Skip to main content


What it measures:

Used to determine the presence or absence of Achilles tendinopathy

Target Population:

People with Achilles tendinopathy

When 3 tests are combined (Achilles Tendon Palpation test, Arc Sign, and the Royal London Hospital Test), the overall sensitivity was 0.586 (confidence interval [CI]=0.469-0.741), and the overall specificity was 0.833 (CI=0.758-0.889). In patients with tendinopathy of the Achilles tendon with a tender area of intratendinous swelling that moves with the tendon and whose tenderness significantly decreases or disappears when the tendon is put under tension, a clinical diagnosis of tendinopathy can be formulated, with a high positive predictive chance that the tendon will show ultrasonographic and histologic features of tendinopathy.2

You Might Also Like...

Clinical Summary

Neck Pain

Jun 27, 2017

PTs may perform an evaluation to develop an individualized treatment plan that addresses the patient's pain and activity limitations.

Test & Measure

Craig Hospital Inventory of Environmental Factors (CHIEF) – Spinal Cord Injury (SCI)

Measures degree to which elements of the physical, social, and political environments act as barriers or facilitators to full participation for people

Test & Measure

Unilateral Concentric and Eccentric Heel Raises

Measures strength and power of the gastrocnemius, soleus, and Achilles tendon complex.