab\u00a0MRI knee ordered; patient counseled on rest and ice pending imaging results.\u00a0\u00bb<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">When imaging confirms a tear, clinicians document it with S83.241.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using a standardized assessment form (such as the downloadable template above) ensures consistent documentation and makes it easier to write safer clinical notes that hold up for referrals and audits. <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/duck-walk-test\/digital-forms.webp\" alt=\"Digital forms\"\/><figcaption class=\"wp-element-caption\"><em>Digital forms<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Comparing duck walk test with McMurray, Thessaly, and Apley tests<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The duck walk test is one of several meniscal special tests available to clinicians. Understanding how it compares to McMurray&rsquo;s test, the Thessaly test, and the Apley Grind test helps guide test selection during a comprehensive knee examination:<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:14px;line-height:1.4;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Test Name<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Patient Position<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Mechanism<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical Advantage<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:10px 14px;font-weight:500;color:#121D36\">Duck Walk Test<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Standing, full squat<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Weight-bearing squat with tibial rotation<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Functional, weight-bearing; easy to perform; good for athlete screening<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:10px 14px;font-weight:500;color:#121D36\">McMurray Test<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Supine (lying), knee flexed<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Passive knee flexion\/extension + rotation<\/td>\n<td style=\"padding:10px 14px;color:#374151\">High specificity; produces audible\/palpable click; passive (less effort required)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:10px 14px;font-weight:500;color:#121D36\">Thessaly Test<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Standing, 20\u00b0 knee bend<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Weight-bearing with internal\/external rotation<\/td>\n<td style=\"padding:10px 14px;color:#374151\">High sensitivity; functional; less demanding than full squat<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:10px 14px;font-weight:500;color:#121D36\">Apley Grind Test<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Prone (face down), knee flexed<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Compression + internal\/external rotation<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Assesses meniscal compression; different position may reveal pain not apparent in other tests<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Best practice is to use a battery of tests rather than relying on one alone. A structured knee examination typically combines two or more of these tests with comprehensive clinical documentation to build a robust clinical hypothesis before referring for imaging.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Combine the duck walk test with joint line tenderness palpation and the McMurray test for a more complete meniscal screening battery. If two or more tests are positive, the likelihood of meniscal pathology increases significantly, strengthening the case for MRI or orthopedic referral.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Related templates<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/templates\/heart-attack-troponin-levels-chart\/\">Heart Attack Troponin Levels Chart<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/templates\/dynamic-gait-index\/\">Dynamic Gait Index<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/templates\/edens-test\/\">Eden&rsquo;s test template<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/templates\/elderly-blood-pressure-chart\/\">Elderly blood pressure chart<\/a><\/li>\n<\/ul>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Streamline your clinical assessments with Pabau                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&rsquo;s digital forms and clinical records help you document special tests like the duck walk test in structured, searchable formats. Build assessment templates once and reuse them for every patient.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau clinic management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The duck walk test is a practical, cost-effective special test for screening meniscal pathology in clinical and sports medicine settings. When performed correctly and interpreted within the context of other examination findings, it helps clinicians build a robust assessment hypothesis and guide appropriate referral for imaging.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Accurate documentation of the duck walk test strengthens clinical communication and supports continuity of care. By using standardized assessment templates, such as the free downloadable form provided above, clinicians create consistent, searchable clinical records that improve patient outcomes and support evidence-based practice. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> with Pabau to see how digital assessment forms and clinical records can streamline your meniscal testing workflows.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a broader documentation framework?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/soap-notes-for-social-work-a-complete-guide-to-writing-effective-clinical-notes\/\">SOAP notes guide<\/a> helps you structure meniscal test findings alongside history and physical exam.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Screening reveals a positive result?<\/strong> A <a href=\"https:\/\/pabau.com\/templates\/meniscus-rehab-exercises-handout-worksheet\/\">meniscus rehab exercises<\/a> handout gives patients a clear home program while they await imaging or referral.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a place to log symptom location?<\/strong> A <a href=\"https:\/\/pabau.com\/templates\/body-pain-chart\/\">body pain chart<\/a> template helps patients mark exactly where joint line pain occurs.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Screening ahead of a sports physical?<\/strong> A <a href=\"https:\/\/pabau.com\/templates\/vital-signs-record\/\">vital signs record<\/a> template keeps baseline measurements alongside your special test findings.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Assessing an athlete after an acute injury?<\/strong> Keep an <a href=\"https:\/\/pabau.com\/templates\/emergency-medical-form\/\">emergency medical form<\/a> on hand for same-day incident documentation.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1784539228564\"><h3 class=\"schema-faq-question\">What is the duck walk test?<\/h3> <p class=\"schema-faq-answer\">The duck walk test (also called the Childress Test) is a clinical special test in which a patient squats deeply and walks forward in a full squat position. Pain, clicking, or inability to complete the movement may indicate meniscal tears or knee joint pathology. The test takes about 30-60 seconds to perform and requires no equipment.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784539228565\"><h3 class=\"schema-faq-question\">How accurate is the duck walk test for detecting meniscal tears?<\/h3> <p class=\"schema-faq-answer\">Published studies report sensitivity of 66-82% and specificity of 70-92%, meaning the test correctly identifies meniscal tears roughly two-thirds to four-fifths of the time and correctly rules them out 70-92% of the time. A positive test warrants further imaging (MRI) or orthopedic referral, but the test cannot diagnose a tear on its own.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784539228566\"><h3 class=\"schema-faq-question\">What does a positive duck walk test mean?<\/h3> <p class=\"schema-faq-answer\">A positive duck walk test is indicated by joint line pain, clicking, or inability to complete the full squat-walk movement. These signs suggest meniscal pathology (often posterior horn involvement), but confirmation requires imaging such as MRI or arthroscopy. A positive test should always be followed by additional clinical tests and referral for further evaluation.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784539228567\"><h3 class=\"schema-faq-question\">When is the duck walk test used in sports physicals?<\/h3> <p class=\"schema-faq-answer\">The duck walk test is a standard component of preparticipation physical examinations (PPE) and sports physicals because it is quick, requires no equipment, and effectively screens for meniscal injury risk in active patients. A positive result in an athlete prompts follow-up examination and, if indicated, imaging before return to sport clearance.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784539228568\"><h3 class=\"schema-faq-question\">What should I do if a patient has a positive duck walk test?<\/h3> <p class=\"schema-faq-answer\">After a positive duck walk test, perform complementary special tests (McMurray, Thessaly, Apley Grind) and joint line palpation to strengthen your clinical impression. If meniscal pathology remains likely, refer the patient for MRI imaging or orthopedic consultation. Document all findings clearly and communicate your assessment to the referring physician or orthopedic specialist.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784539228569\"><h3 class=\"schema-faq-question\">How do I document the duck walk test in the patient record?<\/h3> <p class=\"schema-faq-answer\">Record the test name (Duck Walk Test \/ Childress Test), patient positioning and instructions followed, specific findings (pain location and severity, clicking, inability to squat), the final result (positive\/negative\/equivocal), and clinical correlation with other examination findings. Include your next steps, such as imaging referral or follow-up testing. Using a standardized assessment form ensures consistency and defensibility.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Download your free duck walk test Duck walk test A ready-to-use assessment form documenting patient positioning, test procedure, positive signs (joint line pain, clicking, inability to complete squat), clinical findings, and referral recommendations for meniscal pathology screening. Download template The duck walk test, also called the Childress test or Childress sign, is a clinical assessment [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":159154,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"78","_yoast_wpseo_content_score":"60","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1125,1126,1127,4138],"tags":[3998,1594,3422,1402,1382],"class_list":["post-159156","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-pain-management","category-physical-therapy","category-sports-medicine","category-templates","tag-knee-injury","tag-physical-therapy","tag-physical-therapy-special-test","tag-sports-medicine","tag-template"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Duck Walk Test (Childress Test): Steps, Accuracy &amp; 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A positive test should always be followed by additional clinical tests and referral for further evaluation.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/#faq-question-1784539228567","position":4,"url":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/#faq-question-1784539228567","name":"When is the duck walk test used in sports physicals?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The duck walk test is a standard component of preparticipation physical examinations (PPE) and sports physicals because it is quick, requires no equipment, and effectively screens for meniscal injury risk in active patients. A positive result in an athlete prompts follow-up examination and, if indicated, imaging before return to sport clearance.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/#faq-question-1784539228568","position":5,"url":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/#faq-question-1784539228568","name":"What should I do if a patient has a positive duck walk test?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"After a positive duck walk test, perform complementary special tests (McMurray, Thessaly, Apley Grind) and joint line palpation to strengthen your clinical impression. If meniscal pathology remains likely, refer the patient for MRI imaging or orthopedic consultation. Document all findings clearly and communicate your assessment to the referring physician or orthopedic specialist.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/#faq-question-1784539228569","position":6,"url":"https:\/\/pabau.com\/fr\/templates\/duck-walk-test\/#faq-question-1784539228569","name":"How do I document the duck walk test in the patient record?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Record the test name (Duck Walk Test \/ Childress Test), patient positioning and instructions followed, specific findings (pain location and severity, clicking, inability to squat), the final result (positive\/negative\/equivocal), and clinical correlation with other examination findings. Include your next steps, such as imaging referral or follow-up testing. Using a standardized assessment form ensures consistency and defensibility.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"}]}},"yoast":{"focus_keyword":"duck walk test","seo_title":"Duck Walk Test (Childress Test): Steps, Accuracy & Free Template","meta_description":"The duck walk test (Childress test) screens meniscal tears with 66-82% sensitivity and 70-92% specificity, plus a free template.","content_score":"60","is_cornerstone":"","related_keyphrases":[{"keyword":"meniscus tear special tests","score":61},{"keyword":"knee special tests orthopedic","score":61},{"keyword":"duck walk test sensitivity specificity","score":67}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/159156","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/users\/77"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/comments?post=159156"}],"version-history":[{"count":5,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/159156\/revisions"}],"predecessor-version":[{"id":178555,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/159156\/revisions\/178555"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media\/159154"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media?parent=159156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/categories?post=159156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/tags?post=159156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}